title: Differential motor speech outcomes in children treated for mid-line cerebellar tumour.
abstract: OBJECTIVE
  To investigate the nature of the motor speech impairments and dysarthria that can arise subsequent to treatment for childhood mid-line cerebellar tumours (CMCT).
  
  
  METHODS
  The motor speech ability of six cases of children with CMCT was analysed using perceptual and physiological measures and compared with that of a group of non-neurologically impaired children matched for age and sex.
  
  
  RESULTS
  Three of the children with CMCT were perceived to exhibit dysarthric speech, while the remaining three were judged to have normal speech. The speech disorder in three of the children with CMCT was marked by deviances in prosody, articulation and phonation. The underlying pathophysiology was linked to cerebellar damage and expressed as difficulty in co-ordinating the motor speech musculature as required for speech production. These deficits were not identified in the three non-dysarthric children with CMCT.
  
  
  CONCLUSIONS
  Differential motor speech outcomes occur for children treated for CMCT and these are discussed within the realm of possible mechanisms responsible for these differences. The need for further investigation of the risk factors for development of motor speech impairment in children treated for CMCT is also highlighted.
authors.affiliation: Department of Speech Pathology & Audiology, University of Queensland, Brisbane, Queensland, Australia. p.cornwell@uq.edu.au
authors.forename: Petrea L
authors.initials: PL
authors.lastname: Cornwell
authors.forename: Bruce E
authors.initials: BE
authors.lastname: Murdoch
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Ward
mesh_terms: D000293:Adolescent; D002528:Cerebellar Neoplasms / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D002531:Cerebellum / Q000503:physiopathology; D002648:Child; D004401:Dysarthria / Q000209:etiology; D004569:Electroencephalography; D005260:Female; D006801:Humans; D007830:Larynx / Q000503:physiopathology; D008297:Male; D009043:Motor Activity / Q000502:physiology; D010614:Pharynx / Q000503:physiopathology; D012119:Respiration; D012129:Respiratory Function Tests; D013064:Speech Disorders / Q000209:etiology* / Q000503:physiopathology