title: Cerebellar mutism in acute disseminating encephalomyelitis.
abstract: BACKGROUND
  Cerebellar mutism in children occurs after posterior fossa tumor resection and can have lasting effects on cognition, language, and behavior. Cerebellar mutism in acute disseminated encephalomyelitis is rare.
  
  
  METHODS
  A 7-year-old boy with a 3-day history of fever, vomiting, and diarrhea presented with altered mental status and expressive aphasia. Magnetic resonance imaging showed new diffusion restriction in the bilateral dentate nuclei and right cerebellum. With treatment, he began to verbalize again but had long-term cognitive and language difficulties.
  
  
  CONCLUSIONS
  Acute disseminated encephalomyelitis is commonly a benign process, but its effect on the cerebellum can be long-lasting.
authors.affiliation: Department of Pediatrics, Northwestern University, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address: sarahmcandrew3@gmail.com.
authors.forename: Sarah
authors.initials: S
authors.lastname: McAndrew
authors.affiliation: Academic General Pediatrics and Primary Care, Department of Pediatrics, Northwestern University, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Robert
authors.initials: R
authors.lastname: Listernick
authors.affiliation: Department of Pediatrics, Northwestern University, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois.
authors.forename: Nancy
authors.initials: N
authors.lastname: Kuntz
mesh_terms: D001921:Brain / Q000473:pathology; D002526:Cerebellar Diseases / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology*; D002648:Child; D004673:Encephalomyelitis, Acute Disseminated / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013064:Speech Disorders / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology*; D016896:Treatment Outcome
keywords: acute disseminating encephalomyelitis; aphasia; cerebellar mutism; dentate nucleus