Subependymal giant-cell astrocytoma revealing a tuberous sclerosis of Bourneville

Tuberous sclerosis is a neurocutaneous disorder characterised by hamartomas of many organs including the skin, brain, eyes and kidneys. Central nervous system involvement by tuberous sclerosis includes the characteristic tubers and subependymal nodules or subependymal giant cell astrocytomas. A subependymal giant-cell astrocytoma revealing a tuberous sclerosis is uncommon and occurs in only 6% of tuberous sclerosis patients. A case of a 12-year-old child, with confirmed tuberous sclerosis, revealed by a subependymal giant-cell astrocytoma, completely removed is reported. Clinical, radiological and therapeutic findings of subependymal giant-cell astrocytoma discussed

Transient mutism following removal of cerebellar tumor in a child

to report a case of cerebellar mutism after surgery for posterior fossa tumour n a child. Mutism after posterior fossa surgery is a well described, although rare entity. Most of these tumours are located in the cerebellar vermis and/or extending to the hemispheres. The authors report a case of cerebellar mutism in a 9-year-old Moroccan boy who underwent surgical removal of a vermian medulloblastoma. The child became mute 24 hours postoperatively. He was fully alert without pyramidal signs and without lower cranial nerve palsies. His psychiatric examination was normal. The postoperative computed tomography images revealed nothing remarkable. He was mute for three weeks. Cerebellar mutism should be recognized as an important side effect of surgery