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1.
SQUMJ-Sultan Qaboos University Medical Journal. 2015; 15 (1): 133-135
in English | IMEMR | ID: emr-160030

ABSTRACT

Cerebellar mutism is a rare occurrence following paediatric trauma. Although it is quite common after posterior fossa surgery in children, this phenomenon has rarely been reported following other insults, such as trauma, and its pathophysiology remains poorly understood. We report a seven-year-old child who presented to the casualty department of Sultan Qaboos University Hospital in Muscat, Oman, in May 2013 with a traumatic right cerebellar contusion. The child presented with clinical features of cerebellar mutism but underwent a rapid and spontaneous recovery. The possible mechanism of this occurrence is discussed


Subject(s)
Humans , Male , Cerebellum , Head Injuries, Closed , Child
2.
SQUMJ-Sultan Qaboos University Medical Journal. 2012; 12 (3): 352-356
in English | IMEMR | ID: emr-146129

ABSTRACT

A seven-year-old girl presented to Sultan Qaboos University Hospital, Oman, with a history of having been hit by a motor vehicle. After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear. A computed tomography scan of the brain demonstrated a tegmen fracture communicating with the external auditory canal. There was no hearing or facial nerve impairment and an otoscopic examination showed an intact tympanic membrane. She underwent a transcranial repair of the middle cranial fossa base, which revealed a wide dural and bony defect of the tegmen with herniation of the temporal lobe. Repair was made with an intradural patch of artificial dura. The rarity of this type of presentation of temporal bone fracture and its management are discussed


Subject(s)
Humans , Female , Cerebrospinal Fluid Otorrhea/diagnosis , Ear, Middle , Cerebrospinal Fluid Otorrhea/etiology , Encephalocele/diagnosis , Temporal Bone/injuries
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