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  • Mutism in 36 patients who u...
    Quattrini, A; Del Pesce, M; Provinciali, L; Cesarano, R; Ortenzi, A; Paggi, A; Rychlicki, F; Fioravanti, P; Papo, I

    Journal of neurosurgical sciences 41, Številka: 1
    Journal Article

    Thirty-six drug-resistant epileptic patients submitted to callosotomy were studied. Anterior callosotomy was performed in 27 patients, total two-stage callosotomy was performed in 8 patients and 1 patient had only posterior callosotomy. We found mutism in 10 patients (2 after complete callosotomy and 8 after anterior section). The patients did not speak, but the comprehension was present: they were able to carry out orders and to write. Their attitude to the environment was characterized by complete indifference. The mutism was always transient, lasting from 4 to 25 days (mean 7 days). Regression of mutism was always complete. We think that this complication should be chiefly attributed mainly to surgical manipulation, even if it is impossible to completely exclude a multi-factorial etiology.