We report the case of a 32-month-old female patient presenting with cerebellar pilocytic astrocytoma with epileptic seizures, psychomotor delay, and severe language delay. Usually, the typical onset of cerebellar tumor is characterized by raised intracranial pressure and cerebellar incoordination. A review of the few cases reported in the literature evidencing epileptic seizures symptomatic of a focal, nondegenerative mass limited to the cerebellum is included. Moreover, a discussion about the cerebellar contribution to nonmotor functions in children is presented, in particular following tumor resection. (J Child Neurol 2006;21:817—820; DOI 10.2310/7010.2006.00185).
Aarsen FK, Van Dongen HR, Paquier PF, et al: Long-term sequelae in children after cerebellar astrocytoma surgery. Neurology2004;62: 1311—1316.
4.
Levisohn L., Cronin-Golomb A., Schmahmann JD: Neuropsychological consequences of cerebellar tumour resection in children: Cerebellar cognitive affective syndrome in a paediatric population. Brain2000; 123:1041—1050.
5.
Riva D., Giorgi C.: The cerebellum contributes to higher functions during development: Evidence from a series of children surgically treated for posterior fossa tumours. Brain2000;123:1051—1061.
6.
Catsman-Berrevoets CE, Van Dongen HR, Mulder PG, et al: Tumour type and size are high risk factors for the syndrome of ``cerebellar'' mutism and subsequent dysarthria . Neurol Neurosurg Psychiatry1999;67:755—757.
7.
Aicardi J.: Syndromic classification in the management of childhood epilepsy. J Child Neurol1994;9(Suppl 2):14—18.
8.
International League Against Epilepsy: Proposal for revised classification of epilepsies and epileptic syndromes . Epilepsia1989;30:389— 399.
Jayakar PB, Seshia SS: Involuntary movements with cerebellar tumour. Can J Neurol Sci1987;14:306—308.
11.
Bills DC, Hanieh A.: Hemifacial spasm in an infant due to fourth ventricular ganglioglioma. Case report. Neurosurgery1991;75:134— 137.
12.
al-Shahwan SA, Singh B., Riela AR, Roach ES: Hemisomatic spasms in children. Neurology1994;44:1332—1333.
13.
Harvey SA, Jayakar P., Duchowny M., et al: Hemifacial seizures and cerebellar ganglioglioma: An epilepsy syndrome of infancy with seizures of cerebellar origin. Ann Neurol1996;40:91—98.
14.
McLone DG, Stieg PE, Scott RM, et al: Cerebellar epilepsy. Neurosurgery1998;42:1106—1111.
15.
Chae JH, Kim SK, Wang KC, et al: Hemifacial seizure of cerebellar ganglioglioma origin: Seizure control by tumor resection. Epilepsia2001 ;42:1204—1207.
16.
Mesiwala AH , Kuratani JD, Avellino AM, et al: Focal motor seizures with secondary generalization arising in the cerebellum. JNeurosurg2002;97:190—196.
17.
Mink JW, Caruso PA, Pomeroy SL: Progressive myoclonus in a child with a deep cerebellar mass. Neurology2003;61:829—831.
18.
Shetty T.: Progressive myoclonus in a child with a deep cerebellar mass. Neurology2004;62:2336.
19.
Griffiths R.: The Abilities of Young Children. High Wycombe, UK, The Test Agency, 1984.
20.
Tijssen Maj , Thom M., Ellison DW, et al: Cortical myoclonus and cerebellar pathology. Neurology2000;54:1350—1356.
21.
Gilbert GJ: Progressive myoclonus in a child with a deep cerebellar mass. Neurology2004;62:2336.
