Selective Mutism is a complex childhood anxiety disorder characterized by a child’s inability to speak and communicate effectively in select social settings, such as school. These children are able to speak and communicate in settings where they are comfortable, secure, and relaxed.
Wiki Number: PW200
Diagnosis: Selective Mutism
World Patients: .71 of 1% in 2002
Age Onset: early childhood
Brain Area: amygdalas may become over-excited and this is a fight-flight response;
Symptoms: anxiety where people cannot speak in specific situations or places or to specific persons along with a social anxiety disorder.
Progression: Gets worse with age, contributing to depression, further anxiety and other social and emotional problems
Causes: some have experienced trauma; others, not
Medications: An SSRI, fluoxetine, has helped some children.
Therapies: Only change schools if the new one will be more supportive. Different techniques are described in the Wikipedia article.
4 CURRENT ARTICLES
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PubMed article’s summary-abstract.
- Development and application of a diagnostic and severity scale to grade post-operative pediatric cerebellar mutism syndromeby Federica S Ricci on October 15, 2021
The post-operative pediatric cerebellar mutism syndrome (CMS) affects about one-third of children and adolescents following surgical removal of a posterior fossa tumor (PFT). According to the Posterior Fossa Society consensus working definition, CMS is characterized by delayed-onset mutism/reduced speech and emotional lability after cerebellar or 4th ventricle tumor surgery in children, and is frequently accompanied by additional features such as hypotonia and oropharyngeal...
- Sporadic Creutzfeldt-Jakob disease: a case report of long disease duration and difficulties in confirming the diagnosis with short literature reviewby Anna Karolina Stanowska on October 11, 2021
Creutzfeldt-Jakob disease (CJD) is a spongiform encephalopathy with the fatal outcome, caused by the accumulation of pathological prion protein in the central nervous system (CNS). CJD is classified into four types: sporadic (sCJD), familial or genetic (fCJD), iatrogenic (iCJD) and variant form (vCJD). The recognition of CJD is based on the clinical presentation, neuroimaging, electroencephalography and biochemical tests. The hyperintense signals in basal ganglia on brain magnetic resonance...
- Cerebellar mutism following head trauma: A case report and literature reviewby Issa Ali Muftah Lahirish on October 8, 2021
CONCLUSION: Posttraumatic CM is a rare and probably underreported condition with only six documented cases to date. Although it may well be on the same spectrum as postoperative CM, further understanding of the exact mechanism, clinical course, and prognosis of this entity is bound to significantly improve the recovery and quality of life of head trauma patients.
- Postoperative speech impairment and surgical approach to posterior fossa tumours in children: a prospective European multicentre cohort studyby Jonathan Kjær Grønbæk on October 8, 2021
BACKGROUND: Brain tumours are the most common solid tumours in childhood. Half of these tumours occur in the posterior fossa, where surgical removal is complicated by the risk of cerebellar mutism syndrome, of which postoperative speech impairment (POSI) is a cardinal symptom, in up to 25% of patients. The surgical approach to midline tumours, mostly undertaken by transvermian or telovelar routes, has been proposed to influence the risk of POSI. We aimed to investigate the risk of developing...