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Case Series: Acute Mood Symptoms Associated With Posterior Fossa Lesions in Children

Received November 26, 2002; revised April 17, 2003; accepted May 5, 2003. From the Departments of Psychiatry, Pediatrics, Neurology, Radiology, and Pathology, Childrens Hospital, Los Angeles, California; the University of Southern California Keck School of Medicine, Los Angeles, California. Address correspondence to Dr. Turkel, University of Southern California Keck School of Medicine, Los Angeles, CA; sbturkel{at}hsc.usc.edu (E-mail).
Copyright © 2004 American Psychiatric Publishing, Inc.

Nineteen children were acutely dysphoric, inattentive, irritable, and sometimes mute following midline posterior fossa neoplasm resection and arteriovenous malformation hemorrhage. These symptoms represent an acute manifestation of the cerebellar cognitive affective syndrome. The authors aimed to describe the acute psychiatric changes in mood and behavior in children with posterior fossa lesions and to evaluate the relationship of posterior fossa syndrome to cerebellar cognitive affective syndrome.

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