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Marmara University School of Medicine Department of Neurosurgery İstanbul Türkiye Total absence of speech is not generally recognized as a possible complication of posterior fossa surgery. Only a few reports of cerebellar mutism have been published so far. In this paper, we present the case of a patient with a brain stem tumour. who developed mutism without any additional neurological deficit after total tumour removal and which resolved six months after surgery. Keywords : Brain stem, Mutism, Neoplasm, Surgery