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Acta Neurochirurgica

, Volume 154, Issue 11, pp 2043–2049 | Cite as

Bobble-head doll syndrome: therapeutic outcome and long-term follow-up in four children

  • Helena GuerreiroEmail author
  • Ales Vlasak
  • Daniel Horinek
  • Michal Tichy
  • Jiri Lisy
  • Petr Vanek
  • Petr Liby
  • David Hoza
  • Vladimir Beneš
  • Christopher Nimsky
Case Report

Abstract

Bobble-head doll syndrome (BHDS) is a complex syndrome with the dominant symptom of repetitive anteroposterior head movement. Only 57 patients are quoted in the literature. The etiology of this syndrome remains unknown and no standard treatment has yet been established. We hereby report four cases treated at our department. All the patients presented a psychomotor retardation due to an obstructive hydrocephalus. All the patients were treated using neuroendoscopic techniques: two with ventriculocystostomy, and two with ventriculocystocisternostomy. Cyst decompression was achieved in all four cases and clinical recovery was evident in three of the four patients observed. After surgery, BHDS persisted longer the more the subsequent treatment was delayed. In this article, we provide a concise overview of the theories of pathogenesis, presentation, and management of this syndrome. Based on our own experience, we state that the method of choice should be the neuroendoscopy and this must be performed promptly after diagnosis is made.

Keywords

Bobble-head doll syndrome Suprasellar cyst Neuroendoscopy Ventriculocystostomy Ventriculocystocisternostomy 

Notes

Conflict of interest

None.

Funding support

This project is supported by the European Regional Development Fund-Project FNUSA-ICRC (No.CZ.1.05/1.1.00/02.0123).

Supplementary material

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Helena Guerreiro
    • 1
    • 2
    • 6
    Email author
  • Ales Vlasak
    • 2
  • Daniel Horinek
    • 1
    • 3
    • 4
  • Michal Tichy
    • 2
  • Jiri Lisy
    • 5
  • Petr Vanek
    • 4
  • Petr Liby
    • 2
  • David Hoza
    • 1
  • Vladimir Beneš
    • 4
  • Christopher Nimsky
    • 3
  1. 1.International Clinical Research CenterSt. Annes´s University Hospital BrnoBrnoCzech Republic
  2. 2.Department of NeurosurgeryUniversity Hospital MotolPragueCzech Republic
  3. 3.Department of Neurosurgery, Medical FacultyPhilipps UniversityMarburgGermany
  4. 4.Department of Neurosurgery of 1st Medical FacultyCharles University, Central Military HospitalPragueCzech Republic
  5. 5.Department of Radiology of 2nd Faculty of MedicineCharles UniversityPragueCzech Republic
  6. 6.International Clinical Research CenterSt. Annes´s University Hospital BrnoBrnoCzech Republic

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