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Bobbling head in a young subject.

Kalyan B Bhattacharyya1, Sumit Deb2, S N Ghosh2

  • 1Department of Neuromedicine, Bangur Institute of Neurosciences, Kolkata, West Bengal, India.

Annals of Indian Academy of Neurology
|December 16, 2014
PubMed
Summary

Bobble-head Doll Syndrome, a rare pediatric movement disorder, involves involuntary head bobbing. Treatment of the underlying cause, such as a third ventricle lesion, can resolve the symptoms.

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Area of Science:

  • Neurology
  • Pediatrics
  • Movement Disorders

Background:

  • Bobble-head Doll Syndrome is a rare pediatric movement disorder.
  • It is characterized by rapid, rhythmic head movements (2-3 Hz).
  • Often associated with structural brain lesions, particularly in the third ventricle.

Observation:

  • An 11-year-old presented with continuous head bobbing and vision decline.
  • MRI revealed a large, contrast-enhancing lesion in the third ventricle.
  • Gross hydrocephalus was also noted.

Findings:

  • Surgical intervention with a ventriculo-peritoneal shunt was performed.
  • Post-shunt insertion, the characteristic head movements completely resolved.
  • This highlights the direct correlation between the lesion and the syndrome.
Keywords:
Bobble-head Doll Syndromehydrocephalusthird ventricular tumourventriculo-peritoneal shunt

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Implications:

  • Early diagnosis and prompt treatment of underlying lesions are crucial.
  • Effective management can lead to complete resolution of symptoms.
  • This case underscores the importance of considering rare neurological disorders in pediatric patients.