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Related Experiment Videos

[The bobble head doll syndrome].

B Notholt-Heerich, D Körholz, T Voit

    Klinische Padiatrie
    |March 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Bobble head doll syndrome in a child was treated with shunts. A cysto-peritoneal shunt improved head movements, growth, and motor development by reducing third ventricle cyst size.

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    Area of Science:

    • Neurology
    • Pediatrics
    • Neurosurgery

    Background:

    • Bobble head doll syndrome (BHDS) is a rare movement disorder characterized by involuntary, rhythmic, side-to-side or front-to-back head movements.
    • It is often associated with structural brain abnormalities, particularly in the third ventricle.
    • This condition can lead to significant developmental delays and neurological deficits.

    Observation:

    • A 4.1-year-old girl presented with typical bobble head doll syndrome (2-3 Hz head oscillations).
    • She exhibited retarded motor development and growth.
    • Cranial computed tomography (CT) revealed a third ventricular cyst and hydrocephalus of the lateral ventricles.

    Findings:

    • Initial management with a ventricular-cardial low-pressure shunt for hydrocephalus provided temporary relief.

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  • Repeated aspiration of the third ventricular cyst via an Ommaya reservoir was ineffective for long-term symptom management.
  • Surgical intervention with a cysto-peritoneal shunt resulted in cyst size reduction (confirmed by CT) and notable improvement in the patient's symptoms.

    • Implications:

    • Cysto-peritoneal shunting is an effective treatment for managing third ventricular cysts causing bobble head doll syndrome.
    • This intervention can lead to significant clinical improvement in patients with BHDS and associated developmental delays.
    • Early diagnosis and appropriate surgical management are crucial for optimizing outcomes in children with this rare condition.