Bobble-head doll syndrome due to a suprasellar arachnoid cyst: endoscopic treatment in two cases.

Abstract

OBJECT:

We report two cases of bobble-head doll syndrome associated with a large suprasellar arachnoid cyst successfully treated with a minimally invasive endoscopic approach.

METHODS:

The clinical history, surgical treatment and results of two children, a 9-year-old boy and a 1-year-old girl, both presenting the clinical features of the bobble-head doll syndrome, are described. As a first procedure, a ventriculo-cystostomy was endoscopically performed in both patients, obtaining either resolution of the symptoms or notable cyst reduction. In the girl, a re-closure of the stoma, with cyst re-expansion, was observed after 18 months. She then underwent a second procedure, a ventriculo-cysto-cisternostomy, with a good result. After 3 years' follow-up, the neurological condition of both patients remains good with complete resolution of abnormal head movement.

CONCLUSION:

In our opinion, endoscopic treatment is the procedure of choice for this condition, as it involves few complications and gives good results.

• Authors: A Fioravanti, U Godano, A Consales, C Mascari, F Calbucci
• Journal: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (Childs Nerv Syst) Vol. 20 Issue 10 Pg. 770-3 (Oct 2004) ISSN: 0256-7040 [Print] Germany
• PMID: 15057560 (Publication Type: Case Reports, Journal Article)

Topics

• Arachnoid Cysts (complications, surgery)
• Cerebrospinal Fluid Shunts (methods)
• Child
• Endoscopy (methods)
• Female
• Head Movements
• Humans
• Hydrocephalus (etiology)
• Infant
• Magnetic Resonance Imaging (methods)
• Male
• Movement Disorders (etiology, surgery)