Bobble-head doll syndrome: therapeutic outcome and long-term follow-up in four children
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Bobble-head doll syndrome: therapeutic outcome and long-term follow-up in four children. / Guerreiro, Helena; Vlasak, Ales; Horinek, Daniel; Tichy, Michal; Lisy, Jiri; Vanek, Petr; Liby, Petr; Hoza, David; Beneš, Vladimir; Nimsky, Christopher.
in: ACTA NEUROCHIR, Jahrgang 154, Nr. 11, 11.2012, S. 2043-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Bobble-head doll syndrome: therapeutic outcome and long-term follow-up in four children
AU - Guerreiro, Helena
AU - Vlasak, Ales
AU - Horinek, Daniel
AU - Tichy, Michal
AU - Lisy, Jiri
AU - Vanek, Petr
AU - Liby, Petr
AU - Hoza, David
AU - Beneš, Vladimir
AU - Nimsky, Christopher
PY - 2012/11
Y1 - 2012/11
N2 - 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.
AB - 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.
KW - Arachnoid Cysts/complications
KW - Child
KW - Dyskinesias/complications
KW - Female
KW - Follow-Up Studies
KW - Head Movements/physiology
KW - Humans
KW - Hydrocephalus/etiology
KW - Neuroendoscopy/methods
KW - Syndrome
KW - Third Ventricle/abnormalities
KW - Treatment Outcome
U2 - 10.1007/s00701-012-1458-2
DO - 10.1007/s00701-012-1458-2
M3 - SCORING: Journal article
C2 - 22886034
VL - 154
SP - 2043
EP - 2049
JO - ACTA NEUROCHIR
JF - ACTA NEUROCHIR
SN - 0001-6268
IS - 11
ER -