Ramesh Shighakolli, Raju Subodh
Department of Neurosurgery, Kamineni Hospitals, Hyderabad, Telangana, India.
J Pediatr Neurosci. 2015 Jan-Mar;10(1):18-21. doi: 10.4103/1817-1745.154321.
Suprasellar arachnoid cysts can have varied presentations with signs and symptoms of obstructive hydrocephalus, visual impairment, endocrinal dysfunction, gait ataxia and rarely bobble-head doll movement. The bobble-head doll movement is a rare movement disorder characterized by antero-posterior bobbling of the head and neck on the trunk every 2-3 seconds. We present three cases with bobble-head doll syndrome associated with a large suprasellar arachnoid cyst and obstructive hydrocephalus, which were treated with endoscopic cystoventriculocisternostomy and marsupialization of the cyst.
鞍上蛛网膜囊肿可表现多样,伴有梗阻性脑积水、视力障碍、内分泌功能障碍、步态共济失调等症状和体征,极少出现点头娃娃样动作。点头娃娃样动作是一种罕见的运动障碍,其特征为头颈部每2 - 3秒在躯干上进行前后摆动。我们报告三例与大型鞍上蛛网膜囊肿及梗阻性脑积水相关的点头娃娃综合征病例,这些病例采用了内镜下囊肿 - 脑室 - 脑池造瘘术及囊肿袋形缝合术进行治疗。