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Table 1 Cases of BHDS with arachnoid cyst from the literature review

From: Bobble-head doll syndrome in an infant with an arachnoid cyst: a case report

The author/date

The patient (age, sex)

Manifestation

Diagnosis

Treatment

Roshan 2020

8-year-old M

Involuntary bobbling head movements.

MRI of the brain: an extensive suprasellar cyst resulting in obstructive hydrocephalus

Endoscopic ventriculocystocisternostomy

Saracoglu 2019

9‐year-old F

Involuntary abnormal head movements.

MRI: suprasellar anterior third ventricular arachnoid cyst and obstructive hydrocephalus.

Cysto-ventriculocisternostomy by endoscopic fenestration.

Renne 2018

14-year-old M.

Involuntary abnormal head movements with atriventricular hydrocephalus

MRI: suprasellar anterior third ventricular arachnoid cyst and obstructive hydrocephalus.

Endoscopic third ventriculostomy

7.5-year-old F

BHDS with preexisting endocrinopathy and autism spectrum disorder at the age of 12 years

MRI: suprasellar arachnoid cyst

Endoscopic fenestration

Ramesh 2015

10-month-old F

Two episodes of generalized tonic-clonic seizures

Involuntary bobbling of the head for a month

MRI: intensity cystic lesion in prepontine, interpeduncular, suprasellar anterior third ventricle with moderate dilatation of third and both lateral ventricles

Right frontal burr hole, endoscopic partial

excision and marsupialization of cyst, third ventriculostomy, and septostomy

4-year-old F

Involuntary nodding of the head back

Ataxia on walking since 1 year

CT scan: dilatation of lateral ventricles and third ventricles

MRI: large suprasellar arachnoid cyst in the third ventricle with compression of the fornix, corpus callosum with enlarged lateral and third ventricles.

Frontal burr hole, endoscope marsupialization of the cyst, cystoventriculostomy, and third ventriculostomy

8-year-old F

Fever on and off for 2 months

Difficulty in walking

Abnormal head movements for 1 month

One episode of generalized tonic-clonic seizures

CT and MRI brain: large third ventricular arachnoid cyst with mass effect over the brain stem, and obstructive hydrocephalus

Frontal burr hole, endoscopic

cystoventriculostomy, third ventriculostomy and reservoir placement

Reddy 2014

9-year-old M

Involuntary movements of head as excessive head nodding since 1 year.

Clinical examination: conscious and coherent fundus, temporal pallor, more on the right side

CT scan and MRI of the brain: cystic lesion arising from the suprasellar region extending upwards causing compression of the third ventricle leading to obstructive hydrocephalus at the level of the third ventricle.

Ventriculocystostomy endoscopically

Muthusubramanian 2006

5 year-old M

Intermittent head nodding of 2 years duration associated with tremors of the hands since 1.5 years.

CT and MRI scans of the brain revealed a suprasellar arachnoid cyst with obstructive hydrocephalus

Endoscopic ventriculocystocisternostomy

Eveline 2005

4-year-old M

BHDS

CT and MRI scans: suprasellar arachnoid cysts

An endoscopic cystoventriculostomy was performed

Fioravanti 2004

1-year-old F

Persistent nocturnal tearing abnormal head movements.

CT and MRI: a bulky arachnoid cyst of the suprasellar region that occupied the third ventricle and obstructed the foramina of Monro, causing biventricular hydrocephalus

Ventriculocystocisternostomy was endoscopically

9-year-old M

Early puberty for the previous 9 months

Behavioral problems and enuresis.

Clinical examination: clumsy gait and abnormal head trunk movements.

CT and MRI: arachnoid cyst of the suprasellar region that occupied the third ventricle and obstructed the foramina of Monro, causing notable biventricular hydrocephalus

Ventriculocystostomy was endoscopically

Desai 2003

Three cases with a mean of 3.3 years old

The duration of complaints ranged from 4 to 6 months, a clinical complaint was BHDS

CT and MRI scans: suprasellar arachnoid cysts

Third patient: the massive cyst was exposed through a transcallosal route.

First and second patients: a translaminar approach was adopted to expose the cyst.

  1. F Female, M Male, Yr Year, CT A computerized tomography, MRI Magnetic resonance imaging, BHDS Bobble-head doll syndrome