Tremor and other hyperkinetic movements (New York, N.Y.) · 2026
Bobble-Head Doll Syndrome Caused by Aqueductal Web-Associated Obstructive Hydrocephalus in an Adult: A Case Report with Video.
СтатьяКлинический случайVideo-Audio MediaНазвание и аннотация: Перевод пока не подготовлен
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Shibayama Rina, Enomoto Toshiyuki, Kawano Dai, Kobayashi Hiromasa, Morishita Takashi, Takemoto Koichiro, Abe Hiroshi
Аннотация
BACKGROUND: Bobble-head doll syndrome (BHDS) is a rare movement disorder usually observed in children and associated with third ventricular lesions or hydrocephalus.
CASE REPORT: A 24-year-old man presented with progressive memory impairment, gait instability, urinary incontinence, and irregular no-no head tremor with a sensory trick. MRI revealed severe obstructive hydrocephalus due to an aqueductal web. Ventriculoperitoneal shunting was performed, and the tremor resolved within one week. Neurological symptoms improved, and he remained independent 18 months after surgery.
DISCUSSION: Adult BHDS is extremely rare. Early recognition and appropriate CSF diversion can provide favorable outcomes.
CASE REPORT: A 24-year-old man presented with progressive memory impairment, gait instability, urinary incontinence, and irregular no-no head tremor with a sensory trick. MRI revealed severe obstructive hydrocephalus due to an aqueductal web. Ventriculoperitoneal shunting was performed, and the tremor resolved within one week. Neurological symptoms improved, and he remained independent 18 months after surgery.
DISCUSSION: Adult BHDS is extremely rare. Early recognition and appropriate CSF diversion can provide favorable outcomes.