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A Newborn with an Arachnoid Cyst has the Syndrome of the Bobble-Head Doll

Dr. Oday Jouni

Background: A rare and distinctive movement disease called bobble-head doll syndrome most frequently affects children under the age of five. It is distinguished by periodic or continuous movement at a frequency of 2–3 Hz. Bobblehead doll syndromes’ precise mechanism is still unknown. The best treatment is an endoscopic ventriculocisternostomy.Less than 75 cases of bobble-head doll syndrome with suprasellar arachnoid cyst were found in a survey of the literature.
Present a case: We describe a case of a 1.5-year-old Asian-Syrian girl who presented with a 3-month history of excessive head nodding that got worse when she was walking, feeling stressed, or emotional, got better when she was concentrating, and went away while she slept. She had no medical history and was found to be awake and healthy.Both the ophthalmological examination and laboratory analysis were normal. The foramina of Monro were blocked by a well-defined, thin-walled suprasellar arachnoid cyst measuring 3 cm by 5 cm by 7 cm, leading to hydrocephalus and ventriculomegaly. For the suprasellar arachnoid cyst, the patient had endoscopic cystoventriculostomy and cystocisternostomy. The head bobbing stopped totally throughout the six months of follow-up, and her growth was typical.
Conclusion: Bobble-head doll syndrome is uncommon, yet it is nevertheless thought to be a serious ailment that needs to be explored early to identify the cause and treated right away to prevent consequences