Bobble-head doll syndrome due to a suprasellar archnoid cyst: Endoscopic treatment in two cases

Antonio Fioravanti, U. Godano, A. Consales, C. Mascari, F. Calbucci

Research output: Contribution to journalArticlepeer-review


Object: We report two cases of bobble-head doll syndrome associated with a large suprasellar arachnoid cyst successfully treated with a minimally invasive endoscopic approach. Methods: The clinical history, surgical treatment and results of two children, a 9-year-old boy and a 1-year-old girl, both presenting the clinical features of the bobble-head doll syndrome, are described. As a first procedure, a ventriculo-cystostomy was endoscopically performed in both patients, obtaining either resolution of the symptoms or notable cyst reduction. In the girl, a re-closure of the stoma, with cyst re-expansion, was observed after 18 months. She then underwent a second procedure, a ventriculo-cysto-cisternostomy, with a good result. After 3 years' follow-up, the neurological condition of both patients remains good with complete resolution of abnormal head movement. Conclusion: In our opinion, endoscopic treatment is the procedure of choice for this condition, as it involves few complications and gives good results.

Original languageEnglish
Pages (from-to)770-773
Number of pages4
JournalChild's Nervous System
Issue number10
Publication statusPublished - Oct 2004


  • Bobble-head doll syndrome
  • Endoscopic treatment
  • Hydrocephalus
  • Third ventricle cyst

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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