Psychiatry Investig.
2018 May;15(5):546-549. 10.30773/pi.2017.10.25.2.
Hypomania in Bobble-Head Doll Syndrome: A Case Report of Surgically Treated Stereotypy and Hypomania
- Affiliations
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- 1Department of Radiology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
- 2Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea. woojm3@hanmail.net
- 3Department of Neurosurgery, School of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.
- KMID: 2462796
- DOI: http://doi.org/10.30773/pi.2017.10.25.2
Abstract
- A 22-year-old man was admitted with gradually aggravating stereotypic head movement with hypomania. Brain magnetic resonance imaging showed a large suprasellar arachnoid cyst extending into the third ventricle, with obstructive hydrocephalus, characteristic of bobble-head doll syndrome. Endoscopic fenestration of the suprasellar arachnoid cyst was performed. Stereotypic head movement stopped immediately after surgery and hypomanic symptoms gradually improved within a month. During 4 years of follow-up observation without medication, neuropsychiatric symptoms did not relapse. We report our experience of surgically treating stereotypy and hypomania in a case of bobble-head doll syndrome and discuss the possible neuropsychiatric mechanisms of this rare disease.
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