
Hypomania in Bobble-Head Doll Syndrome
A Case Report of Surgically Treated Stereotypy and Hypomania
- Myong Hun Hahm Jungmin Woo Ki Hong Kim
- 대한신경정신의학회
- Psychiatry Investigation
- 제15권 제5호
- 등재여부 : KCI등재
- 2018.05
- 546 - 549 (4 pages)
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.
INTRODUCTION
Case
DISCUSSION