{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:24:17Z","timestamp":1760984657418,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The bobble-head doll syndrome is characterised by abnormal head movements. These head movements are usually \u2018yes\u2013yes\u2019 (up and down) type; rarely, head movements are \u2018no\u2013no\u2019 (side-to-side) type. Commonly described causes of the bobble-head doll syndrome include third ventricular tumours, suprasellar arachnoid cysts, aqueductal stenosis and other lesions in the region of the third ventricle of the brain. We report a case of tuberculous meningitis with hydrocephalus; in this patient bobble-head doll syndrome developed following external ventricular drainage. In our patient, placement of intraventricular drain led to massive dilatation of the frontal horn of the left lateral ventricle because of blocked foramina of Monro on the left side. The bobble-head doll syndrome, presumably, developed because of the pressure effect of the dilated third ventricle on the dorsomedial nucleus of the thalamus, red nucleus and dentatorubrothalamic pathways. We think that distortion of the third ventricle was responsible for the impairment of the functions of all these structures.<\/jats:p>","DOI":"10.1136\/bcr-2012-006663","type":"journal-article","created":{"date-parts":[[2012,10,3]],"date-time":"2012-10-03T07:48:55Z","timestamp":1349250535000},"page":"bcr2012006663","source":"Crossref","is-referenced-by-count":7,"title":["Abnormal head movement in a patient with tuberculous meningitis"],"prefix":"10.1136","volume":"2012","author":[{"given":"Ravindra Kumar","family":"Garg","sequence":"first","affiliation":[{"name":"1Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"2Department of Neurosurgery, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hardeep Singh","family":"Malhotra","sequence":"additional","affiliation":[{"name":"1Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maneesh Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"1Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,10,3]]},"reference":[{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.1","first-page":"75","article-title":"Tuberculous meningitis","volume":"122","author":"Garg","year":"2010","journal-title":"Acta Neurol Scand"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.2","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.55572"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.3","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-011-1420-x"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.4","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1212\/WNL.16.8.725","article-title":"The bobble head doll syndrome: report of a unique truncal tremor associated with third ventricular cyst and hydrocephalus in children","volume":"16","author":"Benton","year":"1966","journal-title":"Neurology"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.5","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0404.2003.00101.x"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.6","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1974.41.6.0720"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.7","doi-asserted-by":"publisher","DOI":"10.1016\/0887-8994(85)90073-6"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-004-1030-3"},{"key":"2025082800544493000_2012.sep26_1.bcr2012006663.9","first-page":"253","article-title":"Bobble-head doll syndrome successfully treated with an endoscopic ventriculocystocisternostomy. Case report and review of the literature","volume":"103","author":"Hagebeuk","year":"2005","journal-title":"J Neurosurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:54:54Z","timestamp":1756367694000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,3]]},"references-count":9,"alternative-id":["10.1136\/bcr-2012-006663"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006663","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,10,3]]}}}