January 26, 2016: Alice in Wonderland Syndrome
January 26, 2016
Alice in Wonderland Syndrome
Alice in Wonderland Syndrome is a rare migraine variant characterized by visual hallucinations with distortions of perception and impairments of sense of time that precede or occur with headache. Visual disturbances include micro/macropsia (images perceived as smaller or larger than they are), teleopsia (images appearing further away than they are), and metamorphosia (perception of movement in its absence). Symptoms are variable in duration and respond to migraine treatment. Most cases of AIWS have been associated with migraine, but cases have been reported secondary to frontal lobe epilepsy, encephalopathy due to infectious mononucleosis, topiramate use, and varicella infection. The presumed etiology of AIWS is migrainous cortical dysfunction in the non-dominant posterior parietal lobe.
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Submitted by Jonathan D. Santoro, MD, Pediatric Neurology Resident, PGY III, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California.
Disclosures: Dr. Santoro reports no disclosures.