A Case Of 9-Year Old Boy Presented With A „Alice In Wonderland Syndrome“

To understand that there are some cases of visual phenomena presented to ophthalmologist, and not neccessary of eye disease origin, and that multidisciplinaery aproach is neccesary for some cases.

This is a case of a nine-year-old boy presented with symptoms of macro-, micro-, and teleopsia. These symptoms began with flu-like symptoms and a fever. The boy reported experiencing similar symptoms in a dream the previous year. Although he had visual symptoms and was first presented to a ophthalmologist, he was instructed for fulll systemic analysis of blood tests, neuropediatrician.

multidisciplinary aproach: neuropediatriacian, EEG, MRI, blood tests to be done.

EEG and MRI were normal. Some blood tests are still to be done.

Alice in Wonderland syndrome (AIWS) is a visual perception disorder that was introduced to medical literature by Lipmann in 1952. He characterized it as an impairment of time, body image, and sense of perception. Symptoms are similar to those experienced by the character Alice in the book "Alice in Wonderland" by Lewis Carroll. The syndrome is marked by incorrect perceptions of the sizes of body parts or external objects, typically at night. The exact cause of AIWS is unknown.There is no proven effective treatment for AIWS, and management typically involves migraine prophylaxis and a migraine-specific diet. In some cases, AIWS can be chronic.