"Alice in Wonderland" Syndrome as a Presenting Symptom of Infectious Mononucleosis in Children

Author:

Copperman Stuart M.1

Affiliation:

1. Department of Pediatrics, Nassau County Medical Center, Long Island Jewish-Hillside Medical Center

Abstract

Three cases of "Alice in Wonderland" syndrome (metamorphopsia) are presented and described as a presenting symptom of infectious mono nucleosis in a preadolescent male and in two late teenage females. In each instance, the classical infectious mononucleosis symptoms and diagnosis followed the onset of visual aberration. Thorough physical and blood examination of patients who present with such a syndrome must be undertaken before these symptoms are ascribed to psy chiatric abnormalities. It is emphasized that infectious mononucleosis is a diffuse disorder, often associated with encephalopathies, which may include visual imbalance symptoms.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

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1. Brain circuits in autonomous sensory meridian response and related phenomena;Philosophical Transactions of the Royal Society B: Biological Sciences;2024-07-15

2. Infectious causes of Alice in Wonderland syndrome;Journal of NeuroVirology;2021-06-08

3. “Curiouser and Curiouser!”—Macroacusia and Visual Disturbances in Alice in Wonderland Syndrome;Journal of Pediatric Neurology;2020-10-05

4. Epstein-Barr virus infection in the development of neurological disorders;Drug Discovery Today: Disease Models;2020

5. Visual Hallucinations and Illusions;Liu, Volpe, and Galetta's Neuro-Ophthalmology;2019

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