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Review article| Volume 39, ISSUE 6, P470-474, June 2017

Alice in Wonderland Syndrome: A real life version of Lewis Carroll’s novel

Published:February 08, 2017DOI:https://doi.org/10.1016/j.braindev.2017.01.004

      Abstract

      Alice in Wonderland Syndrome was originally coined by Dr. John Todd in 1955. The syndrome is named after the sensations experienced by the character Alice in Lewis Carroll’s novel Alice’s Adventures in Wonderland. Alice in Wonderland Syndrome consists of metamorphopsia (seeing something in a distorted fashion), bizarre distortions of their body image, and bizarre perceptual distortions of form, size, movement or color. Additionally, patients with Alice in Wonderland Syndrome can experience auditory hallucinations and changes in their perception of time. Currently, there is no known specific cause of Alice in Wonderland Syndrome. However, theories point to infections such as the Epstein–Barr virus, medications such as topiramate and associated migraines. Neuroimaging studies have revealed brain regions involved with the manifestation of symptoms. These include the temporo-parietal junction within the temporal lobe and the visual pathway, specifically the occipital lobe. There are no current treatments for Alice in Wonderland Syndrome. Further research is needed to find better treatments for Alice in Wonderland Syndrome and to elucidate the exact cause or causes of Alice in Wonderland Syndrome.

      Keywords

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      References

        • Lippman C.W.
        Certain hallucinations peculiar to migraine.
        J Nerv Ment. 1952; 116: 346-351
        • Todd J.
        The syndrome of Alice in Wonderland.
        Can Med Assoc J. 1955; 73: 701-704
        • Rolak L.A.
        Literary neurologic syndromes: Alice in Wonderland.
        Arch Neurol. 1991; 48: 649-651
        • Liu A.M.
        • Liu J.G.
        • Liu G.W.
        • Liu G.T.
        “Alice in Wonderland” syndrome: presenting and follow-up characteristics.
        Pediatr Neurol. 2014; 51: 317-320
        • Weissenstein A.
        • Luchter E.
        • Bittmann M.A.S.
        Alice in Wonderland syndrome: a rare neurological manifestation with microscopy in a 6-year-old child.
        J Pediatr Neurosci. 2014; 9: 303-304
        • Smith R.A.
        • Wright B.
        • Bennett S.
        Hallucinations and illusions in migraine in children and the Alice in Wonderland Syndrome.
        Arch Dis Child. 2015; 100: 296-298
        • Weidenfeld A.
        • Borusiak P.
        Alice-in-Wonderland syndrome—a case-based update and long-term outcome in nine children.
        Childs Nerv Syst. 2011; 27: 893-896
        • World Health Organization
        International statistical classification of diseases and related health problems, 10th Revision (ICD-10).
        WHO, Geneva1992
        • Evans R.W.
        Reversible palinopsia and the Alice in Wonderland syndrome associated with topiramate use in migraineurs.
        Headache. 2006; 46: 815-818
        • Copperman S.M.
        “Alice in Wonderland” syndrome as a presenting symptom of infectious mononucleosis in children: a description of three affected young people.
        Clin Pediatr. 1977; 16: 143-146
        • Cinbis M.
        • Aysun S.
        Alice in Wonderland syndrome as an initial manifestation of Epstein–Barr virus infection.
        Br J Ophthalmol. 1992; 76: 316
        • Häusler M.
        • Ramaekers V.T.
        • Doenges M.
        • Schweizer K.
        • Ritter K.
        • Schaade L.
        Neurological complications of acute and persistent Epstein–Barr virus infection in pediatric patients.
        J Med Virol. 2002; 68: 253-263
        • Kuo Y.T.
        • Chiu N.C.
        • Shen E.Y.
        • Ho C.S.
        • Wu M.C.
        Cerebral perfusion in children with Alice in Wonderland syndrome.
        Pediatr Neurol. 1998; 19: 105-108
        • Dooley J.M.
        • Augustine H.F.
        • Gordon K.E.
        • Brna P.M.
        • Westby E.
        Alice in Wonderland and other migraine associated phenomena—evolution over 30 years after headache diagnosis.
        Pediatr Neurol. 2014; 51: 321-323
        • Bayen E.
        • Cleret de Langavant L.
        • Fénelon G.
        The Alice in Wonderland syndrome: an unusual aura in migraine (in French).
        Rev Neurol. 2012; 168: 457-459
        • George D.
        • Bernard P.
        Complex hallucinations and panic attacks in a 13-year-old with migraines. The Alice in Wonderland syndrome.
        Innov Clin Neurosci. 2013; 10: 30-32
        • Philip M.
        • Kornitzer J.
        • Marks D.
        • Lee H.
        • Souayah N.
        Alice in Wonderland Syndrome associated with a temporo-parietal cavernoma.
        Brain Imaging Behav. 2015; ([in press])https://doi.org/10.1007/s11682-015-9355-y
        • Brumm K.
        • Walenski M.
        • Haist F.
        • Robbins S.L.
        • Granet D.B.
        • Love T.
        Functional MRI of a child with Alice in Wonderland syndrome during an episode of micropsia.
        J AAPOS. 2010; 14: 317-322
        • Lahat E.
        • Berkovitch M.
        • Barr J.
        • Paret G.
        • Barzilai A.
        Abnormal visual evoked potentials in children with “Alice in Wonderland” syndrome due to infectious mononucleosis.
        J Child Neurol. 1999; 14: 732-735
        • Losada-Del Pozo R.
        • Cantarín-Extremera V.
        • García-Peñas J.J.
        • Duat-Rodríguez A.
        • López-Marín L.
        • Gutiérrez-Solana L.G.
        • et al.
        Characteristics and evolution of patients with Alice in Wonderland syndrome (in Spanish).
        Rev Neurol. 2011; 53: 641-648
      1. Stapinski H. I Had Alice in Wonderland Syndrome [Internet]. on page D4 of the New York edition with the headline, The New York Times; 2014 June 24 [retrieved 2015 May 28]. Available from: http://well.blogs.nytimes.com/2014/06/23/alice-in-wonderland-syndrome/.

        • Blom J.D.
        • Looijestijn J.
        • Goekoop R.
        • Diederen K.M.
        • Rijkaart A.M.
        • Slotema C.W.
        Treatment of Alice in Wonderland syndrome and verbal auditory hallucinations using repetitive transcranial magnetic stimulation: a case report with fMRI findings.
        Psychopathology. 2011; 44: 337-344
      2. Carroll L. Tenniel, J (illustrator), Alice’s adventures inWonderland. London: MacMillan and Co.; 1865.