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Alice in Wonderland Syndrome

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Alice in wonderland syndrome (AIWS) describes a set of symptoms with alteration of body image. An alteration of visual perception is found in that way that the sizes of body parts or sizes of external objects are perceived incorrectly. The most common perceptions are at night. The causes for AIWS are still not known exactly. Typical migraine, temporal lobe epilepsy, brain tumors, psychoactive drugs ot Epstein-barr-virus infections are causes of AIWS. AIWS has no proven, effective treatment. The treatment plan consists of migraine prophylaxis and migraine diet. Chronic cases of AIWS do exist. A 6-year-old child, male, presented at our department because of the visual perception objects are far away and smaller due to microscopy. Especially in the evening in around 15–20 min, these false perceptions occurred. Magnetic resonance imaging of the brain was negative. Epstein–Barr virus-virus serological testing was negative. H1N1 and antibodies against borrelia burgdorferi were also n...