• Internal medicine · Jul 2024

    Case Reports

    Two Cases of Alice in Wonderland Syndrome with a Right Occipital Lobe Lesion Caused by Isolated Cortical Venous Thrombosis.

    • Yuya Kobayashi, TazawaKo-IchiKIDepartment of Neurology, Nagano Red Cross Hospital, Japan., Yusuke Mochizuki, Yasufumi Kondo, Kanji Yamamoto, and Yoshiki Sekijima.
    • Department of Neurology, Nagano Municipal Hospital, Japan.
    • Intern. Med. 2024 Jul 15; 63 (14): 208320872083-2087.

    AbstractAlice in Wonderland syndrome (AIWS) is extremely rare, occurring more often in young individuals than in older adults. Symptoms of this syndrome typically include an altered body image, size perception, and time perception. However, the pathophysiology and lesions responsible for this syndrome remain unclear. In most cases, specific lesions cannot be identified using computed tomography or magnetic resonance imaging. Two patients with isolated cortical venous thrombosis in the right occipital area experienced transient visual symptoms of AIWS. Furthermore, a literature search indicated that AIWS with visual distortions is associated with right occipital lobe lesions, supporting the findings of our study.

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