• Pediatric neurology · Nov 1991

    Case Reports

    Alice in Wonderland syndrome as a presenting symptom of EBV infection.

    • S B Liaw and E Y Shen.
    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China.
    • Pediatr. Neurol. 1991 Nov 1; 7 (6): 464-6.

    AbstractFour Chinese patients (2 boys, 2 girls), ages 4-9 years, who had episodes of perception error of body schema and objects are reported. The metamorphopsia, which had been named Alice in Wonderland syndrome, is the major presentation. All of them were proved to have acute Epstein-Barr virus infection, as documented by positive heterophil antibody test and/or positive IgM antibody to Epstein-Barr virus capsid antigen. The duration of the perception disorder ranged from 1 week to 3 months. We believe that any young child presenting with Alice in Wonderland syndrome should undergo examination for Epstein-Barr virus infection; complete recovery from the disorder can be expected.

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