Alice In Wonderland Syndrome: Case Report

Alice In Wonderland Syndrome (AIWS) is a syndrome characterized by visual distortions, like seeing objects or body images as being larger than normal (macropsia), smaller than normal. A 30-year-old male patient applied to our clinic with a complaint of long-term headache episodes. Presented with a pulsating headache on the left side of his head which had lasted for approximately 24 hours and usually occurred once a week in the form of attacks. his fingers appeared to be smaller than they actually were, and that he noticed deformations in the objects around him before the pain began. He reported that all these visual distortions would continue for almost half an hour. For initial treatment in our case, we administered 500 mg/day of valporic acid, increasing it to 1000 mg/day during follow-ups. No attacks were observed in the 3-month follow-up. AIWS has been reported in migraine, complex partial seizure, infectious mononucleosis, and non-specific hyperprexia cases. We present an AIWS case coexistent with aura-involved migraine.