Title:
Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis
Authors:
P. Piessens, F. Indesteege and P. Lemkens
Institutions:
Department of Otorhinolaryngology and Head and Neck Surgery, Ziekenhuis Oost Limburg, Genk, Belgium
Keywords:
Alice in Wonderland syndrome; upper airway obstruction; infectious mononucleosis
Pages:
51 - 54
Abstract:
Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis. The Alice in Wonderland syndrome is a rare clinical feature characterised by perceptual disturbances including visual disturbances and distortion of the body image. This uncommon – but often easy to recognise – syndrome, to which children seem particularly susceptible, can be defined in patients with Epstein Barr Virus (EBV) infection. This report describes a 10-year-old child with a mild upper airway obstruction and manifestations of the Alice in Wonderland syndrome resulting from an acute EBV infection. Because meningo-encephalitis was considered in the differential diagnosis, an MRI examination was performed under midazolam sedation, leading to a severe life-threatening upper airway obstruction.
Issue:
Vol. 7, 2011, 1st trimester


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Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis