Publication:
Alice in Wonderland Syndrome-Like Seizure and Refractory Supraventricular Tachycardia

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Issued Date

2021

Resource Type

Article

Language

eng

File Type

application/pdf

ISSN

1662680X

DOI

10.1159/000519509

Other identifier(s)

2-s2.0-85119005805

Rights Holder(s)

Scopus

Bibliographic Citation

Case Reports in Neurology. Vol 13, No.3 (2021), p.716-723

Suggested Citation

Panpruang P., Wongwandee M., Rattanajaruskul N., Roongsangmanoon W., Wongsoasu A., Angkananard T. Alice in Wonderland Syndrome-Like Seizure and Refractory Supraventricular Tachycardia. Case Reports in Neurology. Vol 13, No.3 (2021), p.716-723. doi:10.1159/000519509 Retrieved from: https://hdl.handle.net/20.500.14740/8110

Title

Alice in Wonderland Syndrome-Like Seizure and Refractory Supraventricular Tachycardia

Author(s)

Panpruang P.
 Wongwandee M.
 Rattanajaruskul N.
 Roongsangmanoon W.
 Wongsoasu A.
 Angkananard T.

Abstract

Alice in Wonderland syndrome (AIWS) is a rarely curious visual perceptual disorder which has been associated with diverse neurologic and psychiatric problems. It may be a manifestation in migraine, epileptic seizures, encephalitis, other brain lesions, medication-related side effects, schizophrenia, and depressive disorders. Principal character of AIWS is the disproportion between the external world and the self-image in which micropsia (objects appear smaller), macropsia (objects appear larger), and teleopsia (objects appear further away) are frequently reported. The cases of temporal lobe epilepsy may present with complex visual auras of visual distortions (e.g., micropsia and macropsia) like AIWS. We report an unusual case of an elderly man who presented with AIWS, focal impaired awareness seizures, ictal tachyarrhythmia, multiple episodes of transient visual disturbances of macropsia and transient loss of consciousness. During those symptoms, telemetry showed self-limited supraventricular tachycardia several times which could not be regulated with heart rate-controlled medication. The electroencephalography was later tested and showed rhythmic theta activity over the right cerebral hemisphere. He was treated with levetiracetam, and all his symptoms and tachyarrhythmias were gradually resolved thereafter. Refractory response to treatment would remind the physicians to reassess for the correct diagnosis. © 2021 The Author(s). Published by S. Karger AG, Basel.

Subject(s)

Bisoprolol
 Calcium
 Creatinine
 Glucose
 Hemoglobin
 Levetiracetam
 Magnesium
 Aged
 Alice in Wonderland syndrome
 Article
 Blood pressure
 Case report
 Cerebrovascular disease
 Clinical article
 Consciousness
 Electrocardiogram
 Electroencephalography
 Estimated glomerular filtration rate
 Heart palpitation
 Heart rate
 Heart ventricle tachycardia
 Human
 Laboratory test
 Lumbar puncture
 Macropsia
 Male
 Microcytic anemia
 Nuclear magnetic resonance imaging
 Physical examination
 Potassium blood level
 Pulse rate
 Seizure
 Sinus rhythm
 Stereoscopic vision
 Supraventricular tachycardia
 Tachycardia
 Telemetry

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URI

https://hdl.handle.net/20.500.14740/8110

Collections

Scopus: Year 1983-2021

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