[A case of Alice in Wonderland syndrome after Epstein-Barr virus (EBV) encephalitis: a mimicry of focal epileptic seizure].

Alice in Wonderland syndrome Epstein–Barr virus abnormality of motion vision macropsia micropsia

Journal

Rinsho shinkeigaku = Clinical neurology
ISSN: 1882-0654
Titre abrégé: Rinsho Shinkeigaku
Pays: Japan
ID NLM: 0417466

Informations de publication

Date de publication:
27 Jan 2024
Historique:
medline: 29 1 2024
pubmed: 29 1 2024
entrez: 28 1 2024
Statut: aheadofprint

Résumé

A 30-year-old man who received infliximab for treatment of Crohn's disease developed Epstein-Barr virus (EBV) encephalitis, which responded well to therapy; however, he had left lower visual field loss following treatment. The patient noticed peculiar symptoms 9 months after recovery from encephalitis; objects in his view appeared smaller or larger than their actual size (micropsia/macropsia). Moreover, it appeared that objects outside moved faster or slower than their actual speed of movements and moving objects appeared as a series of many consecutive snap shots. His vision was blurred, and he had visual difficulties and a sensation that his body was floating. These symptoms mainly appeared following fatigue and persisted over approximately 10 years. Based on cerebrospinal fluid analysis, brain MRI, N-isopropyl-p-

Identifiants

pubmed: 38281750
doi: 10.5692/clinicalneurol.cn-001906
doi:

Types de publication

English Abstract Journal Article

Langues

jpn

Sous-ensembles de citation

IM

Auteurs

Kyoko Hosokawa (K)

Department of Neurology, Kyoto University Graduate School of Medicine.
Present address: Department of Neurology, National Hospital Organization Minami Kyoto Hospital.

Kazuki Oi (K)

Department of Neurology, Kyoto University Graduate School of Medicine.
Present address: Department of Neurology, National Hospital Organization Nara Medical Center.

Takefumi Hitomi (T)

Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine.

Takahiro Mitsueda (T)

Department of Neurology, Osaka City General Hospital.

Tomokazu Nakagawa (T)

Department of Neurology, Tazuke Kofukai, Medical Research Institute, Kitano Hospital.
Present address: Department of Neurology, Takatsuki Red Cross Hospital.

Akio Ikeda (A)

Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine.

Classifications MeSH