Alice in Wonderland Syndrome: Localising insights from right visual cortex stroke complicated by epilepsia partialis continua

Abstract

The Alice in Wonderland syndrome comprises visual and/or somaesthetic distortions, most often migrainous in origin. We present a case of Alice in Wonderland syndrome in association with a right posterior/visual cortex infarction with subsequent seizures including focal motor status (epilepsia partialis continua), the latter a hitherto unreported association. These pathophysiological changes were of right hemisphere origin, suggesting Alice in Wonderland syndrome, if present, might have localising value for seizure focus in the right hemisphere.

Keywords

• Syndrome of distorted perception
• Status epilepticus
• Myoclonus
• Cerebral infarct
• Cerebrovascular disease