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Clinical Pediatrics, Vol. 16, No. 2, 143-146 (1977)
DOI: 10.1177/000992287701600205

"Alice in Wonderland" Syndrome as a Presenting Symptom of Infectious Mononucleosis in Children

A Description of Three Affected Young People

Stuart M. Copperman

Department of Pediatrics, Nassau County Medical Center, Long Island Jewish-Hillside Medical Center

Three cases of "Alice in Wonderland" syndrome (metamorphopsia) are presented and described as a presenting symptom of infectious mono nucleosis in a preadolescent male and in two late teenage females. In each instance, the classical infectious mononucleosis symptoms and diagnosis followed the onset of visual aberration.

Thorough physical and blood examination of patients who present with such a syndrome must be undertaken before these symptoms are ascribed to psy chiatric abnormalities. It is emphasized that infectious mononucleosis is a diffuse disorder, often associated with encephalopathies, which may include visual imbalance symptoms.


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E. Lahat, M. Berkovitch, J. Barr, G. Paret, and A. Barzilai
Abnormal Visual Evoked Potentials in Children With "Alice in Wonderland" Syndrome Due to Infectious Mononucleosis
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