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Case Reports
. 2019 Aug;35(8):1435-1437.
doi: 10.1007/s00381-019-04170-8. Epub 2019 May 2.

A singular association of migraine with brainstem aura and Alice in Wonderland syndrome

Domenico Chirchiglia  1 , Pasquale Chirchiglia  2 , Rosa Marotta  2
Affiliations
Case Reports

A singular association of migraine with brainstem aura and Alice in Wonderland syndrome

Domenico Chirchiglia et al. Childs Nerv Syst. 2019 Aug.

Abstract

Background: In this work, we describe an association of brainstem headache with aura (BHA) and Alice in Wonderland syndrome (AIWS) in a 17-year-old male, suffering from crises of vertigo, weakness, dysarthria, and diplopia, in half-hour duration, followed by diffuse or occipital headache, lasting several hours.

Methods: The frequency of the attacks was monthly, and once there was short loss of consciousness. The last episodes were accompanied by symptoms such as deformation of figures and objects, small or large in shape.

Results: Diagnostic examinations were performed, mainly neuroimaging tests such as brain MRI and brain angio-MRI, all resulting normal; and treatment with flunarizine was followed by improvement of both BHA and AIWS symptoms.

Conclusions: There would be a correlation between BHA and AIWS, presumably represented by dysfunction of temporo-parieto-occipital carrefour.

Keywords: Alice in Wonderland syndrome; Brainstem headache; Carrefour region.

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