title: Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis.
abstract: The Alice in Wonderland syndrome is a rare clinical feature characterised by perceptual disturbances including visual disturbances and distortion of the body image. This uncommon--but often easy to recognise--syndrome, to which children seem particularly susceptible, can be defined in patients with Epstein Barr Virus (EBV) infection. This report describes a 10-year-old child with a mild upper airway obstruction and manifestations of the Alice in Wonderland syndrome resulting from an acute EBV infection. Because meningo-encephalitis was considered in the differential diagnosis, an MRI examination was performed under midazolam sedation, leading to a severe life-threatening upper airway obstruction.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Ziekenhuis Oost Limburg, Genk, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Piessens
authors.forename: F
authors.initials: F
authors.lastname: Indesteege
authors.forename: P
authors.initials: P
authors.lastname: Lemkens
mesh_terms: D000402:Airway Obstruction / Q000209:etiology*; D002648:Child; D003118:Color Perception; D016292:Procedural Sedation / Q000009:adverse effects; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D007442:Intubation, Intratracheal; D008297:Male; D010468:Perceptual Disorders / Q000209:etiology*; D013577:Syndrome; D014068:Tonsillectomy