title: Robin Hood caught in Wonderland: brain SPECT findings.
abstract: We present the case of a 53-year-old woman presenting several episodes of body image distortions, ground deformation illusions, and problems assessing distance in the orthostatic position corresponding to the Alice in Wonderland syndrome. No symptoms were reported when sitting or lying down. She had uncontrolled hypertension, hyperglycemia, hypercholesterolemia, and a history of head trauma. Her condition had been diagnosed with left internal carotid artery dissection 2 years earlier. Brain SPECT with 99mTc-ECD performed after i.v. injection of the radiotracer in supine and in standing positions showed hypoperfusion in the healthy contralateral frontoparietal operculum (Robin Hood syndrome), deteriorating when standing up.
authors.affiliation: From the *Service de Biophysique et Médecine Nucléaire, †Unité de Neuro-vasculaire, and ‡Service de Radiologie, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg; §ICube, (UMR7357), Université de Strasbourg/CNRS; and ¶Faculté de Médecine, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France.
authors.forename: David
authors.initials: D
authors.lastname: Morland
authors.forename: Valérie
authors.initials: V
authors.lastname: Wolff
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Dietemann
authors.forename: Christian
authors.initials: C
authors.lastname: Marescaux
authors.forename: Izzie Jacques
authors.initials: IJ
authors.lastname: Namer
mesh_terms: D062026:Alice in Wonderland Syndrome / Q000000981:diagnostic imaging*; D001921:Brain / Q000000981:diagnostic imaging*; D003545:Cysteine / Q000031:analogs & derivatives; D005260:Female; D006801:Humans; D008875:Middle Aged; D015609:Organotechnetium Compounds; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D015609:Organotechnetium Compounds; C059659:technetium Tc 99m bicisate; D003545:Cysteine