ArticleNeurology. Clinical practice2018
Clinical characteristics of Alice in Wonderland syndrome in a cohort with vestibular migraine.
Article in Neurology. Clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Multisensory hallucinations and other unusual sensory experiences in the context of migraine: a systematic review.Journal of neurology · 2024Pooled it
- Time Distortions: A Systematic Review of Cases Characteristic of Alice in Wonderland Syndrome.Frontiers in psychiatry · 2021Pooled it
- Visual, vestibular, and ocular motor changes during nitroglycerin-triggered vestibular migraine.Headache · 2026Article
- Exploring Alice in Wonderland syndrome in adults with persistent headache after COVID-19: a cross-sectional study in Latin America.BMC neurology · 2025Article
- A case of Alice in Wonderland Syndrome associated with topiramate in a patient with vestibular migraine.The mental health clinician · 2025Article
- Brain circuits in autonomous sensory meridian response and related phenomena.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024Review
- Alice in Wonderland Syndrome (AIWS): prevalence and characteristics in adults with migraine.Journal of neurology · 2024Article
- Beyond Vertigo: Vestibular, Aural, and Perceptual Symptoms in Vestibular Migraine.Current pain and headache reports · 2024Review
- A Twist in Perception: A Case of an Eight-Year-Old Female With Alice in Wonderland Syndrome.Cureus · 2024Article
- Visual Disturbances Spectrum in Pediatric Migraine.Journal of clinical medicine · 2023Review
- Neuroimaging markers of Alice in Wonderland syndrome in patients with migraine with aura.Frontiers in neurology · 2023Article
- Vestibular Migraine.Current neurology and neuroscience reports · 2022Review
- Alice in Wonderland syndrome (AIWS): a research overview.AIMS neuroscience · 2020Review
- Primary headaches during lifespan.The journal of headache and pain · 2019Review
- Atypical Migraine in Clinical Practice: Are We Missing It?Annals of Indian Academy of NeurologyArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlice in Wonderland syndrome (AIWS) is a rare sensory perception disorder, most often caused by migraine in adults. We aimed to characterize the clinical characteristics of AIWS in a cohort of vestibular migraine (VM) patients.
methodsRetrospective chart review of patients diagnosed with VM seen between August 2014 and January 2018.
resultsSeventeen patients were identified (10 women) with a median age at onset of 45 years (range 15-61 years), and median age at presentation of 49 years (range 17-63 years). Eighty-two percent reported 1 AIWS symptom, 12% reported 3 symptoms, and 6% described 2 symptoms. The most common symptom was visual distortions (47%), followed by extrapersonal misperceptions (41%) and somesthetic distortions (29%). Most AIWS occurred during VM episodes (77%). Eleven patients were seen in follow-up; 10 described complete or partial resolution of both AIWS and VM with migraine preventive therapy, while 1 experienced complete resolution of VM but continued to have AIWS. Neuro-otologic abnormalities improved in 2 patients.
conclusionsThis study characterizes the clinical features of AIWS in patients with VM. We observed several rare and highly unusual AIWS misperceptions (frosted-glass vision, underwater vision, dolly zoom effect, sensation of the brain coming out of the head, closed-eye visual hallucinations, and headlight glare-induced marco/microsomatognosia), and resolution or improvement in AIWS and VM with migraine preventive treatment.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.