Evidence map›Paper›PMID 41953536›Full record

ArticleCase reports in psychiatry2026

Alice in Wonderland and Ekbom Syndromes in a Bipolar I Manic Episode: A Case Report With Neuroimaging Findings.

Yuta Hori, Satoru Yanagaki, Masashi Nibuya, Seishu Nakagawa, Eiji Suzuki

Abstract read
In one paragraph

Article in Case reports in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuta HoriDivision of Psychiatry, Tohoku Medical and Pharmaceutical University, Sendai City, Miyagi, Japan, tohoku-mpu.ac.jp.
Satoru YanagakiDivision of Radiology, Tohoku Medical and Pharmaceutical University, Sendai City, Miyagi, Japan, tohoku-mpu.ac.jp.
Masashi NibuyaDivision of Psychiatry, Tohoku Medical and Pharmaceutical University, Sendai City, Miyagi, Japan, tohoku-mpu.ac.jp.ORCID https://orcid.org/0000-0002-8292-2302
Seishu NakagawaDivision of Psychiatry, Tohoku Medical and Pharmaceutical University, Sendai City, Miyagi, Japan, tohoku-mpu.ac.jp.
Eiji SuzukiDivision of Psychiatry, Tohoku Medical and Pharmaceutical University, Sendai City, Miyagi, Japan, tohoku-mpu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With recent advances in anatomical and functional brain mapping, Alice in Wonderland syndrome (AIWS), a perceptual distortion disorder, has received increased attention. We report the case of a 67-year-old man with bipolar I disorder (manic episode), AIWS, and delusional parasitosis (Ekbom syndrome). The patient exhibited diverse perceptual distortions across visual, auditory, and tactile modalities. In addition to derealization and depersonalization, he showed a distorted sense of time. Single-photon emission computed tomography (SPECT) revealed a transient but significant decrease in blood flow in the right posterior cingulate region, accompanied by relatively increased blood flow in the bilateral occipital regions during the episode.

Indexed as

Alice in Wonderland syndrome (AIWS)bipolar I disorderbrain single-photon emission computed tomography (SPECT)case reportEkbom syndromemanic episode

Identifiers

PMID41953536
PMCPMC13054826

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Registered trials

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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.