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A Child with Migraine with Intense Visual Aura/“Alice in Wonderland Syndrome”

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Headache in Children and Adolescents

Abstract

One in four children with migraine may report an aura during some or all migraine attacks. Visual disturbances are the most common forms of migraine aura. Intense visual disturbances during migraine attacks can be frightening to young children and may cause concerns to parents, especially if they were not followed by headache, and may lead physicians to carry out several investigations. Alice in wonderland syndrome describes a phenomenon when patients with migraine report a variety of image distortions either separately or in combinations. Differential diagnoses include occipital epilepsy and transient ischemic attacks. Early recognition and reassurance are necessary in order to avoid unnecessary investigations and anxiety.

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References

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Correspondence to Ishaq Abu-Arafeh MBBS, MD, MRCP, FRCPCH .

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Abu-Arafeh, I. (2016). A Child with Migraine with Intense Visual Aura/“Alice in Wonderland Syndrome”. In: Abu-Arafeh, I., Özge, A. (eds) Headache in Children and Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-28628-0_6

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  • DOI: https://doi.org/10.1007/978-3-319-28628-0_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28626-6

  • Online ISBN: 978-3-319-28628-0

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