A singular association of migraine with brainstem aura and Alice in Wonderland syndrome

BACKGROUND: In this work, we describe an association of brainstem headache with aura (BHA) and Alice in Wonderland syndrome (AIWS) in a 17-year-old male, suffering from crises of vertigo, weakness, dysarthria, and diplopia, in half-hour duration, followed by diffuse or occipital headache, lasting several hours.

METHODS: The frequency of the attacks was monthly, and once there was short loss of consciousness. The last episodes were accompanied by symptoms such as deformation of figures and objects, small or large in shape.

RESULTS: Diagnostic examinations were performed, mainly neuroimaging tests such as brain MRI and brain angio-MRI, all resulting normal; and treatment with flunarizine was followed by improvement of both BHA and AIWS symptoms.

CONCLUSIONS: There would be a correlation between BHA and AIWS, presumably represented by dysfunction of temporo-parieto-occipital carrefour.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery - 35(2019), 8 vom: 22. Aug., Seite 1435-1437

Sprache:

Englisch

Beteiligte Personen:

Chirchiglia, Domenico [VerfasserIn]
Chirchiglia, Pasquale [VerfasserIn]
Marotta, Rosa [VerfasserIn]

Links:

Volltext

Themen:

Alice in Wonderland syndrome
Anticonvulsants
Brainstem headache
Carrefour region
Case Reports
Flunarizine
Journal Article
R7PLA2DM0J

Anmerkungen:

Date Completed 10.11.2020

Date Revised 10.11.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00381-019-04170-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM296692395