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Lyme neuroborreliosis presenting as Alice in Wonderland syndrome.
Pediatr Neurol. 2012 Mar; 46(3):185-6.PN

Abstract

We describe a 7-year-old boy with Alice in Wonderland syndrome associated with Lyme disease. He presented with metamorphopsia and auditory hallucinations in the absence of previous tick bites or other signs of Lyme disease. The boy never developed clinical seizures, and electroencephalograms during these spells indicated no epileptic activity. There was no history of migraine. Cranial magnetic resonance imaging produced normal results. Lyme serology tested positive in both serum and cerebrospinal fluid. He was treated with intravenous ceftriaxone for 3 weeks, with complete resolution of signs. This case report is the first, to our knowledge, of neuroborreliosis presenting as Alice in Wonderland syndrome with complete resolution of findings after intravenous antibiotic treatment.

Authors+Show Affiliations

Department of Pediatric Neurology, Floating Hospital for Children at Tufts Medical Center, Tufts University, Boston, Massachusetts 02111, USA. alsheikh55@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22353296

Citation

Binalsheikh, Ibrahim M., et al. "Lyme Neuroborreliosis Presenting as Alice in Wonderland Syndrome." Pediatric Neurology, vol. 46, no. 3, 2012, pp. 185-6.
Binalsheikh IM, Griesemer D, Wang S, et al. Lyme neuroborreliosis presenting as Alice in Wonderland syndrome. Pediatr Neurol. 2012;46(3):185-6.
Binalsheikh, I. M., Griesemer, D., Wang, S., & Alvarez-Altalef, R. (2012). Lyme neuroborreliosis presenting as Alice in Wonderland syndrome. Pediatric Neurology, 46(3), 185-6. https://doi.org/10.1016/j.pediatrneurol.2012.01.001
Binalsheikh IM, et al. Lyme Neuroborreliosis Presenting as Alice in Wonderland Syndrome. Pediatr Neurol. 2012;46(3):185-6. PubMed PMID: 22353296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lyme neuroborreliosis presenting as Alice in Wonderland syndrome. AU - Binalsheikh,Ibrahim M, AU - Griesemer,David, AU - Wang,Sonya, AU - Alvarez-Altalef,Rebeca, PY - 2011/04/29/received PY - 2012/01/03/accepted PY - 2012/2/23/entrez PY - 2012/2/23/pubmed PY - 2012/7/6/medline SP - 185 EP - 6 JF - Pediatric neurology JO - Pediatr. Neurol. VL - 46 IS - 3 N2 - We describe a 7-year-old boy with Alice in Wonderland syndrome associated with Lyme disease. He presented with metamorphopsia and auditory hallucinations in the absence of previous tick bites or other signs of Lyme disease. The boy never developed clinical seizures, and electroencephalograms during these spells indicated no epileptic activity. There was no history of migraine. Cranial magnetic resonance imaging produced normal results. Lyme serology tested positive in both serum and cerebrospinal fluid. He was treated with intravenous ceftriaxone for 3 weeks, with complete resolution of signs. This case report is the first, to our knowledge, of neuroborreliosis presenting as Alice in Wonderland syndrome with complete resolution of findings after intravenous antibiotic treatment. SN - 1873-5150 UR - https://www.unboundmedicine.com/medline/citation/22353296/Lyme_neuroborreliosis_presenting_as_Alice_in_Wonderland_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0887-8994(12)00002-1 DB - PRIME DP - Unbound Medicine ER -