Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis
The Alice in Wonderland syndrome is a rare clinical feature characterised by perceptual disturbances including visual disturbances and distortion of the body image. This uncommon--but often easy to recognise--syndrome, to which children seem particularly susceptible, can be defined in patients with...
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description | The Alice in Wonderland syndrome is a rare clinical feature characterised by perceptual disturbances including visual disturbances and distortion of the body image. This uncommon--but often easy to recognise--syndrome, to which children seem particularly susceptible, can be defined in patients with Epstein Barr Virus (EBV) infection. This report describes a 10-year-old child with a mild upper airway obstruction and manifestations of the Alice in Wonderland syndrome resulting from an acute EBV infection. Because meningo-encephalitis was considered in the differential diagnosis, an MRI examination was performed under midazolam sedation, leading to a severe life-threatening upper airway obstruction. |
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This uncommon--but often easy to recognise--syndrome, to which children seem particularly susceptible, can be defined in patients with Epstein Barr Virus (EBV) infection. This report describes a 10-year-old child with a mild upper airway obstruction and manifestations of the Alice in Wonderland syndrome resulting from an acute EBV infection. 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This uncommon--but often easy to recognise--syndrome, to which children seem particularly susceptible, can be defined in patients with Epstein Barr Virus (EBV) infection. This report describes a 10-year-old child with a mild upper airway obstruction and manifestations of the Alice in Wonderland syndrome resulting from an acute EBV infection. Because meningo-encephalitis was considered in the differential diagnosis, an MRI examination was performed under midazolam sedation, leading to a severe life-threatening upper airway obstruction.</description><subject>Airway Obstruction - etiology</subject><subject>Child</subject><subject>Color Perception</subject><subject>Conscious Sedation - adverse effects</subject><subject>Humans</subject><subject>Infectious Mononucleosis - complications</subject><subject>Intubation, Intratracheal</subject><subject>Male</subject><subject>Perceptual Disorders - etiology</subject><subject>Syndrome</subject><subject>Tonsillectomy</subject><issn>1781-782X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UEtrwzAY82FjLV3_wvBtp4AfsZ0cS9kLCr2sbLfg-HPAI7EzO2bk3y9h3UkIJCHpBm2pqmihKva5QfuUvgghVJWMSH6HNowKyYWotuhy6J2x2Hn8ETzY2GsPOM0eYhgsXkkeRxuxdvFHzzi0aYrZTC741eN8Z1eSEx6CDz6b3obk0j267XSf7P6KO3R5fno_vhan88vb8XAqRkbJVCiuaqClZQQol0aWlWYt1a1mTAMQw8wCgndglKCgoCUVKRVfNhgFvK75Dj3-5Y4xfGebpmZwydh-WWGXUk0lpeBMMbkoH67K3A4WmjG6Qce5-X-C_wLRN1tX</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Piessens, P</creator><creator>Indesteege, F</creator><creator>Lemkens, P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis</title><author>Piessens, P ; Indesteege, F ; Lemkens, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p210t-7379d14e20d136c648a2b1aba22add0c2cadd53fdc751d7db080473063c7d3993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Airway Obstruction - etiology</topic><topic>Child</topic><topic>Color Perception</topic><topic>Conscious Sedation - adverse effects</topic><topic>Humans</topic><topic>Infectious Mononucleosis - complications</topic><topic>Intubation, Intratracheal</topic><topic>Male</topic><topic>Perceptual Disorders - etiology</topic><topic>Syndrome</topic><topic>Tonsillectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Piessens, P</creatorcontrib><creatorcontrib>Indesteege, F</creatorcontrib><creatorcontrib>Lemkens, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>B-ENT (Leuven)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Piessens, P</au><au>Indesteege, F</au><au>Lemkens, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis</atitle><jtitle>B-ENT (Leuven)</jtitle><addtitle>B-ENT</addtitle><date>2011</date><risdate>2011</risdate><volume>7</volume><issue>1</issue><spage>51</spage><epage>54</epage><pages>51-54</pages><issn>1781-782X</issn><abstract>The Alice in Wonderland syndrome is a rare clinical feature characterised by perceptual disturbances including visual disturbances and distortion of the body image. This uncommon--but often easy to recognise--syndrome, to which children seem particularly susceptible, can be defined in patients with Epstein Barr Virus (EBV) infection. This report describes a 10-year-old child with a mild upper airway obstruction and manifestations of the Alice in Wonderland syndrome resulting from an acute EBV infection. Because meningo-encephalitis was considered in the differential diagnosis, an MRI examination was performed under midazolam sedation, leading to a severe life-threatening upper airway obstruction.</abstract><cop>Belgium</cop><pmid>21563558</pmid><tpages>4</tpages></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
subjects | Airway Obstruction - etiology Child Color Perception Conscious Sedation - adverse effects Humans Infectious Mononucleosis - complications Intubation, Intratracheal Male Perceptual Disorders - etiology Syndrome Tonsillectomy |
title | Alice in Wonderland syndrome and upper airway obstruction in infectious mononucleosis |
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