Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro and macropsia), color, movement, among others. Where? • CNS: parietal lobe • Retina • Systemic (toxic/metabolic) Why? (Many causes!) • Migraine* (most common cause) • Infection (e.g. encephalitis) • Brain lesions (e.g. stroke, tumor) • Epilepsy • Psychiatric disorders • Toxic/metabolic conditions By Dr. Gabriela Figueiredo Pucci @gabifpucci @neudrawlogy #Alice #Wonderland #Syndrome #diagnosis #neurology #differential
