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
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2012/3
Y1 - 2012/3
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.
AB - 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.
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U2 - 10.1016/j.pediatrneurol.2012.01.001
DO - 10.1016/j.pediatrneurol.2012.01.001
M3 - Article
C2 - 22353296
AN - SCOPUS:84863138959
SN - 0887-8994
VL - 46
SP - 185
EP - 186
JO - Pediatric Neurology
JF - Pediatric Neurology
IS - 3
ER -