The Alice in Wonderland Syndrome: A Case of Aura Accompanying Cluster Headache

Background: Cluster headache (CH) is a primaryheadache which has highly specific and sensitive criteria, and notpresence of an aura. It has been recentlyreported that CH may not presence with aura more thanever and this condition will be identified by headachespecialists as a new form of CH.Case Report: As there is no report to our knowledgeon Alice in Wonderland syndrome (AIWS) manifest- ed as CH aura in the literature, we present a case of a35-year-old man having AIWS as CH aura.Conclusion: Clinically, AIWS is not uncommon and islikely to be underestimated as a diagnostic entity. Val- proate may be preferred for treatment in CH patientswith AIWS aura.

PDF

___

1. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33:629- 808.
2. Evans RW, Krymchantowski AV. Cluster and other nonmigraine primary headaches with aura. Headache 2011;51:604-8. [CrossRef]
3. Krymchantowski AV. Aura with non-migraine headache. Curr Pain Headache Rep 2005;9:264-7. [CrossRef]
4. Binalsheikh IM, Griesemer D, Wang S, Alvarez-Altalef R. Lyme neuroborreliosis presenting as Alice in Wonderland syndrome. Pediatr Neurol 2012;46:185-6. [CrossRef]
5. Evans RW, Rolak LA. The Alice in Wonderland syndrome. Headache 2004;44:624-5. [CrossRef]
6. Rozen TD. Atypical presentations of cluster headache. Cephalalgia 2002;22:725-9. [CrossRef]
7. Leroux E, Ducros A. Cluster headache. Orphanet J Rare Dis 2008;3:20. [CrossRef]
8. Brumm K, Walenski M, Haist F, Robbins SL, Granet DB, Love T. Functional magnetic resonance imaging of a child with Alice in Wonderland syndrome during an episode of micropsia. J AA- POS 2010;14:317-22. [CrossRef]
9 Kitchener N. Alice in Wonderland syndrome. Int J Child Neuropsychiatry 2004;1:107-12.
10. Bakbak B, Gedik S, Koktekir BE, Okka M. Cluster headache with ptosis responsive to intranasal lidocaine application: a case report. J Med Case Rep 2012;6:64. [CrossRef]