Persistent aura without headache – Alice in Wonderland syndrome

“Alice in wonderland syndrome”

Migraine aura without headache, otherwise known as an acephalgic or silent migraine, is a relatively uncommon form of migraine in which a migraine aura (usually visual disturbances) is not followed by headache.

This publication below describes a very unusual case in which a young girl experiences several episodes of migraine aura without headache each day for a month.

In addition, her neurological symptoms and aura define “Alice in Wonderland syndrome” (AIWS – also known as Todd’s syndrome) which includes visual perceptions of changing sizes and movements.  AIWS is reported to be more common in children with most ‘growing out of them’ by adolescence.


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