Dysphagia as a presenting symptom of Alice in Wonderland Syndrome

A 6-year-old male attended the Pediatric Gastroenterology office for dysphagia and anxiety associated with feeding, once eosinophilic esophagitis and gastroesophageal reflux disease were ruled out, he was diagnosed with phobic dysphagia. The symptoms progressed to nocturnal dysphagia associated with macropsias and micropsias and finally he presented with daytime symptoms. Epileptic and tumoral disorders of the central nervous system were ruled out and visual evoked potentials with giant amplitudes were performed, finally diagnosing Alice in Wonderland Syndrome. The digestive and hallucinatory symptoms improved spontaneously until resolution.