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Vol. 15 - Num. 58

Clinical Reviews

From dizziness to "Wonderland"

Estefanía García Camiñoa, Concepción Bonet de Lunab

aMIR-Pediatría. Hospital Universitario La Paz. Madrid. España.
bPediatra. CS Segre. Madrid. España.

Correspondence: E García. E-mail:

Reference of this article: García Camiño E, Bonet de Luna C. From dizziness to "Wonderland". Rev Pediatr Aten Primaria. 2013;15:151-6.

Published in Internet: 21-06-2013 - Visits: 82833


An 11-year-old girl complains of anxiety and dizziness of a few hours of evolution. After a medical history and physical examination she is diagnosed with a syndrome of “Alice in wonderland” (SAPM in Spanish), caused by a cough suppressant (dextromethorphan). The knowledge of this syndrome and its anatomical basis is essential for distinguishing it from other entities much more frequent as: vertigo, instability or light-headedness. Alterations in perception that we find in the SAPM, originate in certain areas of the parieto-temporal lobe. This makes the description difficult for the patient (they are illusions) and therefore complicates the diagnosis. Although rare, it has to be taken into account in the differential diagnosis of "dizziness".


Alice in Wonderland Syndrome Dextromethorphan Illusion Perception alterations



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