Abstract

Neuroscientists at the University Medical Centre Hamburg, Germany, report the case of a 17-year-old girl with migraine without aura who developed an intermittent “Alice in Wonderland Syndrome” associated with prophylactic treatment of migraine headaches with topiramate.

Highlights

  • Neuroscientists at the University Medical Centre Hamburg, Germany, report the case of a 17-year-old girl with migraine without aura who developed an intermittent "Alice in Wonderland Syndrome" associated with prophylactic treatment of migraine headaches with topiramate

  • LP is an option for children pretreated with antibiotics;

  • LP recommended in a child who is "ill-appearing" addresses the importance of clinical acumen of the treating physician, an indication omitted in the previous guidelines for children

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Summary

Introduction

Neuroscientists at the University Medical Centre Hamburg, Germany, report the case of a 17-year-old girl with migraine without aura who developed an intermittent "Alice in Wonderland Syndrome" associated with prophylactic treatment of migraine headaches with topiramate. Clinical practice guideline—neurodiagnostic evaluation of the child with a simple febrile seizure. LP recommended in a child who is "ill-appearing" addresses the importance of clinical acumen of the treating physician, an indication omitted in the previous guidelines for children

Results
Conclusion
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