Alice in wonderland syndrome (AIWS): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Alice in wonderland syndrome (AIWS): clinical features. Distortions of visual perception, Distortions of body schema. Fully referenced neurology checklist.

Major categories of AIWS symptoms

  • Distortions of visual perception
  • Distortions of body schema
  • Distorted experience of time

Size visual distortions

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Motion visual distortions

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Multiple images visual distortions

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Colour visual distortions

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Cortical visual hallucinations

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Other visual distortions

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Time distortions

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Non-visual distortions

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Diagnostic criteria for migraine-related AIWS

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Acronyms

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References

  1. Blom JD. Alice in Wonderland syndrome: a systematic review. Neurol Clin Pract 2016; 6:259-270.
  2. Mastria G, Mancini V, Viganò A, Di Piero V. Alice in Wonderland syndrome: a clinical and pathophysiological review. Biomed Res Int 2016; 2016:8243145.  
  3. Podoll K, Robinson D. Illusory splitting as visual aura symptom in migraine. Cephalalgia 2000; 20:228-232.
  4. Beh Sc, Masrour S, Smith Sv, Friedman Di. Clinical Characteristics of Alice in Wonderland syndrome in a cohort with vestibular migraine. Neurol Clin Pract 2018; (Epub ahead of print).
  5. Jia Y, Miao Y. Evidence for the perception of time distortion during episodes of Alice in wonderland syndrome. J Nerv Ment Dis 2018; 206:473-475.
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