爱丽丝梦游仙境综合症(AIWS)令人困惑的精神健康共病:个案研究

IF 1.2 Q4 PSYCHIATRY
Jennings Hernandez
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引用次数: 0

摘要

爱丽丝梦游仙境综合症(AIWS)是一种不寻常的疾病,属于神经病学和精神病学的范畴。它的特点是存在复杂的感知和视觉不和谐。此外,还有多维度的视觉幻觉。20世纪50年代,约翰·托德(John Todd)首次描述了这种综合症,它大致基于《爱丽丝梦游仙境》(Alice in Wonderland)一书。一名30多岁的男子去看医生,主诉是持续了一整天的剧烈丛集性头痛。此外,他提到在他头痛之前有一种先兆。疼痛非常剧烈,使他无法进行日常活动。在头痛之前,他解释说他会感觉到奇怪的身体和视觉行为。在这些情节中,他解释说,他周围的东西看起来扭曲了,大小不一。他房间里的东西看起来比实际距离更遥远,尺寸也更大(放大和缩小)。他说他右手的手指比左手小得多(侏儒症)。他周围的物体变形和扭曲(变形)。症状持续了45分钟他以前没有任何头痛或幻觉。根据他的医疗记录,他是一个健康的人,健康状况良好。经检查,主治医师描述病人神志清醒,对时间和地点有方向感,没有明显的痛苦。所有化验结果均正常包括10项药物测试。这些都经过测试,以确定他是否受到任何麻醉剂、兴奋剂或其他物质的影响。医生开了500毫克的丙戊酸,每天服用。3个月后的随访中,他提到他的症状已经消退,但仍然存在。他的剂量再次增加到1000mg /天,最终停止了所有进一步的症状出现。他已经三个月没有再发作了。众所周知,“爱丽丝梦游仙境综合症”与先兆头痛有关。它在儿童和成人人群中很常见。在本文中,我介绍了一例患者谁显示偏头痛与先兆,表明AIWS。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Perplexing Mental Health Comorbidity of Alice in Wonderland Syndrome (AIWS): A Case Study
The Alice in Wonderland Syndrome (AIWS) is an unusual and uncommon condition that falls under the umbrella of neurology and psychiatry. It is characterized by the presence of complex perceptual and visual discord. Additionally, there are visual hallucinations that are multi-dimensional. This syndrome was first described by John Todd in the 1950s, and it was loosely based on the book Alice in Wonderland. A man in his 30s arrived at his doctor’s appointment with a chief complaint of a pounding cluster headache that lasted over a full day. In addition, he mentioned that there was an aura preceding his headaches. The pain was so intense, it was debilitating him from routine activities. Before the headaches, he explained that he would sense bizarre physical and visual behaviors. During these episodes, he explained that things around him appeared distorted and of various sizes. Things in his room appeared to be more distant than they really were and larger in size (macropsia and micropsia). He described the fingers on his right hand to be much smaller compared to his left hand (micropsia). Objects around him were deformed and distorted (metamorphopsia). His symptoms lasted 45 minutes. He did not suffer from any previous headaches or hallucinations. He was a healthy man with a clean bill of health as per his medical records. Upon examination, the attending physician described the patient as alert, oriented to time and place, and under no obvious distress. All labs performed returned normal including a 10-panel drug test. These were tested to see if he was under the influence of any narcotic, stimulant, or other substances. The physician prescribed 500 mg of valproic acid to take daily. Three months later during his follow-up, he mentioned his symptoms had subsided but were still present. His dose was again increased to 1000 mg/day, eventually stopping all further symptoms from surfacing. He has not had another episode in three months. The Alice in Wonderland Syndrome is known to be associated with headaches with preceding auras. It is common in the pediatric and adult populations. In this paper, I introduce a case of a patient who displays migraines with preceding auras, indicative of AIWS.
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CiteScore
1.90
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