Becca, a 5-year-old girl, experienced episodes of body-image illusions where objects and people appeared small or distorted. These episodes led her mother, Rachel, to seek advice from a physician’s assistant friend who mentioned the possibility of “Alice in Wonderland Syndrome,” also known as tachysensia.
This disorder, named after Lewis Carroll’s novel, involves distortions of size, mass, or shape, often accompanied by depersonalization or derealization. Discovered by British psychiatrist Dr. John Todd in 1955, the syndrome causes discrepancies in perception, altered image, and time.
After consulting with a pediatric optometrist, Becca was diagnosed with the rare disorder. Causes of the syndrome can range from infections to head trauma, with children more likely to experience it due to infectious triggers and adults possibly linked to migraines.
Most cases of Alice in Wonderland Syndrome are temporary and short-lived. Treatment options include neurological or eye exams, MRI brain scans, blood testing, and prescription medications based on the underlying causes. Optical treatments may also be part of the treatment plan.
For Becca, her episodes have decreased in frequency and duration, showing signs of improvement. Rachel remains hopeful that Becca is slowly growing out of the syndrome.
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