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Strange Visual Disturbances in an 8-year old Boy

Alvin Chan and Carlos Lerner
Pediatrics in Review October 2020, 41 (10) 549-550; DOI: https://doi.org/10.1542/pir.2018-0193
Alvin Chan
*Department of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA
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Carlos Lerner
*Department of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA
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  1. Alvin Chan, MD, MPH*
  2. Carlos Lerner, MD, MPhil*
  1. *Department of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA
  • AUTHOR DISCLOSURE

    Drs Chan and Lerner have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Presentation

An 8-year-old boy with no medical history presents to the urgent care clinic with complaints of strange visual disturbances over the past 2 months. The episodes are recurrent, sporadic, and transient, characterized by perceptual distortions in which objects appear faster, slower, larger, or smaller than what they should be. For example, he describes one instance when he saw abnormally large buildings and trees travel past him even though he was standing still. The episodes last 1 to 5 minutes each, and they occurred up to several times per day with increasing frequency over the last month. The visual symptoms are accompanied by loud, nondescript voices in the background. The patient is lucid and conscious during the episodes. On numerous occasions, the father witnessed his son having these events and agrees that the patient appears normal when they occur.

The patient denies any associated symptoms, including fever, headache, fatigue, aura, nausea, palpitation, or convulsion. However, he …

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Pediatrics in Review: 41 (10)
Pediatrics in Review
Vol. 41, Issue 10
1 Oct 2020
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Strange Visual Disturbances in an 8-year old Boy
Alvin Chan, Carlos Lerner
Pediatrics in Review Oct 2020, 41 (10) 549-550; DOI: 10.1542/pir.2018-0193

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Strange Visual Disturbances in an 8-year old Boy
Alvin Chan, Carlos Lerner
Pediatrics in Review Oct 2020, 41 (10) 549-550; DOI: 10.1542/pir.2018-0193
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  • Sudden Unilateral Vision Loss in a Teenage Girl
  • A Teenage Boy with Right Forehead Swelling Following Trauma to the Head
  • Tachypnea and Epistaxis in a Full-term Infant
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