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- Alvin Chan, MD, MPH*
- Carlos Lerner, MD, MPhil*
- *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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