Distortions of Space and Time.

A 15-year-old male was referred for evaluation of dizziness for the past 2 months. He complained of visual distortion and feeling of disorientation, was a poor student, and denied recreational drug use. His symptoms were consistent with the so-called "Alice in Wonderland" syndrome associated with Epstein-Barr virus infection. This case is an illustration of neurologic symptoms appearing without the features of infectious mononucleosis.