A 54-year-old Japanese businessman who was found to exhibit the ‘Alice in Wonderland’ syndrome and went on to develop a depressive disorder is described. Lengthening and shortening of time experience continued intermittently for about 3 months, and metamorphopsia, distortion of body image, and the quick-motion phenomenon (alteration in time sense) persisted for almost 2 days without interruption. There were no abnormal physical findings. The authors review studies on ‘Alice in Wonderland’ syndrome and suggest that depressive illness may be a causal factor.

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1998
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