[23F] Experiencing hallucinations and headaches with fever

Patient Description

A 23-year-old female reports seeing black silhouettes of people talking about knitting at night while in a state between wakefulness and sleep, a condition she believes might be related to lucid dreaming. This has been occurring for the past 3 days. Accompanying these hallucinations, the patient experiences fevers with temperatures ranging from 100 to 101 degrees Fahrenheit and severe throbbing headaches around the eyes, which make it difficult to walk without getting dizzy. The headaches occur only when she has a fever and are rated 6 out of 10 in severity. The patient also experiences confusion and changes in alertness during these episodes. She has been previously diagnosed with tachysensia or Alice in Wonderland Syndrome (AIWS) last year. The patient has allergies but no known medication allergies and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Fever and Infection: The fever and headache you're experiencing could be due to an infection. Infections can sometimes cause confusion and hallucinations, especially if the infection is in the brain or nervous system. However, it's also possible that the fever and infection are unrelated to your hallucinations.

  • Alice in Wonderland Syndrome (AIWS): You mentioned that you have been diagnosed with AIWS. This is a rare condition that causes perceptual distortions, such as seeing objects or people as larger or smaller than they actually are. It can also cause time to seem to pass faster or slower than it actually is. AIWS is often associated with migraines, which could explain your headaches. However, AIWS does not typically cause hallucinations of the type you're describing.

  • Hypnagogic or Hypnopompic Hallucinations: These are hallucinations that occur as you're falling asleep (hypnagogic) or waking up (hypnopompic). They can be very vivid and can involve seeing, hearing, or feeling things that aren't there. These types of hallucinations are often associated with sleep disorders, such as narcolepsy, but can also occur in people without any sleep disorder.

  • Migraines: Migraines can cause severe headaches, dizziness, and sensitivity to light. Some people with migraines also experience visual disturbances or hallucinations, although these are usually geometric patterns or flashing lights, not detailed scenes or people.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Seek Immediate Medical Attention: If you haven't already, please seek medical attention immediately. Your symptoms could be due to a serious condition that needs immediate treatment.

  2. Rest and Hydration: Make sure you're getting enough rest and staying hydrated, especially if you have a fever.

  3. Monitor Your Symptoms: Keep track of your symptoms and any changes. This can help your healthcare provider figure out what's causing your symptoms.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Your symptoms get worse or you develop new symptoms
  • Your fever gets higher or lasts for more than a few days
  • You have severe headache or neck stiffness
  • You have difficulty staying awake or are confused

Please remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are hypnagogic and hypnopompic hallucinations?

Hypnagogic hallucinations occur as you are falling asleep, while hypnopompic hallucinations happen as you are waking up. They can be vivid and involve seeing, hearing, or feeling things that aren't there, and are often associated with sleep disorders.


Can fever cause hallucinations and confusion?

Yes, fever can sometimes cause hallucinations and confusion, especially if the infection is affecting the brain or nervous system. It's important to monitor these symptoms and seek medical attention if they persist.


What is Alice in Wonderland Syndrome (AIWS) and how does it relate to migraines?

Alice in Wonderland Syndrome (AIWS) is a rare condition that causes perceptual distortions, such as seeing objects or people as larger or smaller than they actually are. It is often associated with migraines, which can cause severe headaches and visual disturbances.


What should I do if I experience severe headaches and dizziness with a fever?

If you experience severe headaches and dizziness with a fever, it's important to seek medical attention immediately. These symptoms could indicate a serious condition that requires prompt treatment. Additionally, ensure you are resting and staying hydrated.


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