Robin Hood caught in Wonderland: brain SPECT findings

Clin Nucl Med. 2013 Dec;38(12):979-81. doi: 10.1097/RLU.0000000000000230.


We present the case of a 53-year-old woman presenting several episodes of body image distortions, ground deformation illusions, and problems assessing distance in the orthostatic position corresponding to the Alice in Wonderland syndrome. No symptoms were reported when sitting or lying down. She had uncontrolled hypertension, hyperglycemia, hypercholesterolemia, and a history of head trauma. Her condition had been diagnosed with left internal carotid artery dissection 2 years earlier. Brain SPECT with 99mTc-ECD performed after i.v. injection of the radiotracer in supine and in standing positions showed hypoperfusion in the healthy contralateral frontoparietal operculum (Robin Hood syndrome), deteriorating when standing up.

Publication types

  • Case Reports

MeSH terms

  • Alice in Wonderland Syndrome / diagnostic imaging*
  • Brain / diagnostic imaging*
  • Cysteine / analogs & derivatives
  • Female
  • Humans
  • Middle Aged
  • Organotechnetium Compounds
  • Tomography, Emission-Computed, Single-Photon*


  • Organotechnetium Compounds
  • technetium Tc 99m bicisate
  • Cysteine