Cerebellar tumour presenting with pathological laughter and gelastic syncope.

Abstract:

:There is no report of patients in whom pathological laughter, a rare condition characterized by uncontrollable episodes of laughter usually triggered by unrelated stimuli, was ever closely associated with a loss of consciousness overtly linked with the onset of such uncontrollable laughter, also referred to as a gelastic syncope. A 53-year-old man presented with a 4-month history of syncope following intense and uncoordinated laughter. Physical and neurological examination was normal and the patient had no other typical cerebellar signs. We found a mass in the cerebellar vermis abutting the floor of the fourth ventricle, which upon histological examination after surgery proved to be an ependymoma. We emphasize that pathological laughter and gelastic syncope could represent unique and sole features of a cerebellar disorder.

journal_name

Eur J Neurol

authors

Famularo G,Corsi FM,Minisola G,De Simone C,Nicotra GC

doi

10.1111/j.1468-1331.2007.01784.x

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

940-3

issue

8

eissn

1351-5101

issn

1468-1331

pii

ENE1784

journal_volume

14

pub_type

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