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Brain Hypoxia pp 442-449 | Cite as

Gelastic Epilepsy in Tumors of the Hypothalamic Region

  • G. Pendl
Part of the Advances in Neurosurgery book series (NEURO, volume 3)

Abstract

Laughter is a rare ictal phenomenon. One must differentiate uncontrollable laughter as a result of several other pathological causes from those rare types of epileptic seizures, which were named gelastic epilepsy by DALY and MULDER (3). The criteria used by GASCON and LOMBROSO (7) and by REY-PIAS (19) for a true case of laughter as an epileptic symptom may also be applied to two cases which were encountered in the last two years at our Neurosurgery Service: They include sterotype recurrence; absence of external precipitants; concomitance with other manifestations generally accepted as epileptic, such as tonic or clonic movements, loss of consciousness, automatisms; presence of interictal and, where it can be recorded, ictal epileptiform discharges on EEG tracings; and absence of neurological signs characteristic of conditions in which pathological laughter may occur, i.e., bilateral cortico-bulbar lesions, multiple sclerosis, amyotrophic lateral sclerosis, lacunar states, bilateral frontal lobe disease, and various emotional states (2, 11).

Keywords

Amyotrophic Lateral Sclerosis Limbic System Seizure Frequency Precocious Puberty Basal Cistern 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Berlin · Heidelberg 1975

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  • G. Pendl

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