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(Stroke. 1997;28:2081-2083.)
© 1997 American Heart Association, Inc.

Articles

Fou Rire Prodromique Heralding a Left Internal Carotid Artery Occlusion

C. Carel, MD; J. F. Albucher, MD; C. Manelfe, MD; B. Guiraud-Chaumeil, MD; F. Chollet, MD

From the Fédération de Neurologie and INSERM U455 (C.C., J.F.A., B.G.-C., F.C.) and

Correspondence to Pr F. Chollet, INSERM U455 pavillon Riser, hôpital Purpan, place Baylac, 31059 Toulouse, France. E-mail chollet{at}purpan.inserm.fr

Background Fou rire prodromique, described as pathological laughter preceding the onset of an apoplectic attack, is a rare phenomenon.

Case Description A 61-year-old man manifested pathological laughter before a sudden right hemiplegia. MRI showed a left lenticular and caudate nucleus infarct with involvement of the external capsule and prerolandic area. MRA revealed a left internal carotid and middle cerebral artery occlusion.

Conclusions The clinicoanatomic correlates of this phenomenon are discussed.

Key Words: carotid artery occlusion • cerebral ischemia • laughter

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