Pathological laughing with syncope and occipital hypoperfusion as an unusual late effect of pontine infarct
- Author:
Cheng-I Chu
;
Helen Po
- Publication Type:Case Reports
- From:Neurology Asia
2010;15(2):179-183
- CountryMalaysia
- Language:English
-
Abstract:
Occipital lobes are not usually implicated in the current proposed pathways of pathological laughter.
We present a case of occasional pathological laughter associated with pontine infarct. Brain SPECT
revealed hypoperfusion of bilateral occipital lobes in addition to an underlying abnormal regulation
of the cortico-pontine-cerebellar pathway. The cause of bilateral occipital hypoperfusion was thought
to be due to vertebrobasilar stenosis in our patient. The co-existence of bilateral occipital lobe
hypoperfusion in our patient suggest that occipital lobes may also be involved in the generation of
pathological laughter.
- Full text:P020150902402042857343.pdf