Pathological laughter in a patient with trigeminal neurinoma
We present a 47-year-old woman with a long history of anxiety and a more recent history of shock-like facial pain and episodes of laughter without any motivation. She could not explain the laughing bursts and did not have a sense of mirth preceding it. On neurological examination she presented a VI...
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Thieme Revinter Publicações
2002-12-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000600021&tlng=en |
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| author | André G. Machado Paulo Henrique Aguiar Raul Marino Jr |
| author_facet | André G. Machado Paulo Henrique Aguiar Raul Marino Jr |
| author_sort | André G. Machado |
| collection | DOAJ |
| description | We present a 47-year-old woman with a long history of anxiety and a more recent history of shock-like facial pain and episodes of laughter without any motivation. She could not explain the laughing bursts and did not have a sense of mirth preceding it. On neurological examination she presented a VI nerve palsy and trigeminal hypoesthesia (V2 and V3) on the right side. Magnetic resonance imaging exhibited a large cystic lesion on the right middle fossa causing significant compression on the brain stem. A frontoorbitozygomatic and pretemporal combined approach was performed. During intra and extradural exploration a large tumor was found on the trigeminal nerve. The whole lesion was resected, revealing to be a neurinoma on pathological exhamination. She maintained a VI nerve palsy but had complete remission of the unmotivated laughing episodes during the one year follow up. |
| format | Article |
| id | doaj-art-e4046e4f2e10429ca76cc318e39e0042 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2002-12-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e4046e4f2e10429ca76cc318e39e00422025-08-20T02:04:26ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272002-12-0160410001002Pathological laughter in a patient with trigeminal neurinomaAndré G. Machado0Paulo Henrique Aguiar1Raul Marino Jr2University of São PauloUniversity of São PauloUniversity of São PauloWe present a 47-year-old woman with a long history of anxiety and a more recent history of shock-like facial pain and episodes of laughter without any motivation. She could not explain the laughing bursts and did not have a sense of mirth preceding it. On neurological examination she presented a VI nerve palsy and trigeminal hypoesthesia (V2 and V3) on the right side. Magnetic resonance imaging exhibited a large cystic lesion on the right middle fossa causing significant compression on the brain stem. A frontoorbitozygomatic and pretemporal combined approach was performed. During intra and extradural exploration a large tumor was found on the trigeminal nerve. The whole lesion was resected, revealing to be a neurinoma on pathological exhamination. She maintained a VI nerve palsy but had complete remission of the unmotivated laughing episodes during the one year follow up.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000600021&tlng=enpathological laughterneurinomatrigeminal neuralgia |
| spellingShingle | André G. Machado Paulo Henrique Aguiar Raul Marino Jr Pathological laughter in a patient with trigeminal neurinoma Arquivos de Neuro-Psiquiatria pathological laughter neurinoma trigeminal neuralgia |
| title | Pathological laughter in a patient with trigeminal neurinoma |
| title_full | Pathological laughter in a patient with trigeminal neurinoma |
| title_fullStr | Pathological laughter in a patient with trigeminal neurinoma |
| title_full_unstemmed | Pathological laughter in a patient with trigeminal neurinoma |
| title_short | Pathological laughter in a patient with trigeminal neurinoma |
| title_sort | pathological laughter in a patient with trigeminal neurinoma |
| topic | pathological laughter neurinoma trigeminal neuralgia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000600021&tlng=en |
| work_keys_str_mv | AT andregmachado pathologicallaughterinapatientwithtrigeminalneurinoma AT paulohenriqueaguiar pathologicallaughterinapatientwithtrigeminalneurinoma AT raulmarinojr pathologicallaughterinapatientwithtrigeminalneurinoma |