Laughter - A Manifestation of Seizure: A Case Report and Review

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Laughter - A Manifestation of Seizure: A Case Report and Review

Journal Title: Nepal Journal of Neuroscience - Year 2009, Vol 6, Issue 2

Abstract

A case with the rare manifestation of laughter as a clinical feature of seizure in a 13-year-old boy is reported. One year before presentation, he first had a sudden loss of consciousness. He slumped and fell down, with eyes closed and some frothing at the mouth, but had no injury or incontinence. In subsequent episodes, he would laugh before losing consciousness and had no later recollection. On many occasions later, he had laughter when he seemed out of contact with others but did not lose consciousness though he had a short while of staring and complaint of headache. On examination, there were no focal neurological signs nor any abnormalities on systemic evaluation. He had normal mood except for concerns about his illness. After EEG report suggestive of left temporal lobe epilepsy with secondary generalization, he was treated with carbamazepine. A review and discussion of literature on gelastic seizure follows the case report.

Authors and Affiliations

Dhana Ratna Shakya, MD

Keywords

gelastic seizure laughter temporal lobe epilepsy

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