'Fou rire prodromique' as the heralding symptom of lenticular infarction, caused by dissection of the internal carotid artery in a 12-year-old boy.
A 12-year-old, right-handed boy experienced a pathological fit of laughter before a sudden right hemiplegia. Magnetic resonance imaging showed a left basal ganglia infarction, induced by a left internal carotid dissection. Arteriography revealed an underlying fibromuscular dysplasia. This case study demonstrates that cerebral artery dissection can occur in children and that a basal ganglia infarction may be preceded by pathological laughter called 'fou rire prodromique'. The clinical and anatomical relationship of this paroxysmal event are discussed.
Osseby
G
G
Clinic of Pediatric Neurology, University Hospital, Dijon, France.
Manceau
E
E
Huet
F
F
Becker
F
F
Chouchane
W
W
Durand
C
C
Giroud
M
M
D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal; D002544:Cerebral Infarction / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002561:Cerebrovascular Disorders / Q000150:complications / Q000175:diagnosis; D002648:Child; D003342:Corpus Striatum / Q000098:blood supply / Q000473:pathology; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D007845:Laughter; D008297:Male; D011859:Radiography