Osseby G, Manceau E, Huet F, Becker F, Chouchane W, Durand C, Giroud M
Clinic of Pediatric Neurology, University Hospital, Dijon, France.
Eur J Paediatr Neurol. 1999;3(3):133-6. doi: 10.1016/s1090-3798(99)90102-2.
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.
一名12岁右利手男孩在突然出现右侧偏瘫前经历了病理性大笑发作。磁共振成像显示左侧基底节梗死，由左侧颈内动脉夹层引起。血管造影显示存在潜在的纤维肌发育异常。本病例研究表明，儿童可发生脑动脉夹层，且基底节梗死可能先于被称为“前驱性痴笑”的病理性大笑出现。本文讨论了这一发作性事件的临床和解剖学关系。
