Laughter-induced syncope

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Laughter-induced syncope.

This case report describes a 58-year-old man who is otherwise healthy but has periodic episodes of syncope which only happen when he laughs vigorously. This occurs suddenly with no prodrome, so the patient has no time to react and is unable to brace himself when he falls. The case is one of the very few described in the medical literature, most of which have similar presentations and findings o...

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Recurrent laughter-induced syncope.

INTRODUCTION Syncope is a common presenting complaint in Neurology clinics or Emergency departments, but its causes are sometimes difficult to diagnose. Apart from vasovagal attacks, other benign, neurally mediated syncopes include "situational" syncopes, which occur after urination, coughing, swallowing, or defecation. CASE REPORT A healthy 42-year-old male patient presented to the neurology...

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Gaze-induced laughter.

Pathological laughter was stimulated by pursuit eye movements with a large extramedullary brainstem tumour. Laughter was also evoked by intense direct light. The mechanism by which visual stimuli could induce pathological laughter is discussed.

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Quinidine-induced Syncope.

Since quinidine was introduced by Frey in 1918 it has remained the drug of choice for the conversion of certain arrhythmias to sinus rhythm and for the maintenance of normal rhythm once achieved. It is commonly used in this manner for atrial fibrillation, atrial flutter, -paroxysmal tachycardia of atrial, nodal, and ventricular origin, and ventriculat fibrillation. It has also been employed as ...

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A case of neurally mediated syncope induced by laughter successfully treated with combination of propranolol and midodrine.

A 69-year-old man had been suffering from recurrent syncope induced by laughter since the age of 58. His syncope was reproduced by head-up tilt testing with isoproterenol infusion and we concluded that his laughter-induced syncope was one type of neurally mediated syndrome (NMS). His daughter also had NMS and her syncope was treated with propranolol. Propranolol and midodrine hydrochloride, an ...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2013

ISSN: 1757-790X

DOI: 10.1136/bcr-2013-010169