Laughter is a partly involuntary act involving complex pathways in the central nervous system. Laughter normally has positive effects on emotions; however, pathologic laughter is not related to emotion and occurs independent of a stimulus in the environment. This paper outlines normal laughter and the etiology of pathologic laughter, considering both congenital and acquired causes.
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References
1.
Siporin M.Have you heard the one about social work humor? Social Case1984 (Oct): 459-64.
2.
Dorland's Medical Dictionary, ed 27. Philadelphia, WB Saunders Co:1988 ,899.
Askenasy Jjm.The functions and dysfunctions of laughter . J Gen Psychol1987; 114:317-34.
5.
Steams FRLaughing. Springfield, Charles C. Thomas, 1972.
6.
Bellert JLHumor: a therapeutic approach in oncology nursing. Cancer Nurs1989; 12:65-70.
7.
Robinson VMHuman and health. In: McGhee PE, Goldstein JH (eds): Handbook of Humor Research Vol II. New York, Springer-Verlag, 1983. 109-28.
8.
Levine J.Humor and psychopathology. In: Izard C (ed). Emotions in Personality and Psychopathology. New York: Plenum Press, 1979, 39-69.
9.
Young PTEmotion in man and animal, (ed 2). New York, Robert E. Krieger Publishing Co, 1973.
10.
Glahn BEGiggle incontinence (enuresis risoria). A study and an etiological hypothesis . Br J Urol1979; 51; 363-6.
11.
Millard DWA condition treatment for "giggle micturition."Behav Res & Therapy1966; 4:229-31.
12.
Udaka F., Yamao S., Negata H., et al. Pathologic laughing and crying treated with levodopa. Arch Neurol1984; 41:1095-6.
13.
Angelman H. 'Puppet' children: a report on three cases . Develop Med Child Neurol1965; 7:681-8.
14.
Bjerre I., Fagher B., Ryding E., et al. The Angelman or "happy puppet" syndrome: clinical and electroencephalographic features and cerebral blood flow. Acta Paediatr Scand1984; 73:398-402.
15.
Willems PJ, Dijkstra I., Brouwer OF, et al. Recurrence risk in the Angelman ("happy puppet") syndrome. Am J Med Genet1987 ; 27:773-80.
16.
Dooley JM, Berg JMThe puppet-like syndrome of the Angelman. AJDC1981; 135:621-4.
17.
Kuroki Y., Matsui I., Yamamoto Y., et al. The "happy puppet" syndrome in two siblings. Hum Genet1980; 56:227-9.
18.
Willems CA, Frias JLThe Angelman ("happy puppet") syndrome. Am J Med Genet1982; 11:453-60.
19.
Boyd SG, Harden A., Patton MA, et al. The EEG in early diagnosis of the Angelman (happy puppet) syndrome . Eur J Pediatr1988; 147:507-13.
20.
Ganji S., Duncan MCAngelman's (happy puppet) syndrome: Clinical, CT scan and serial electroencephalographic study. Clin Electroenceph1989; 20:128-40.
21.
Knoll Jhm, Nicholls RD, Magenis RE, et al. Angelman and Prader-Willi syndromes share a common 15 deletion but differ in parental origin of the deletion. Am J Med Genet1989; 32:285-90.
22.
Cooke A., Tolmie JL, Glencross FJ, et al. Detection of a 15q deletion in a child with Angelman syndrome by cytogenetic analysis and flow cytometry. Am J Med Genet1989; 32:545-9.
23.
Williams CA , Hendrickson JE, Cantu ES, et al. Angelman syndrome in a daughter with del(15) (q11q13) associated with brachycephaly, hearing loss, enlarged foramen magnum, and ataxia in the mother. Am J Med Genet1989; 35:333-8.
24.
Magenis RE, Toth-Fejel S., Allen LJ, et al. Comparison of the 15q deletions in Prader-Willi and Angelman syndromes: specific regions, extent of deletions, parental origin, and clinical consequences. Am J Med Genet1990; 35:333-49.
25.
Williams CA , Zori RT, Stone JW, et al. Maternal origin of 15q11-13 deletions in Angelman syndrome suggests a role for genomic imprinting. Am J Med Genet1990; 35:350-3.
26.
Hall JGPartial expression of Angelman syndrome in mother most likely to be due to mosaicism involving both somatic and germline cells. Am J Med Genet1990; 36:369.
27.
Duchowny MSPathological disorders of laughter. In: McGhee PG, Goldstein JH (eds). Handbook of humor research vol II. New York: Springer-Verlag, 1983, pp. 89-108.
28.
Williams M. , Schutt, W., Savage D.Epileptic laughter with precocious puberty . Arch Dis Child1978; 53:965-6.
29.
Matustik C. , Eisenberg HM, Meyer WJGelastic (laughing) seizures and precocious puberty. AJDC1981 ; 135:837-8.
30.
Sher PK, Brown SBGelastic epilepsy: onset of neonatal period. AJDC1976; 130:1126-31.
31.
Schiffer RB , Herndon RM, Rudick RATreatment of pathologic laughing and weeping with amitriptyline. N Engl J Med1985; 312:1480-2.
32.
Siegel RK, Hirschman AEHashish and laughter: historical notes and translations of early French investigations . JOPD1985; 17:87-91.