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J Neuropsychiatry Clin Neurosci 12:100-102, February 2000
© 2000 American Psychiatric Press, Inc.


Clinical and Research Reports

Treatment of Pathological Affect

Variability of Response for Laughter and Crying

Scott McCullagh, M.D., F.R.C.P.C. and Anthony Feinstein, M.D., Ph.D., F.R.C.P.C.

Received April 30, 1999; revised July 16, 1999; accepted July 20, 1999. From the University of Toronto, Sunnybrook Hospital Site, Toronto, Ontario, Canada. Address correspondence to Dr. McCullagh, Neuropsychiatry Service, Sunnybrook Hospital, 2075 Bayview Avenue, Toronto, Ontario, Canada, M4N 3M5.

ABSTRACT

Pathological laughing and crying (PLC) is increasingly recognized to accompany diverse neurologic conditions, although it remains poorly understood. The authors describe 3 cases of amyotrophic lateral sclerosis (ALS) with an unusual change from a predominance of pathological crying to laughter following drug treatment. Possible explanations for this phenomenon are discussed.

Key Words: Amyotrophic Lateral Sclerosis • Laughter and Crying, Pathological




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