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Short report
Short report
Yawning in acute anterior circulation stroke
  1. Oliver C Singer1,
  2. Marek C Humpich1,
  3. Heiner Lanfermann2,
  4. Tobias Neumann-Haefelin1
  1. 1
    Department of Neurology, JW Goethe-University Frankfurt am Main, Frankfurt, Germany
  2. 2
    Institute for Neuroradiology, JW Goethe-University Frankfurt am Main, Frankfurt, Germany
  1. Dr Oliver Singer, Department of Neurology, JW Goethe-University Frankfurt am Main, Schleusenweg 2-16, D-60528 Frankfurt/Main, Germany; o.singer{at}em.uni-frankfurt.de

Abstract

Pathological yawning can be a clinical sign in disorders affecting the brainstem. Here we describe seven patients with pathological yawning caused by acute middle cerebral artery stroke, indicating that pathological yawning also occurs in supratentorial stroke. We hypothesise that excessive yawning is a consequence of lesions in cortical or subcortical areas, which physiologically control diencephalic yawning centres.

http://dx.doi.org/10.1136/jnnp.2006.111906

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    Footnotes

    • Competing interests: None.

    • Abbreviations:
      BA
      Brodman area
      MCA
      middle cerebral artery
      NIHSS
      National Institutes of Health Stroke Scale
      PVN
      paraventricular nucleus

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    2007 BMJ Publishing Group Ltd

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