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Death from laughter is a supposedly extremely rare form of
death Death is the irreversible cessation of all biological functions that sustain an organism. For organisms with a brain, death can also be defined as the irreversible cessation of functioning of the whole brain, including brainstem, and brain ...
, usually resulting from either
cardiac arrest Cardiac arrest is when the heart suddenly and unexpectedly stops beating. It is a medical emergency that, without immediate medical intervention, will result in sudden cardiac death within minutes. Cardiopulmonary resuscitation (CPR) and possib ...
or
asphyxia Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects primarily the tissues and organs. There are many circumstances that can i ...
tion, that has itself been caused by a fit of
laughter Laughter is a pleasant physical reaction and emotion consisting usually of rhythmical, often audible contractions of the diaphragm and other parts of the respiratory system. It is a response to certain external or internal stimuli. Laughter ...
. Instances of death by laughter have been recorded from the times of
ancient Greece Ancient Greece ( el, Ἑλλάς, Hellás) was a northeastern Mediterranean civilization, existing from the Greek Dark Ages of the 12th–9th centuries BC to the end of classical antiquity ( AD 600), that comprised a loose collection of cult ...
to modern times. Usually, the phrase "dying from laughter" is used as a
hyperbole Hyperbole (; adj. hyperbolic ) is the use of exaggeration as a rhetorical device or figure of speech. In rhetoric, it is also sometimes known as auxesis (literally 'growth'). In poetry and oratory, it emphasizes, evokes strong feelings, and ...
.


Pathophysiology

Death may result from several
pathologies Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...
that deviate from
benign Malignancy () is the tendency of a medical condition to become progressively worse. Malignancy is most familiar as a characterization of cancer. A ''malignant'' tumor contrasts with a non-cancerous benign tumor, ''benign'' tumor in that a malign ...
laughter.
Infarction Infarction is tissue death (necrosis) due to inadequate blood supply to the affected area. It may be caused by artery blockages, rupture, mechanical compression, or vasoconstriction. The resulting lesion is referred to as an infarct (from the ...
of the
pons The pons (from Latin , "bridge") is part of the brainstem that in humans and other bipeds lies inferior to the midbrain, superior to the medulla oblongata and anterior to the cerebellum. The pons is also called the pons Varolii ("bridge of Va ...
and the
medulla oblongata The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involun ...
in the brain may cause the
pseudobulbar affect Pseudobulbar affect (PBA), or emotional incontinence, is a type of emotional disturbance characterized by uncontrollable episodes of crying, laughing, anger or other emotional displays. PBA occurs secondary to a neurologic disorder or brain i ...
.
Asphyxiation Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects primarily the tissues and organs. There are many circumstances that can i ...
caused by laughter leads the body to shut down from the lack of oxygen. Laughter can cause
atonia This glossary of medical terms is a list of definitions about medicine, its sub-disciplines, and related fields. A * Aarskog–Scott syndrome – (AAS) A rare, inherited (X-linked) disease characterized by short stature, facial abnormalities ...
and collapse ("agelastic syncope"), which in turn can cause trauma. See also
laughter-induced syncope Laughter-induced syncope is an unusual but recognized form of situational syncope (fainting) likely to have a similar pathophysiological origin to tussive syncope. One reported case occurred while a patient was watching the television show '' Sein ...
,
cataplexy Cataplexy is a sudden and transient episode of muscle weakness accompanied by full conscious awareness, typically triggered by emotions such as laughing, crying, or terror. Cataplexy affects approximately 70% of people who have narcolepsy, and is ...
, and
Bezold–Jarisch reflex The Bezold–Jarisch reflex (also called the Bezold reflex, the Jarisch-Bezold reflex or Von Bezold–Jarisch reflex) involves a variety of cardiovascular and neurological processes which cause hypopnea (excessively shallow breathing or an abnormal ...
.
Gelastic seizure A gelastic seizure, also known as "gelastic epilepsy", is a rare type of seizure that involves a sudden burst of energy, usually in the form of laughing. This syndrome usually occurs for no obvious reason and is uncontrollable. It is slightly more ...
s can be due to focal
lesions A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. ''Lesion'' is derived from the Latin "injury". Lesions may occur in plants as well as animals. Types There is no designated classifi ...
to the
hypothalamus The hypothalamus () is a part of the brain that contains a number of small nuclei with a variety of functions. One of the most important functions is to link the nervous system to the endocrine system via the pituitary gland. The hypothalamu ...
. Depending upon the size of the lesion, the
emotional lability In medicine and psychology, emotional lability is a sign or symptom typified by exaggerated changes in mood or affect in quick succession. Sometimes the emotions expressed outwardly are very different from how the person feels on the inside. Thes ...
may be a sign of an acute condition, and not itself the cause of the fatality. Gelastic syncope has also been associated with the
cerebellum The cerebellum (Latin for "little brain") is a major feature of the hindbrain of all vertebrates. Although usually smaller than the cerebrum, in some animals such as the mormyrid fishes it may be as large as or even larger. In humans, the cerebel ...
.


Notable cases

* Zeuxis, a 5th-century BC Greek painter, is said to have died laughing at the humorous way in which he painted the goddess
Aphrodite Aphrodite ( ; grc-gre, Ἀφροδίτη, Aphrodítē; , , ) is an ancient Greek goddess associated with love, lust, beauty, pleasure, passion, and procreation. She was syncretized with the Roman goddess . Aphrodite's major symbols include ...
– after the old woman who commissioned it insisted on modeling for the portrait. *
Chrysippus Chrysippus of Soli (; grc-gre, Χρύσιππος ὁ Σολεύς, ; ) was a Greek Stoic philosopher. He was a native of Soli, Cilicia, but moved to Athens as a young man, where he became a pupil of the Stoic philosopher Cleanthes. When Clean ...
, also known as "the man who died from laughing at his own joke", is a 3rd-century BC Greek
Stoic Stoic may refer to: * An adherent of Stoicism; one whose moral quality is associated with that school of philosophy * STOIC, a programming language * ''Stoic'' (film), a 2009 film by Uwe Boll * ''Stoic'' (mixtape), a 2012 mixtape by rapper T-Pain * ...
philosopher who died of laughter after he saw a
donkey The domestic donkey is a hoofed mammal in the family Equidae, the same family as the horse. It derives from the African wild ass, ''Equus africanus'', and may be classified either as a subspecies thereof, ''Equus africanus asinus'', or as a ...
eating his fermented
figs The fig is the edible fruit of ''Ficus carica'', a species of small tree in the flowering plant family Moraceae. Native to the Mediterranean and western Asia, it has been cultivated since ancient times and is now widely grown throughout the world ...
; he told a slave to give the donkey undiluted wine to wash them down, and then, "having laughed too much, he died" (
Diogenes Laërtius Diogenes Laërtius ( ; grc-gre, Διογένης Λαέρτιος, ; ) was a biographer of the Ancient Greece, Greek philosophers. Nothing is definitively known about his life, but his surviving ''Lives and Opinions of Eminent Philosophers'' is a ...
7.185). * In 1410, King
Martin of Aragon Martin the Humane (29 July 1356 – 31 May 1410), also called the Elder and the Ecclesiastic, was King of Aragon, Valencia, Sardinia and Corsica and Count of Barcelona from 1396 and King of Sicily from 1409 (as Martin II). He failed to secure th ...
died from a combination of
indigestion Indigestion, also known as dyspepsia or upset stomach, is a condition of impaired digestion. Symptoms may include upper abdominal fullness, heartburn, nausea, belching, or upper abdominal pain. People may also experience feeling full earlier t ...
and uncontrollable laughter triggered by a joke told by his favourite
court jester A jester, court jester, fool or joker was a member of the household of a nobleman or a monarch employed to entertain guests during the medieval and Renaissance eras. Jesters were also itinerant performers who entertained common folk at fairs and ...
. * In 1556,
Pietro Aretino Pietro Aretino (, ; 19 or 20 April 1492 – 21 October 1556) was an Italian author, playwright, poet, satirist and blackmailer, who wielded influence on contemporary art and politics. He was one of the most influential writers of his time and a ...
"is said to have died of suffocation from laughing too much". * In 1660,
Thomas Urquhart Sir Thomas Urquhart (1611–1660) was a Scottish aristocrat, writer, and translator. He is best known for his translation of the works of French Renaissance writer François Rabelais to English. Biography Urquhart was born to Thomas Urquhart ...
, the Scottish aristocrat,
polymath A polymath ( el, πολυμαθής, , "having learned much"; la, homo universalis, "universal human") is an individual whose knowledge spans a substantial number of subjects, known to draw on complex bodies of knowledge to solve specific pro ...
, and first translator of
François Rabelais François Rabelais ( , , ; born between 1483 and 1494; died 1553) was a French Renaissance writer, physician, Renaissance humanist, monk and Greek scholar. He is primarily known as a writer of satire, of the grotesque, and of bawdy jokes and ...
' writings into English, is said to have died laughing upon hearing that Charles II had taken the throne. * On October 14, 1920, 56-year-old Arthur Cobcroft, a dog trainer from Loftus Street, Leichhardt, Australia, was reading a five-year-old newspaper and was amused at the prices for some commodities in 1915 as compared to 1920. He made a remark to his wife regarding this, and burst into laughter, and in the midst of it he collapsed and died. A doctor named Doctor Nixon was called in, and stated that the death was due to heart failure, brought by excessive laughter. * On March 24, 1975, Alex Mitchell, from
King's Lynn King's Lynn, known until 1537 as Bishop's Lynn and colloquially as Lynn, is a port and market town in the borough of King's Lynn and West Norfolk in the county of Norfolk, England. It is located north of London, north-east of Peterborough, no ...
, England, died laughing while watching the "
Kung Fu Kapers "Kung Fu Kapers" is an episode of the British comedy television series ''The Goodies''. It caused a viewer to die from laughing. This episode is also known as "Ecky Thump". It was written by The Goodies, with songs and music by Bill Oddie. In ...
" episode of ''
The Goodies The Goodies were a trio of British comedians: Tim Brooke-Taylor (17 July 1940–12 April 2020), Graeme Garden (b. 18 February 1943) and Bill Oddie (b. 7 July 1941). The trio created, wrote for and performed in their eponymous television comed ...
'', featuring a
kilt A kilt ( gd, fèileadh ; Irish: ''féileadh'') is a garment resembling a wrap-around knee-length skirt, made of twill woven worsted wool with heavy pleats at the sides and back and traditionally a tartan pattern. Originating in the Scottish Hi ...
-clad Scotsman with his
bagpipes Bagpipes are a woodwind instrument using enclosed reeds fed from a constant reservoir of air in the form of a bag. The Great Highland bagpipes are well known, but people have played bagpipes for centuries throughout large parts of Europe, No ...
battling a master of the Lancastrian
martial art Martial arts are codified systems and traditions of combat practiced for a number of reasons such as self-defense; military and law enforcement applications; competition; physical, mental, and spiritual development; entertainment; and the preserv ...
"Eckythump", who was armed with a
black pudding , type = , course = , place_of_origin = Great Britain and Ireland , region =England, Ireland, Scotland , associated_cuisine = United Kingdom and Ireland , creator = , year = , mintime = , maxtime = , served = Hot, occasionally ...
. After 25 minutes of continuous laughter, Mitchell then slumped on the sofa and died from
heart failure Heart failure (HF), also known as congestive heart failure (CHF), is a syndrome, a group of signs and symptoms caused by an impairment of the heart's blood pumping function. Symptoms typically include shortness of breath, excessive fatigue, a ...
. His widow later sent ''The Goodies'' a letter thanking them for making Mitchell's final moments of life so pleasant. Diagnosis of his granddaughter in 2012 of having the inheritable
long QT syndrome Long QT syndrome (LQTS) is a condition affecting repolarization (relaxing) of the heart after a heartbeat, giving rise to an abnormally lengthy QT interval. It results in an increased risk of an irregular heartbeat which can result in fainting, d ...
(a heart rhythm abnormality) suggests that Mitchell may have died of a cardiac arrest caused by the same condition. * In 1989, during the initial run of the film '' A Fish Called Wanda'', a 56-year-old Danish audiologist named Ole Bentzen reportedly laughed himself to death.


See also

*
Kuru Kuru may refer to: Anthropology and history * Kuru (disease), a type of transmissible spongiform encephalopathy associated with the cannibalistic funeral practices of the Fore people * Kuru (mythology), part of Meithei mythology * Kuru Kingdom, ...
, also known as "laughing sickness" *
Laughing gas Nitrous oxide (dinitrogen oxide or dinitrogen monoxide), commonly known as laughing gas, nitrous, or nos, is a chemical compound, an oxide of nitrogen with the formula . At room temperature, it is a colourless non-flammable gas, and has ...
*
Laughter-induced syncope Laughter-induced syncope is an unusual but recognized form of situational syncope (fainting) likely to have a similar pathophysiological origin to tussive syncope. One reported case occurred while a patient was watching the television show '' Sein ...
*
List of unusual deaths This list of unusual deaths includes unique or extremely rare circumstances of death recorded throughout history, noted as being unusual by multiple sources. Antiquity Middle Ages Renaissance Early modern period 19th centur ...
* Paradoxical laughter *
Sardonicism To be sardonic is to be disdainfully or cynically humorous, or scornfully mocking. A form of wit or humour, being sardonic often involves expressing an uncomfortable truth in a clever and not necessarily malicious way, often with a degree of sk ...
*
Tickle torture Tickle torture is the use of tickling to abuse, dominate, harass, humiliate, or interrogate an individual. While laughter is popularly thought of as a pleasure response, in tickle torture, the one being tickled may laugh whether or not they find ...
* "
The Funniest Joke in the World "The Funniest Joke in the World" (also "Joke Warfare" and "Killer Joke") is a Monty Python comedy sketch revolving around a joke that is so funny that anyone who reads or hears it promptly dies from laughter. Ernest Scribbler (Michael Palin), ...
", episode of British sketch comedy ''
Monty Python Monty Python (also collectively known as the Pythons) were a British comedy troupe who created the sketch comedy television show '' Monty Python's Flying Circus'', which first aired on the BBC in 1969. Forty-five episodes were made over four ...
'', which revolves around a joke so funny that anybody who hears it promptly laughs themselves to death * " The Stand In", episode of American comedy ''
Seinfeld ''Seinfeld'' ( ) is an American television sitcom created by Larry David and Jerry Seinfeld. It aired on NBC from July 5, 1989, to May 14, 1998, over nine seasons and List of Seinfeld episodes, 180 episodes. It stars Seinfeld as Jerry Seinfeld ( ...
'', which features
Jerry Seinfeld Jerome Allen Seinfeld ( ; born April 29, 1954) is an American stand-up comedian, actor, writer, and producer. He is best known for playing a Jerry Seinfeld (character), semi-fictionalized version of himself in the sitcom ''Seinfeld'', which he ...
telling a joke to a hospital patient who then suddenly dies from laughter * ''
Infinite Jest ''Infinite Jest'' is a 1996 novel by American writer David Foster Wallace. Categorized as an encyclopedic novel, ''Infinite Jest'' is featured in ''TIME'' magazine's list of the 100 best English-language novels published between 1923 and 2005. ...
'', in which a film is so entertaining that those who see it lose all interest in anything else, and die


References


External links


"Have People Died Laughing?"
''Snopes.com.'' 2004. {{Death
Laughter Laughter is a pleasant physical reaction and emotion consisting usually of rhythmical, often audible contractions of the diaphragm and other parts of the respiratory system. It is a response to certain external or internal stimuli. Laughter ...
Laughter