Risus sardonicus

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Risus sardonicus or rictus grin is a highly characteristic, abnormal, sustained spasm of the facial muscles that appears to produce grinning. It may be caused by tetanus,[1][2] strychnine poisoning, or Wilson's disease, and has been reported after judicial hanging.[medical citation needed]

The condition's name, associated with the Mediterranean island of Sardinia, derives from the appearance of raised eyebrows and an open "grin" – which can appear sardonic or malevolent to the lay observer – displayed by those experiencing these muscle spasms.

Causes[]

It is most often observed as a sign of tetanus.[3] It can also be caused by poisoning with strychnine[4] or Wilson's disease.

In 2009, scientists at the University of Eastern Piedmont in Italy wrote that they had identified hemlock water-dropwort (Oenanthe crocata) as the plant historically responsible for producing the sardonic grin.[5][6] This plant is the most likely candidate for the "sardonic herb", which was a neurotoxic plant used for the ritual killing of elderly people in pre-Roman Nuragic Sardinia.

See also[]

References[]

  1. ^ "Tetanus: Clinical Presentation". Medscape.
  2. ^ Kobayashi, A.; Iwasaki, H. (2017). "Tetanus attacks an old person with inadequate vaccination showing 'Risus Sardonicus' face". IDCases. 10: 38–39. doi:10.1016/j.idcr.2017.08.009. PMC 5577402. PMID 28875124.
  3. ^ "Tetanus". World Health Organization.
  4. ^ Bryson, Peter D. (1996). Comprehensive Reviews in Toxicology: For Emergency Clinicians. CRC Press. p. 791. ISBN 978-1560326120.
  5. ^ News Scan Briefs: Killer Smile, Scientific American, August 2009
  6. ^ G. Appendino; F. Pollastro; L. Verotta; M. Ballero; A. Romano; P. Wyrembek; K. Szczuraszek; J. W. Mozrzymas; O. Taglialatela-Scafati (2009). "Polyacetylenes from Sardinian Oenanthe fistulosa: A Molecular Clue to risus sardonicus". Journal of Natural Products. 72 (5): 962–965. doi:10.1021/np8007717. PMC 2685611. PMID 19245244.

External links[]

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