Foerster's syndrome
Encyclopedia
Foerster’s syndrome is the name used by Arthur Koestler
Arthur Koestler
Arthur Koestler CBE was a Hungarian author and journalist. Koestler was born in Budapest and, apart from his early school years, was educated in Austria...

 in his account of the compulsive punning first described by the German neurosurgeon Otfrid Foerster
Otfrid Foerster
Otfrid Foerster was a German neurologist and neurosurgeon, who made innovative contributions to neurology and neurosurgery, such as rhizotomy for the treatment of spasticity, anterolateral cordotomy for pain, the hyperventilation test for epilepsy, Foerster's syndrome, the first electrocorticogram...

.

In 1929 Foerster was operating on a patient suffering from a tumor
Tumor
A tumor or tumour is commonly used as a synonym for a neoplasm that appears enlarged in size. Tumor is not synonymous with cancer...

 in the third ventricle – a small cavity deep down in the phylogenetically ancient regions of the midbrain, adjacent to structures intimately concerned with the arousal of emotions. When the surgeon began to manipulate the tumor, affecting those sensitive structures, the (conscious) patient burst into a manic flight of pun
Pun
The pun, also called paronomasia, is a form of word play which suggests two or more meanings, by exploiting multiple meanings of words, or of similar-sounding words, for an intended humorous or rhetorical effect. These ambiguities can arise from the intentional use and abuse of homophonic,...

s. He exhibited typical sound associations, and with every word of the operator broke into a flight of ideas. The sound of one word swiftly echoed in the sound of the next, and all of the words had something to do with knives and butchery. This gruesome humour, Koestler noted, all came "from a man tied face down to the operating table with his skull open."
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