Johanna Timm, PhD Jul 28, 2010:

hi David context-wise, it’s not as läppisch as it looks :-) it’s an established term used to describe certain schizophrenic behaviours – it's just a bit surprising to encounter it in a cardiology report :-)

David Rumsey (asker) Jul 28, 2010:

more context We are dealing with a cardiology report here. Diagnoses:

passager Aphasie
passager Gesichtsfelddefekt nach rechts
passager inadäquat läppischem Affekt
Arterielle hypertonie

David Hollywood Jul 28, 2010:

come on guys ... no context no way :)

David Hollywood Jul 28, 2010:

otherwise we're all having a good guess at it :)

David Hollywood Jul 28, 2010:

more context pleeease