When the smoke from excess cigarette consumption gets trap in the recess between the brain and skull, causing confusion, mediocrity, and pain.
"The Count's not making much sense these days."

"Rink brain?"

"Naw, he doesn't play hockey. He does smoke a lot of cigarettes, though."

"Ah, sounds like a case of the Marlboro Malady to me."
by landwehr34 May 3, 2023
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