Top Definition
Noun. An ictus or other seizure brought on by the consumption of too many cheese blintzes, sour-cream-laden piroshki, or other high-cholesterol Russian dishes.
"Dude, you'd better hope this place has a full-time cardiologist on duty. If you eat that whole plate of pirogi in chicken fat, you're gonna keel over with a perestroka for sure."
by 5$wds November 20, 2009

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