Prefrontal damage in childhood and changes in the development of personality: A case report

ABSTRACT Frontal lobe lesions are associated with behavioral abnormalities and executive dysfunction. When these lesions occur early in life, the symptoms are even more severe as the anatomical and functional substrates underlying personality and behavior are damaged, distorting normal modulation by...

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Main Authors: Valéria Santoro Bahia, Leonel Tadao Takada, Leonardo Caixeta, Leandro Tavares Lucato, Claudia Sellitto Porto, Ricardo Nitrini
Format: Article
Language:English
Published: Associação Neurologia Cognitiva e do Comportamento
Series:Dementia & Neuropsychologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642013000100132&lng=en&tlng=en
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author Valéria Santoro Bahia
Leonel Tadao Takada
Leonardo Caixeta
Leandro Tavares Lucato
Claudia Sellitto Porto
Ricardo Nitrini
author_facet Valéria Santoro Bahia
Leonel Tadao Takada
Leonardo Caixeta
Leandro Tavares Lucato
Claudia Sellitto Porto
Ricardo Nitrini
author_sort Valéria Santoro Bahia
collection DOAJ
description ABSTRACT Frontal lobe lesions are associated with behavioral abnormalities and executive dysfunction. When these lesions occur early in life, the symptoms are even more severe as the anatomical and functional substrates underlying personality and behavior are damaged, distorting normal modulation by interaction with the psychosocial environment. We present a case of a 40-year-old man who suffered a frontal lobe lesion at the age of nine years and developed impulsivity, disinhibition and inappropriate behaviors while showing some preservation of insight. Brain MRI revealed lesions to bilateral orbitofrontal cortex, ventromedial prefrontal cortex, anterior cingulate gyri and genu of the corpus callosum , which were more extensive on the right side. The right prefrontal dorsolateral cortex was severely damaged, whereas the right ventrolateral prefrontal cortex was spared. We will discuss the correlation of the damaged pre frontal regions with the symptoms presented by the patient.
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spelling doaj.art-c212908f9da2432a9c1fdbe1d5cc33592022-12-21T19:02:55ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57647113213510.1590/S1980-57642013DN70100019S1980-57642013000100132Prefrontal damage in childhood and changes in the development of personality: A case reportValéria Santoro BahiaLeonel Tadao TakadaLeonardo CaixetaLeandro Tavares LucatoClaudia Sellitto PortoRicardo NitriniABSTRACT Frontal lobe lesions are associated with behavioral abnormalities and executive dysfunction. When these lesions occur early in life, the symptoms are even more severe as the anatomical and functional substrates underlying personality and behavior are damaged, distorting normal modulation by interaction with the psychosocial environment. We present a case of a 40-year-old man who suffered a frontal lobe lesion at the age of nine years and developed impulsivity, disinhibition and inappropriate behaviors while showing some preservation of insight. Brain MRI revealed lesions to bilateral orbitofrontal cortex, ventromedial prefrontal cortex, anterior cingulate gyri and genu of the corpus callosum , which were more extensive on the right side. The right prefrontal dorsolateral cortex was severely damaged, whereas the right ventrolateral prefrontal cortex was spared. We will discuss the correlation of the damaged pre frontal regions with the symptoms presented by the patient.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642013000100132&lng=en&tlng=entraumatic brain injuryneuropsychologyfrontal lobesocial behavior
spellingShingle Valéria Santoro Bahia
Leonel Tadao Takada
Leonardo Caixeta
Leandro Tavares Lucato
Claudia Sellitto Porto
Ricardo Nitrini
Prefrontal damage in childhood and changes in the development of personality: A case report
Dementia & Neuropsychologia
traumatic brain injury
neuropsychology
frontal lobe
social behavior
title Prefrontal damage in childhood and changes in the development of personality: A case report
title_full Prefrontal damage in childhood and changes in the development of personality: A case report
title_fullStr Prefrontal damage in childhood and changes in the development of personality: A case report
title_full_unstemmed Prefrontal damage in childhood and changes in the development of personality: A case report
title_short Prefrontal damage in childhood and changes in the development of personality: A case report
title_sort prefrontal damage in childhood and changes in the development of personality a case report
topic traumatic brain injury
neuropsychology
frontal lobe
social behavior
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642013000100132&lng=en&tlng=en
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