Presentation
Confusion ?cause
Patient Data
Age: 90 years
From the case:
Prefrontal lobotomy
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Symmetrical encephalomalacia in both frontal lobes with overlying burr holes which suggest previous surgery.
Case Discussion
This patient had a previous prefrontal lobotomy for schizophrenia in their 20s. The symmetry and overlying burr holes are key to working out that this appearance is due to previous surgery.
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