Prefrontal lobotomy

Case contributed by Dr David Little

Presentation

Confusion ?cause

Patient Data

Age: 90 years
CT

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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