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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Case information

rID: 61912
Published: 24th Jul 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Royal United Hospital Bath

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