Transorbital lobotomy

Case contributed by Dr David Pryde


85 year old male ?dementia

Patient Data

Gender: Male

Large bilateral areas of frontal lobe porencephaly from transorbital lobotomy many years ago.

Note bone fragments on both sides from fractures of the roof of each orbit.

Case Discussion

Invented by Antonio Egas Moniz in 1935 for which he shared the Nobel Prize for Physiology or Medicine in 1949, generally considered the worst Nobel Prize award.

Walter Freeman probably did the most and children were not exempt.

He used an ice pick which he inserted into the orbit beneath the eyelid and above the globe and then tapped the pick with a hammer through the orbital roof and then swung the pick in a wide arc through the brain.

Watch it on YouTube if your stomach allows!

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Case information

rID: 39282
Published: 30th Aug 2015
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Excluded

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