developed a cerebral tumour in his orbito frontal cortex during the surgery to

Developed a cerebral tumour in his orbito frontal

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developed a cerebral tumour in his orbito-frontal cortex, during the surgery to remove the tumour EVR received bilateral damage to the orbitofrontal cortices; with consideration given to the damage the surgery was still deemed a success at first, as it alleviated the tumour symptoms. However, it was soon noted that EVR’s personality and behaviour had markedly changed. Eslinger & Damasio (1985) paid extra attention to the case of EVR due to his elevated intelligence, language and memory levels remaining at pre-trauma level. He obtained above average scores on standard neuropsychological and frontal lobe tests (125 Verbal IQ, 124 Performance IQ,) and completed the Wisconsin Card Sorting Test with no difficulties (Martin.2006). EVR had no problems conversing about the economic situation, foreign affairs and moral/social problems noticeably all issues he was not directly connected with. EVR’s personality had noticeably changed, he was no longer able to organise or plan anything in advance and now found it difficult interacting with others with specific issues surrounding decision making, even simple ones of no important consequence such as which toothpaste to buy or what to wear in the morning. EVR would become entangled in a cycle of endless comparisons, or not make a decision at all stopping him in his tracks, or he would revert to making random decisions often poor ones lacking sensible judgement. (Martin.2006). The surgery and subsequent injury to EVR’s orbitofrontal cortices caused a marked change in the once efficient businessman; an injury which caused a chain reaction within his personal life. Not long after the surgery EVR invested all of his family’s savings in a home construction company with an old co-worker, the company soon failed leaving EVR filing for bankruptcy. Following this error in judgement he sought out a number of jobs such as 4
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labourer, building manager but was unable to hold them down for any length of time. At this point he was described as disorganised continuously late, which occurred due to him taking hours to make simple decisions; over two hours to get ready for work due to his choice of what to eat for breakfast, what to wear etc., meaning he was continuously late. Decision making problems affected all aspects of his life, for example he would drive around all the restaurants to see if they were busy before choosing one looking at menu’s and seating plans etc. Life became increasingly difficult for EVR and he began to hoard old telephone books, juice cartons, lighters etc. refusing to get rid of anything. EVR had undergone a series of failed psychotherapeutic programmes so was transferred to a neurology unit. Further investigations were completed to determine the extent of the damage; it was found that his entire right orbital cortex and part of the left orbito-frontal cortex had been wholly removed during the surgery. One of the most interesting findings to derive from the EVR case is his superior performance on neuropsychological evaluative tests, and his ability to discuss items which are
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  • Fall '16
  • ANON
  • Frontal Lobe And Behaviour

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