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CONSCIOUS INABILITY TO SYNTHESIZE THOUGHT IN A CASE OF RIGHT FRONTAL TUMOR AND LOBECTOMY: ANATOMIC CONSIDERATIONS CONCERNING THE NEURONS OF INTELLECT

CONSCIOUS INABILITY TO SYNTHESIZE THOUGHT IN A CASE OF RIGHT FRONTAL TUMOR AND LOBECTOMY:... Abstract For a long time information concerning the intellectual functions of the human frontal lobes was necessarily derived from patients with spontaneous frontal lesions. The tumors, infections, injuries and atrophies which formed the groundwork for these studies carried with them the inherent complication of more or less widespread damage to the brain. Within recent years, Dandy has initiated the performance of lobectomies on human beings. He has thus made possible a new and useful method for the investigation of function of the human brain. Only 1 patient has survived bilateral frontal lobectomy long enough to permit detailed study. The study of this patient has been reported on previously.1 The changes in the patient's behavior were massive. It is therefore of great interest to find that unilateral lobectomies produce virtually no alteration in human subjects. This fact receives emphasis from a similar striking difference between the results of unilateral and those References 1. Brickner, R. M.: (a) Intellectual Functions of the Frontal Lobes: A Study Based upon Observation of a Man After Partial Bilateral Lobectomy , New York, The Macmillan Company, 1936 2. The Role of the Frontal Lobes in Intellectual Function: A Study Based upon a Case of Partial Bilateral Frontal Lobectomy , Psychiat. en neurol. bl. [38]:332, 1934 3. An Interpretation of Frontal Lobe Function Based upon the Study of a Case of Partial Bilateral Frontal Lobectomy: Localization of Function in the Cerebral Cortex , A. Research Nerv. & Ment. Dis., Proc. 13:259, 1932 4. Bilateral Frontal Lobectomy: Follow-Up Report of a Case , Arch. Neurol. & Psychiat. 41:580 ( (March) ) 1939. 5. Sterling, W.: Ueber die psychischen Störungen bei Hirntumoren , Ztschr. f. d. ges. Neurol. u. Psychiat. 12:147, 1912. 6. Penfield, W., and Evans, J. P.: The Frontal Lobe in Man: A Clinical Study of Maximum Removals , Brain 58:115, 1935. 7. Fulton, J. F., and Jacobsen, C. F.: The Functions of the Frontal Lobes: A Comparative Study in Monkeys, Chimpanzees and Man , in Proceedings of the Fifteenth International Physiological Congress, August 9 to 16, 1935 , Leningrad, Moscow, State Biological and Medical Press, 1938, p. 113. 8. Jacobsen, C. F.: The Effects of Extirpation of the Frontal Association Areas in Monkeys upon Complex Adaptive Behavior , Am. J. Physiol. 109:59, 1934 9. Functions of Frontal Association Area in Primates , Arch. Neurol. & Psychiat. 33:558 ( (March) ) 1935. 10. Messimy, R., and Finan, J.: Les effets, chez le singe, de l'ablation des lobes préfrontaux: Modifications de l'activité et du mode réactionnel , Compt. rend. Soc. de biol. 126:201, 1937. 11. Fox, J. C., Jr., and German, W. J.: Observations Following Left (Dominant) Temporal Lobectomy: Report of a Case , Arch. Neurol. & Psychiat. 33: 791 ( (April) ) 1935. 12. Vincent, C., and Dereux, J.: Gliome frontal gauche: Résection du lobe frontal; considérations physiologiques (état mental et épreuve de Delmas-Marsalet) , Rev. neurol. 67:411, 1937. 13. Jefferson, G.: Removal of Right or Left Frontal Lobes in Man , Brit. M. J. 2:199, 1937. 14. Dandy, W.: Removal of Right Cerebral Hemisphere for Certain Tumors with Hemiplegia: Preliminary Report , J. A. M. A. 90:823 ( (March 17) ) 1928. 15. Gardner, W. J.: Removal of the Right Cerebral Hemisphere for Infiltrating Glioma: Report of a Case , J. A. M. A. 101:823 ( (Sept. 9) ) 1933. 16. O'Brien, J. D.: Removal of the Right Cerebral Hemisphere: A Case Report , Ohio State M. J. 28:645, 1932 17. Further Report on a Case of Removal of Right Cerebral Hemisphere , J. A. M. A. 107:657 ( (Aug. 29) ) 1936. 18. McKenzie, K.: To be published. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

CONSCIOUS INABILITY TO SYNTHESIZE THOUGHT IN A CASE OF RIGHT FRONTAL TUMOR AND LOBECTOMY: ANATOMIC CONSIDERATIONS CONCERNING THE NEURONS OF INTELLECT

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Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1939.02270180094009
Publisher site
See Article on Publisher Site

Abstract

Abstract For a long time information concerning the intellectual functions of the human frontal lobes was necessarily derived from patients with spontaneous frontal lesions. The tumors, infections, injuries and atrophies which formed the groundwork for these studies carried with them the inherent complication of more or less widespread damage to the brain. Within recent years, Dandy has initiated the performance of lobectomies on human beings. He has thus made possible a new and useful method for the investigation of function of the human brain. Only 1 patient has survived bilateral frontal lobectomy long enough to permit detailed study. The study of this patient has been reported on previously.1 The changes in the patient's behavior were massive. It is therefore of great interest to find that unilateral lobectomies produce virtually no alteration in human subjects. This fact receives emphasis from a similar striking difference between the results of unilateral and those References 1. Brickner, R. M.: (a) Intellectual Functions of the Frontal Lobes: A Study Based upon Observation of a Man After Partial Bilateral Lobectomy , New York, The Macmillan Company, 1936 2. The Role of the Frontal Lobes in Intellectual Function: A Study Based upon a Case of Partial Bilateral Frontal Lobectomy , Psychiat. en neurol. bl. [38]:332, 1934 3. An Interpretation of Frontal Lobe Function Based upon the Study of a Case of Partial Bilateral Frontal Lobectomy: Localization of Function in the Cerebral Cortex , A. Research Nerv. & Ment. Dis., Proc. 13:259, 1932 4. Bilateral Frontal Lobectomy: Follow-Up Report of a Case , Arch. Neurol. & Psychiat. 41:580 ( (March) ) 1939. 5. Sterling, W.: Ueber die psychischen Störungen bei Hirntumoren , Ztschr. f. d. ges. Neurol. u. Psychiat. 12:147, 1912. 6. Penfield, W., and Evans, J. P.: The Frontal Lobe in Man: A Clinical Study of Maximum Removals , Brain 58:115, 1935. 7. Fulton, J. F., and Jacobsen, C. F.: The Functions of the Frontal Lobes: A Comparative Study in Monkeys, Chimpanzees and Man , in Proceedings of the Fifteenth International Physiological Congress, August 9 to 16, 1935 , Leningrad, Moscow, State Biological and Medical Press, 1938, p. 113. 8. Jacobsen, C. F.: The Effects of Extirpation of the Frontal Association Areas in Monkeys upon Complex Adaptive Behavior , Am. J. Physiol. 109:59, 1934 9. Functions of Frontal Association Area in Primates , Arch. Neurol. & Psychiat. 33:558 ( (March) ) 1935. 10. Messimy, R., and Finan, J.: Les effets, chez le singe, de l'ablation des lobes préfrontaux: Modifications de l'activité et du mode réactionnel , Compt. rend. Soc. de biol. 126:201, 1937. 11. Fox, J. C., Jr., and German, W. J.: Observations Following Left (Dominant) Temporal Lobectomy: Report of a Case , Arch. Neurol. & Psychiat. 33: 791 ( (April) ) 1935. 12. Vincent, C., and Dereux, J.: Gliome frontal gauche: Résection du lobe frontal; considérations physiologiques (état mental et épreuve de Delmas-Marsalet) , Rev. neurol. 67:411, 1937. 13. Jefferson, G.: Removal of Right or Left Frontal Lobes in Man , Brit. M. J. 2:199, 1937. 14. Dandy, W.: Removal of Right Cerebral Hemisphere for Certain Tumors with Hemiplegia: Preliminary Report , J. A. M. A. 90:823 ( (March 17) ) 1928. 15. Gardner, W. J.: Removal of the Right Cerebral Hemisphere for Infiltrating Glioma: Report of a Case , J. A. M. A. 101:823 ( (Sept. 9) ) 1933. 16. O'Brien, J. D.: Removal of the Right Cerebral Hemisphere: A Case Report , Ohio State M. J. 28:645, 1932 17. Further Report on a Case of Removal of Right Cerebral Hemisphere , J. A. M. A. 107:657 ( (Aug. 29) ) 1936. 18. McKenzie, K.: To be published.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jun 1, 1939

References