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Cystic lesions after transorbital leukotomy
The Journal of Nervous and Mental Disease
|December 1, 1978
Summary
A 62-year-old female presented with mania and organic brain syndrome. Brain imaging revealed bilateral frontal lobe cystic lesions resulting from a transorbital leukotomy 21 years prior.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- A 62-year-old female presented with symptoms suggestive of mania and organic brain syndrome.
- Her unusual behavior and medical history prompted further neurological investigation.
Observation:
- A computed tomography (CT) scan of the brain was performed to evaluate the patient's condition.
- The CT scan revealed bilateral cystic lesions in the frontal lobes.
Findings:
- The observed cystic lesions were a consequence of a bilateral transorbital leukotomy performed 21 years earlier.
- The CT scan provided detailed visualization of the extent and characteristics of these lesions.
Implications:
- This case highlights the long-term neurological sequelae of psychosurgical procedures.
- It underscores the importance of considering past surgical history in the differential diagnosis of complex neurological presentations.
- The findings demonstrate the utility of neuroimaging in identifying iatrogenic changes in the brain.