Akademik Veri Yönetim Sistemi
KLINIK PSIKOFARMAKOLOJI BULTENI-BULLETIN OF CLINICAL PSYCHOPHARMACOLOGY, cilt.18, sa.4, ss.309-312, 2008 (SCI-Expanded)
The human brain forms a lot of unique features of human behaviour and personality. As a result of a damage to a specific region of the human brain, with various reasons; permanent and mixed neuropsychiatric symptoms can be seen. Neurological deficits or sometimes psychiatric findings can be dominant. One of the cases which causes such a clinical complexity is the syndrome of frontal lobe (FLS). FLS is constituted by the damage of prefrontal lobe region of frontal lobe. it is characterized with the change in the behavior and the personality of the individuals whose previous behaviours were normal. FLS was first defined by Harlow with the case of Phineas Gage about one hundred years ago. Since then, its relationship with the behavior and personality construct still remains its mystery. The spectrum of the behavioral changes observed in the patients with frontal lesion is quite large. While some of these patients are childish, disrespectful, shabby, tactless; the others lose their spontaneity, curiosity, and initiative and they exhibit apathic atrophy in the emotions, motive, thought, and behaviours. Again some of the patients lose their insight, foresight and judgment, some of them postpone the enjoyment, and they lose their creativity, planning the complex behaviors in regular way, and also they can't direct their attention to various events simultaneously. The ability of manipulating the focus of concentration from one to the other in a flexible way is deteriorated. They can't follow the instructions with multisteps. In addition to these, the ability of spontaneous but inappropriate responses while sustaining the output without pressure are deteriorated in a remarkable way. However, in the literature such a phenomenon in which the deterioration of schizotypal personality and FLS were observed together hasn't been encountered. Here, we present a case in a patient with an earlier childhood head trauma manifesting enigmatic thought and deterioration of adaption developed later in adulthood.