Unilateral frontal lobectomy can produce strategy application disorder. Issue 3 (March 1993)

• Record Type: Journal Article
• Authors: Goldstein, L H; Bernard, S; Fenwick, P B; Burgess, P W; McNeil, J
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 56:Issue 3(1993)
• Page Start: 274
• Page End: 276
• Publication Date: 1993-03
• Subjects: Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.56.3.274
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Following a 5 cm left frontal lobectomy for the removal of a mixed astrocytoma-oligodendroglioma, a 51 year old right handed man showed a marked dissociation between his performance on standard neuropsychological tests and his everyday behaviour. In contrast to his intact neuropsychological test performance, he was impaired on a test of "strategy application" which requires goal articulation, plan specification, self-monitoring, and evaluation of outcomes, as well as the establishment of mental "markers" to trigger specific behaviour. Strategy application disorder can therefore be produced by a unilateral circumscribed frontal lobe lesions.