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Medical Case Study: Personality Change Due to Cerebral Tumor

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Medical Case Study: Personality Change Due to Cerebral Tumor

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Questions and Answers

How did Mrs B.'s personality change before the diagnosis of a cerebral tumor?

She became funny, impulsive, and superficial.

What was found during the craniotomy for Mrs B.?

A huge carcinoma involving the orbitofrontal aspects of both frontal lobes.

How did Mrs B. seem when the narrator saw her?

High-spirited, volatile, and full of quips and cracks.

How did Mrs B. refer to the narrator interchangeably?

Father, Sister, Doctor. Signup and view all the answers

What did Mrs B. say when the narrator asked if she realized the difference between a father, a sister, and a doctor?

She said it meant nothing to her, and she teased by combining the titles. Signup and view all the answers

How did Mrs B. playfully combine the titles of Father, Sister, and Doctor?

She said things like 'Yes, father-sister. Yes, sister-doctor.' Signup and view all the answers

How does the patient describe the difference between left and right?

The patient describes left and right as enantiomorphs of each other, but they mean nothing to her. Signup and view all the answers

What term is used to describe the patient's facetious indifference and 'equalization'?

Witzelsucht (‘joking disease’) Signup and view all the answers

How does the patient view the concept of meaninglessness?

The patient views meaninglessness as not bothering her at all. Signup and view all the answers

What is the effect of 'equalization' as described by Luria on the patient?

The patient's world is reduced to a facetious insignificance, with everything being 'equivalent' or 'equal'. Signup and view all the answers

Why is insight considered uncommon in cases like the patient's?

Insight is considered uncommon because it is lost as the 'dissolution' progresses. Signup and view all the answers

What is the term used by Hughlings Jackson to describe the fundamental form of nervous 'dissolution' shown by the patient?