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.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Eslinger P. J., Damasio A. R. Severe disturbance of higher cognition after bilateral frontal lobe ablation: patient EVR. Neurology. 1985 Dec;35(12):1731–1741. doi: 10.1212/wnl.35.12.1731. [DOI] [PubMed] [Google Scholar]
- Nelson H. E. A modified card sorting test sensitive to frontal lobe defects. Cortex. 1976 Dec;12(4):313–324. doi: 10.1016/s0010-9452(76)80035-4. [DOI] [PubMed] [Google Scholar]
- Perret E. The left frontal lobe of man and the suppression of habitual responses in verbal categorical behaviour. Neuropsychologia. 1974 Jul;12(3):323–330. doi: 10.1016/0028-3932(74)90047-5. [DOI] [PubMed] [Google Scholar]
- Petrides M., Milner B. Deficits on subject-ordered tasks after frontal- and temporal-lobe lesions in man. Neuropsychologia. 1982;20(3):249–262. doi: 10.1016/0028-3932(82)90100-2. [DOI] [PubMed] [Google Scholar]
- SEMMES J., WEINSTEIN S., GHENT L., TEUBER H. L. CORRELATES OF IMPAIRED ORIENTATION IN PERSONAL AND EXTRAPERSONAL SPACE. Brain. 1963 Dec;86:747–772. doi: 10.1093/brain/86.4.747. [DOI] [PubMed] [Google Scholar]
- Shallice T., Burgess P. W. Deficits in strategy application following frontal lobe damage in man. Brain. 1991 Apr;114(Pt 2):727–741. doi: 10.1093/brain/114.2.727. [DOI] [PubMed] [Google Scholar]
- Shallice T., Evans M. E. The involvement of the frontal lobes in cognitive estimation. Cortex. 1978 Jun;14(2):294–303. doi: 10.1016/s0010-9452(78)80055-0. [DOI] [PubMed] [Google Scholar]
- Warrington E. K., Taylor A. M. The contribution of the right parietal lobe to object recognition. Cortex. 1973 Jun;9(2):152–164. doi: 10.1016/s0010-9452(73)80024-3. [DOI] [PubMed] [Google Scholar]