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Phineas P. Gage (1823–1860) was an American railroad construction foreman remembered for his improbable: 19 survival of an accident in which a large iron rod was driven completely through his head, destroying much of his brain's left frontal lobe, and for that injury's reported effects on his personality and behavior over the remaining 12 years of his life—effects sufficiently ...
A widely reported case of frontal lobe injury was that of Phineas Gage, a railroad worker whose left frontal lobe was damaged by a large iron rod in 1848 (though Gage's subsequent personality changes are almost always grossly exaggerated).
Phineas Gage, who sustained a severe frontal lobe injury in 1848, has been called a case of dysexecutive syndrome. Gage's psychological changes are almost always exaggerated – of the symptoms listed, the only ones Gage can be said to have exhibited are "anger and frustration", slight memory impairment, and "difficulty in planning".
The first case study on Phineas Gage's head injury is one of the most astonishing brain injuries in history. In 1848, Phineas Gage was paving way for a new railroad line when he encountered an accidental explosion of a tamping iron straight through his frontal lobe.
A classic example is Phineas Gage, who exhibited a change in behavior after one or both frontal lobes were destroyed by a large iron bar accidentally driven through his head (though Gage, despite conventional presentations of his case, did not exhibit the aggression, antisocial behavior, or loss of impulse control sometimes reported in patients ...
[16] [17] [18] Interestingly, Phineas Gage, a railroad worker who had an iron bar go through his left frontal lobe [19] also sustained damage to the uncinate fasciculus. After the accident, his personality was radically transformed, becoming impulsive, making poor decisions, and failing to follow social norms and conventions.
A famous example is Phineas Gage, whose personality appears to have changed (though not as dramatically as usually described) after a perforating injury to his frontal lobe(s). People with subarachnoid hemorrhage, a blown pupil, respiratory distress, hypotension, or cerebral vasospasm are more likely to have worse outcomes. [5]
Phineas Gage became one of the first lesion case studies in 1848 when an explosion drove a large iron rod completely through his head, destroying his left frontal lobe. He recovered with no apparent sensory, motor, or gross cognitive deficits, but with behaviour so altered that friends described him as "no longer being Gage," suggesting that ...