[A case of frontal lobe syndrome of post-traumatic origin].
The paper discusses the case of a patient who was subjected to forensic and psychiatric observation and was charged with appropriation of money to the detriment of the company she worked for by District Public Prosecutor's Office. History data indicate that she was employed in the said company over the period of 20 years as an accountant and until the disclosure of the crime she had had the company's full confidence. She enjoyed a fine reputation at the place of her residence as well. Several months before undertaking criminal actions she had sustained a head and chest injure as a result of a car accident. She was not subjected to hospitalisation then. Before she had not been penalized administratively or legally. She had not suffered from head injuries with a loss of consciousness. During forensic and psychiatric observation, psychiatric, psychological, neurological and electroencephalographic examinations were carried out, skull and chest plain films were taken and computerised tomography of head was conducted. Clinically it was diagnosed as a frontal organic brain damage syndrome complicated by depression. Experts' examinations were steered by psychopathological image, especially axial symptoms of defective function of the frontal lobe, i.e. lack of initiative and spontaneity, deficiency of higher emotions, decline of criticism and lowering of psychomotor drive. Although psychological examination showed that intelligence quotient and the results of 'organic tests' were within normal range, qualitative analysis of the structure of mental functions disclosed impairment of abstract thinking, especially using associative processes. Essential data were gathered from computerised tomography of head which demonstrated cortical atrophy of frontal and temporal lobes and pericentral gyri. However, neurological and electroencephalographic examinations and skull plain film did not bring any significant information.
Gadecki
W
W
Wojewódzkiego Szpitala dla Nerwowo i Psychicznie Chorych w Zurawicy.
Ramsz-Walecka
I
I
Tomczyszyn
E
E
D001930:Brain Injuries / Q000503:physiopathology*; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology*; D006801:Humans; D008875:Middle Aged