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Annals of Clinical Psychiatry, Vol. 9, No. 1, 1997 Lawrence A. Labbate, M.D.,1'4 Deborah Warden, M.D.,2 and George B. Murray, M.D.3 Adverse behavioral effects of frontal traumatic brain injury are well-known. Patients may suffer changes in personality ranging from disinhibition to apathy. Beneficial effects of trau- matic brain injury are rarely described. We report three cases of patients who sustained frontal traumatic brain injury, one of whose social phobia resolved and the other two of whom had an improvement in impulsive and antisocial behavior. In one case the brain injury may have caused disinhibition of an inhibited state; in the other cases disinhibition associated with impulsivity was replaced by a more restrained state. This adds to the data on the in- tegrative role of the frontal lobes in varied psychopathologic conditions. KEY WORDS: Frontal lobes; traumatic brain injury; social phobia; antisocial personality disorder; im- pulsivity; neuropsychiatry. INTRODUCTION contributors to regulate emotion and decision mak- ing in the social domain (3). Adverse behavioral and personality changes re- Blunt head trauma may result in brain injury to sulting from frontal lobe damage have been appre- any aspect of the frontal lobes, though specific syn- ciated for some time. The report of
Annals of Clinical Psychiatry – Springer Journals
Published: Sep 20, 2004
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