New PDF release: Encyclopedia of Human Brain

By Antonio R.Damasio, Martha J.Farah, Michael F.Huerta, V.S. Ramachandran

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A group performing bilateral amygdalotomies in aggressive patients reported that among 481 cases, approximately 70% showed a reduction in either restlessness or destructiveness, and one-half of these remained placid even when purposefully provoked. The first reported case of the Kluver–Bucy syndrome in humans illustrates the characteristic clinical picture. A 19-year-old man sequentially underwent left 28 AGGRESSION Figure 2 Bilateral temporolimbic lesions from herpes simplex encephalitis producing Kluver–Bucy syndrome including hypoaggression (passivation).

Temporolimbic epilepsy is a frequent sequel of both closed and open head injury. Aggressive behavioral syndromes may result that have features associated with dysfunction of several brain regions. For example, as a result of brain trauma, a patient may, develop a temporolimbic epileptic focus as well as a contusion of the orbital frontal cortex. Such a patient can display the deepened emotions and anger associated with the interictal behavior syndrome as well as a failure to inhibit or modulate hostile responses typical of a frontal lesion.

He ceased hiking because he now found natural scenery dull. He complained of total loss of emotional reaction to seeing attractive women in everyday encounters and to erotic visual stimuli. However, he maintained a strong interest in music, to which he listened almost constantly. He could be sexually aroused by verbal– auditory stimuli and derived pleasure from touching and being touched. This modality-specific limbic disconnection extended to fear and aggressive responses. In laboratory testing, when exposed to a series of slides, he rated as neutral and unemotional threatening images such as a gun and a snake, which normal controls scored as negative and highly arousing.

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Encyclopedia of Human Brain by Antonio R.Damasio, Martha J.Farah, Michael F.Huerta, V.S. Ramachandran

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