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Yıl:2020; Cilt: 12; Sayı: 4>> Özet
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Psikiyatride Güncel Yaklaşımlar; 2020;12(4):507-518
Frontal Lob Sendromu ve Adli Psikiyatrik Yönler
MH Kokaçya, İ Ortanca
Mustafa Kemal Üniversitesi, Hatay
Frontal lob sendromu, genellikle travmatik ya da neoplastik bir frontal lob hasarı sonucu görülen kişilik değişikliği tablosudur. Lezyonun lokalizasyonu orbitomedial bölgede ise amnezi ve konfabulasyon (masallama), disinhibe kişilik değişiklikleri çocuksuluk, şakacı eğilim, seksüel dishinhibisyon, saldırganlık yelpazesinde bir kliniğe neden olur. Dorsolateral lezyonlar ise kararsızlık, apati ve yürütücü işlevlerin zayıfladığı bir tabloya yol açabilmektedir. Frontal lob sendromuna en sık yol açan neden, travmalar ve tümörler olup, serebrovasküler olaylar, nörodejeneratif hastalıklar, santral sinir sistemi enfeksiyonları ve bazı başka hastalıklarda da bu tablo görülebilmektedir. Hastanın kişiliğindeki dramatik değişiklikler, frontal lob sendromunudikkat çekici kılmakta, bu olgular, travma kökenliler çoğunlukta olmak üzere çeşitli davalarda adli tıbbi değerlendirmeye konu olabilmektedirler. Bu vakaların değerlendirildiği raporlarda söz konusu tablonun anatomik ve psikiyatrik komponentleri detayları ile irdelenmeli, dava dosyası da beraberinde incelenmek suretiyle görüş sunulmalıdır.
Frontal Lobe Syndrome and Its Forensic Psychiatric Aspects
Frontal lobe syndrome is a clinical entity leading to personality change that is often seen as a result of a traumatic or neoplastic frontal lobe injury. If the lesion is orbitomedially located, the clinic presents in the spectrum of amnesia confabulation, disinhib-ited personality changes, joking tendency, puerility, sexual disinhibition, aggression and violence. In dorsolateral lesions clinic of apathy, instability and poor executive abilities can be seen.Frontal lobe syndrome is mostly caused by traumas and neoplasia; other causes are cerebrovascular events, neurodegenerative diseases, central nervous system infections and and many other diseases. Frontal lobe syndrome is remarkable by the dramatical changes in the personality of the patient and these cases may be subject to forensic medical evaluation in various cases, mostly traumatic origin. In the reports evaluating these cases, anatomical and psychiatric components of the clinic should be examined in detail and expert opinion should be presented by reviewing whole case file

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