Frontal leukotomy

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Treated in the 1970s for OCD

Patient Data

Age: 65 years
mri

Bifrontal areas of encephalomalacia extending down to and involving the corpus callosum are in keeping with the known history of frontal leucotomies. Mild periventricular and subcortical chronic white matter ischemia is also noted

mri

Tractography courtesy of Dr Sarah Farrand, depicting both probabilistic and seed generated tracts. 

Case Discussion

Frontal leukotomies have been abandoned for many years and as a result, they are not frequently encountered. 

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