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A 39-Year-Old Right-Handed Man Is Brought to the Office by His

question 56

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A 39-year-old right-handed man is brought to the office by his wife due to concerns about his behavior.  Two months ago, the patient was robbed and hit in the head and knees with a baseball bat when he resisted.  He initially had difficulty walking, but his injuries have since healed.  His wife and other family members say that his overall demeanor has changed significantly since the attack.  Prior to the assault, the patient was kind, considerate, and extremely polite.  However, since the attack, he has been very irritable and rude, and was recently fired from his job for insulting customers and making socially insensitive comments to coworkers.  Damage to which anatomical region of the brain is the most likely explanation for this patient's symptoms?


Definitions:

Mammary Lobules

Glandular structures in the breast that produce milk during lactation, organized into larger units called lobes.

Breast

A complex tissue comprising mammary glands, fat, and connective tissue, functioning in milk production for offspring nourishment in mammalian females.

Hypothalamus

In vertebrates, part of the brain that helps regulate the internal environment of the body—for example, heart rate, body temperature, and water balance.

Estrogen

Female sex hormone that helps maintain sexual organs and secondary sex characteristics.

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