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TitlePersonality and Neurosurgery: Proceedings of the Third Convention of the Academia Eurasiana Neurochirurgica Brussels, August 30–September 2, 1987
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and Neurosurgery

Proceedings of the Third Convention
of the Academia Eurasiana Neurochirurgica
Brussels, August 30-September 2, 1987

Edited by
J Brihaye, L. Calliauw

F. Loew, R. van den Bergh

Acta Neurochirurgica
Supplementum 44

Springer-Verlag Wien New York

Page 89

90 G. Foroglou etal.: Two Cases of Painters Operated More than Ten Years Ago for Intracranial Lesions

could be irrelevant to the ability of operating spatial
facts. It could be connected to other more general po-
tentials of the eNS, such as the integration ofa picture,
the extending of a form, etc. In this case we should
refer to the integrating action of the tertiary zones of
the parieto-temporo-occipital cortex (Luria 1973).

It appears that apart from partial functions like
colour perception or functions related to spatial facts,
where a localizing value could be attributed, there are
more general qualities such as subject conception, abil-

Fig. 14

Fig. 15

ity for composition, enrichment of expression, which
represent the function oflarger areas or even the func-
tion of the brain as a whole.

It should be noted that in both cases the neuro-
surgical operation did not result in any removal of brain
tissue but on the contrary, in the removal of the space-
occupying element which disturbed the brain tissue,
that regained its normal functional conditions post-
opera ti vel y .

One might say that in our cases the Lashley mass

Page 90

G. Foroglou etal.: Two Cases of Painters Operated More than Ten Years Ago for Intracranial Lesions 91

Fig. 16

Fig. 17

effect (Lashley 1929) operated in favour of our patients
since a significant part of the brain was relieved. In the
area of the artistic production of our patients this relief
was accompanied by the liberation of new creative ca-
pa bili ties.


1. As regards our first patient we conclude that the
application of the Farnsworth 100 Hue test allowed the
detection of tritanopic type disturbances in colour per-
ception. These disturbances are considered to be cor-
related with left hemisphere lesions.

2. As regards out second case we conclude that mod-
ification in the facilitiy of controlling the spatial data
represents an apractic-agnostic syndrome of the pos-
terior "carrefour" of the right hemisphere.

3. As a final concluding remark we notice that apart
from partial functions (like colour perception etc.),
which can be related to specific cortical areas, there
are more general qualities such as subject conception,
ability for composition and enrichment of expression
that represent the function of larger cortical areas or
even the function of the brain as a whole.

I. Brain R (1941) Visual disorientation with special references to

the lesions of the right hemisphere. Brain 64: 244-272
2. Battersby WS, Bender MB, Pollack M, Kahn RL (1956) Uni-

lateral "spatial agnosia" ("inattention"). Brain 79: 68-93
3. Costa LD, VaughanJr HG, Horwitz M, Ritter W (1969) Patterns

of behavioral deficit associated with visual spatial neglect. Cor-
tex 5: 242-263

4. Critchley M (1953) The parietal lobes. Arnold, London, p480
5. De Renzi E, Faglioni P, Scotti G (1970) Hemispheric contri-

bution to exploration of space through the visual and tactile
modality. Cortex 6: 191-203

6. De Renzi E, Scotti G, Spinnler H (1969) Perceptual and asso-

Page 178

J. Brihaye: General Conclusions'

"noble" than the brain. Taking up the words of Per
Mindus, I am asking if there is not a psychological
diplopia with regard to these two surgical procedures.
Dieckman besides demonstrated valuable results with
this specific psychosurgical procedure and I don't see
a real basic difference between castration and hypo-
thalamotomy. However in these cases the indication
for surgical treatment has to be considered after full
expertise and with the full consent of the informed

- Is it a requirement for the neurosurgeon to make
use of consulting colleagues, psychologist and/or psy-
chiatrist, before deciding to operate on the brain? Per-
sonally I think that he has to fulfull this requirement
every time not only by fear of lawsuits or erroneous


allegations but mainly in order to offer to the patient
all the guarantee of the best therapeutic measure.

Finally, we have to consider psychosurgery as a
functional neurosurgery in the frame of which its place
is to be found at the side of surgery for pain or in-
voluntary movements; actually its impact on person-
ality is generally denied and I will quote Sweet who
declares that psychosurgery reduces undesirable be-
haviour but does not alter the patient's fundamental

Correspondence: J. Brihaye, M.D., Prof. Emeritus of Neuro-
surgery, Avenue des Franciscains, 98, B-1150 Bruxelles, Belgium.

Page 179

Springer-Verlag Wien New York
Acta Neurochirurgica

Supplementum 38
1987. III partly coloured figure.
VII, 199 page .
Cloth OM 225 -, oS 1580,-
Reduced price for sub criber to
C Acta eurochirurgica":
Cloth OM 202,50, oS 1422,-
[SB 3-211-81990-8

Supplementum 41
1987.95 figure. V, 125 page.
Cloth OM 165,- oS 1150,-
Reduced price for ub cribers to
Acta eu rochirurgica":

Cloth DM 148,50 oS 1035,-
IS B 3-211-82027-2

1. Brihaye, F. Loew,
H. W Pia (Eds.)
A Medical and
AnthropologicaJ Challenge
Proceeding of the Fir t
Convention of the Academia
Eura iana eurochirurgica
Bonn September 25-28, 1985

The book give a urvey of the
medical philosophical and religiou
aspect of chron ic pain and uffering.
Experts in the fie ld of neurophy iol-
ogy, neuropharmacology, anaesthe-
iology p ychology and p ycho-

therapy, neurology and neurosurgery
as well as repre entatives of the main
world religion and of different ph ilo-
ophical direction were brought

together during the Fir t Convention
of the Academia Eurasiana euro-
chirurgica in September 1985, and dis-
cu sed the variou aspects of pain and
ufTering including the po ibilitie

for treatment. The combination of
religious, philo ophical and medical
facet of pain mean a new approach
to a better under tand ing of
the problems related to pain
and ufTering.

K. Sano, S. Ishii (Eds.)

Plasticity of the
Central Nervous System
Proceeding of the Second
Convention of the Academia
Eura iana eurochiru rgica
Hakone, October 5-8, 1986

The Leitmotiv of the Second Conven-
tion of the Academia Eura iana

eurochirurgica wa "Cerebrum con-
valescit"-l iterally"the brain recovers".
The focus of the meeting wa on
pIa ticity of the central nervou
y tem, one of the most deci ive fac-

tor in recovery and readaption after
cerebral Ie ions.
Distinguished expert from the field
of neuro urgery, neurology, neuro-
physiology anatomy, pathology, on-
cology, and pharmacology di cu ed
the following topics:
• Molecu lar and cellular ba i of

pia ticity
• Regeneration and growth in the

• Self-organization of neuronal net-

• Brain oedema - a reparatory pro-

• Growth factor and carcino-

gene is

(Acta eurochirurgica Supplementum 38) (Acta eurochirurgica, Supplementum 41)

Moelkerba lei 5, A-lOll Wien . Heidelberger Platz 3, 0-1000 Berlin 33 . 175 Fifth Avenue, ew York Y 10010, USA .
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