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Behavioural changes as the first manifestation of a silent frontal lobe stroke
  1. Rafael García Carretero1,
  2. Blanca-Nieves Beamonte-Vela1,
  3. Jose-David Silvano-Cocinero1 and
  4. Ana Alvarez-Mendez2
  1. 1 Internal Medicine, Hospital Universitario de Mostoles, Mostoles, Spain
  2. 2 Intensive Care Medicine, Hospital Universitario de Mostoles, Mostoles, Spain
  1. Correspondence to Dr Rafael García Carretero, rgcarretero{at}


A 67-year-old man was admitted to our hospital after his relatives found him to have severe personality and behavioural changes. His behaviour was inappropriate and uninhibited. The patient reported no symptoms and he showed poor insight into his own behaviour. Neuroimaging showed an orbitofrontal lesion, due to an infarction of the anterior cerebral artery. The patient was diagnosed with frontal lobe syndrome.

  • general practice / family medicine
  • stroke
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  • Contributors RGC wrote the first draft. BNBV fixed spelling and grammar mistakes. JDSC edited the MRI images. AAM revised the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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