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Phineas Gage

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Phineas Gage and the “American Crowbar Case”.
Samantha Romero
PY3150
Ms. Dreskin
01-01-2015
ITT Technical Institute

Phineas Gage and the “American Crowbar Case”
There was a man named Phineas Gage who at 25 years old suffered a severe head injury in the year 1848, he was handsome with a pleasant disposition (Guidotti, T., 2012). The accident took place on a railroad near Cavendish, Vermont where Phineas was working (Guidotti, T., 2012). Phineas poured blasting powder into the borehole of the train track but neglected to add sand, when he tamped it down with his ‘crowbar’ the bar shot out going through his left cheek, destroying his left eye and rocketing out of his skull and landing 80 feet away (Guidotti, T., 2012).
This is proven to be even more impressive because Phineas never fully lost consciousness and even considering he lost his left eye completely and neurosurgery had yet to be developed (Guidotti, T., 2012). The biggest deficit Phineas suffered was reported as a drastic change in personality and character (Guidotti, T., 2012). According to Guidotti’s article in 2012 Phineas went from being known as a “reliable, systematic and hardworking” man and after the accident was said to be “impulsive, disorganized and stubborn. His language was said to be colorfully profane, although he did not customarily swear before the injury” (Guidotti, T., 2012). Since there were no neurosurgeons during this time period, his specific injury while unfortunate allowed for some documentation and scientific knowledge of brain regions and function. We now know that “Gage demonstrated the characteristic signs seen in surgical removal of pathological impairment of this part of the brain. The case suggested that removal of brain tissue was compatible with survival and that neurosurgery was feasible” (Guidotti, T., 2012). Phineas Gage’s remarkable experience is known as the “American Crowbar Case” which not only impacted science but also future history (Guidotti, T., 2012). The use and abuse of frontal lobotomy and psychosurgery unfortunately was indirectly related to Phineas’ case but not until a full century after the fact (Guidotti, T., 2012).

References
Guidotti, T., (2012). Phineas Gage and His Frontal Lobe- The “American Crowbar Case” (Vol. 67, No. 4, 2012). Taylor & Francis Group, LLC.

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