Man with 3 quarters of his brain missing is a successful Civil Servant

A man with an unusually tiny brain manages to live an entirely normal life despite his condition, which was caused by a fluid build-up in his skull.

Scans of the 44-year-old man’s brain showed that a huge fluid-filled chamber called a ventricle took up most of the room in his skull, leaving little more than a thin sheet of actual brain tissue (see image, right).

“It is hard for me [to say] exactly the percentage of reduction of the brain, since we did not use software to measure its volume. But visually, it is more than a 50% to 75% reduction,” says Lionel Feuillet, a neurologist at the Mediterranean University in Marseille, France.

Feuillet and his colleagues describe the case of this patient in The Lancet. He is a married father of two children, and works as a civil servant.

The man went to a hospital after he had mild weakness in his left leg. When Feuillet’s staff took his medical history, they learned that, as an infant, he had had a shunt inserted into his head to drain away hydrocephalus – water on the brain.

The shunt was removed when he was 14. But the researchers decided to check the condition of his brain using computed tomography (CT) scanning technology and another type of scan called magnetic resonance imaging (MRI). They were astonished to see “massive enlargement” of the lateral ventricles – usually tiny chambers that hold the cerebrospinal fluid that cushions the brain.

Intelligence tests showed the man had an IQ of 75, below the average score of 100 but not considered mentally retarded or disabled.

“The whole brain was reduced – frontal, parietal, temporal and occipital lobes – on both left and right sides. These regions control motion, sensibility, language, vision, audition, and emotional and cognitive functions,” Feuillet told New Scientist.

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