19th century American railway worker who survived a large brain trauma
A railroad foreman who survived an iron rod blown straight through his skull in 1848, destroying much of his frontal lobe. The injury turned him into the most cited case in neuroscience — less for what actually happened to his personality than for what everyone needed to believe did.
Phineas P. Gage was working as a construction foreman when the accident made him, at 25, a medical anomaly: the rod entered below his left cheekbone, tore through his brain, and exited the top of his skull. He survived, and walked himself to a doctor. What followed became the "American Crowbar Case," seized on by 19th-century physicians debating whether the brain controlled personality. Friends said the injury left him "no longer Gage," and that line echoed for generations. But the melodrama outran the facts. Published accounts piled on exaggerations and contradictions, shaping Gage into a par…
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