A Man who would walk in hospital at night

He was a 25 year old nice and innocent boy, with good relation ship with father, He has a good memory and was polite guy, his father was proud of him. But two months before he suddenly developed weak memory, couldn't recognise people, wasn't aware of time and place. He would talk propely, would answer you any thing you asked him about his health but couldn't recognise people properly, couldn't tell you if what's the time is. His memory was also weak now he couldn't recall things that happened an hour ago. While talking to him to assess him, interrogating him was troubling for him, continuous questioning would make him weep, his eyes would well up with tears, sometime the tears would fall down his cheeks and he would begin to wipe them. I would stop again and again to give him time to compose him self, when I used to ask him if he is fine, should I continue my interview, he would give the permission and would assure me that He is fine and he can answer. His father was so worried about him, and would ask me again and again whether he will get fine, can he be like before. Including these symptoms he also have episode of generalised fits that was associate with urinary incontinence, initially he would only urinate unconsciously during episode of fits, but with time he developed unconsciously urinating with out fits, also his frequency of fits was increasing, he also had lost weight.

One morning, his father brought him from out side and he had suffered bruises and abrasions on his body, he was given medical care, his wounds were cleaned and dressed. His father reported he was sleeping at night and the boy had waked up at night and had left the ward and was walking in hospital all night, and has fallen several time as evident by his injuries, he also reported that the boy has done this before as well, wakes up at night and walks in hospital from ward to ward and he isn't aware of it, he don't know where does he want to go, when he was interrogate about is behavior, he wouldn't answer any thing, and would look you like if you are asking him some invalid question or if he can't understand your langauge.

On imaging the boy turned out to have frontal lobe tumor, The part of brain that control the executive function of brain, where we make sense of things,have a specific personality, set goals, ability to make plan, organise, initiate and self monitor, and control one's response in order to achieve the goal. The body had tumor in such important part of the brain, and because of that he had these personality changes, fits, confusion and disorientation. However he undergone the surgery and was fine after surgery, but still he lost most part of his frontal lobe, and for long time he would have these personality change and frontal lobe function deficits, and there is possibility he may not regain most of these functions.