Young Liars #1: A Medical Review
Young Liars #1 “At a Thousand Miles an Hour”
David Lapham, writer and artist
Today, I’m going to talk about brain injuries and personality, primarily focusing on Sadie, one of the main characters from Young Liars #1. Sadie suffered a bullet wound to the brain which did extensive damage and has led to an extensive change in her personality, including increased aggression, lack of social restraint, and inappropriate sexual behavior.
According to the doctor, Sadie suffered injuries to the “moral and emotional centers of her brain,” including:
1. Cingulate Gyrus/Limbic System
2. Frontal Lobe
3. Temporal Lobe
4. Amygdala
5. Hypothalamus
He also mentions that — at some point in the future — the retained bullet will sink lower in brain and damage the brainstem, killing her.
Frontal lobe injuries can cause severe neurological symptoms up to and including paralysis. Other common symptoms include difficulty performing complex activities, an inability to focus on a task, lack of flexibility in thinking, and difficulties with problem solving.
Frontal lobe injuries can also have a severe effect on a person’s personality. The normal social responses are often blunted. Extreme emotional lability — switching rapidly from one mood to another — is common. The damage can also cause significant changes in behavior including pseudodepression and pseudopsycopathy. Sadie most likely is pseudopsychopathic, in which a person with a frontal lobe injury demonstrates immature behavior and marked lack of restraint, but without the mental/emotional symptoms that an actual psychopath has. Inappropriate sexual behavior has also been seen after frontal lobe injuries (though just as often a frontal lobe injury leads to a decrease in libido).
Temporal lobe injuries mainly affect memory and memory processing. Depending on the side of the brain injured, memory and processing of shapes and sounds can be compromised, or the use of words and language can be damaged. Aggression can be affected by temporal lobe injuries. Personality changes can also be seen, but not the type that Sadie is showing.
The amygdala is another part of the limbic system. It plays a role in emotional memories as well as converting short-term memories into long-term memories.
The hypothalamus is a particularly complex portion of the brain. Among other functions, it helps to regulate the autonomic nervous system and it plays a large role in hormone production and regulation. The hypothalamus affects hunger, blood pressure, heart rate, sexual arousal, and the sleep/wake cycle.
Overall, I’d say that Sadie’s personality changes are consistent with the brain damage she has suffered, particularly the damage to the frontal lobe. (For the record, I’m a little doubtful of her doctor’s suggestion that the “bullet will eventually drop and damage the brain stem” — but if it does occur, he’s right that it would be fatal.)
March 21st, 2008 at 7:27 am
Wait a minute. You do positive medical reviews?
How’s the comic itself? Does Sadie, despite severe brain damage, engage in superhero combat, well aware that any head impact could easily kill her?
March 21st, 2008 at 11:32 am
What about the bullet being embedded there and leeching lead out? Wouldn’t that also have some long-term effects on her?
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