When judgment and initiative fail: dilemmas in frontal lobe lesions

A key part of neurosurgery is decision-making; not only by the neurosurgeons but also by the patients. The patient needs to decide: shall I do the operation? Now or later? With which doctor? At which medical center? In which country? But what if the exact condition that needs an operation causes you problems with making decisions, such as a frontal lobe lesion? Your decision-making capacity may need to go to others [1]. But what if those others may not act in your best interest? What if your decisions carry weight not just for you, but for someone else who depends on you, e.g. as a caregiver, parent, or guardian?