Phineas Gage became one of the first lesion case studies in 1848 when an explosion drove a large iron rod completely through his head, destroying his left frontal lobe. He recovered with no apparent sensory, motor, or gross cognitive deficits, but with behaviour so altered that friends described him as "no longer being Gage," suggesting that the damaged areas are involved in "higher functions" such as personality.[3] However, Gage's mental changes are usually grossly exaggerated in modern presentations.