The specific changes observed in his behaviour support theories about the localisation of brain function, or the idea that certain functions are associated with specific areas of the brain.
The part of the brain damaged in the accident was the area in the frontal cortex associated with planning, reasoning and control – Gage’s personality changed from him being mild-mannered to rude and hostile.
Today, scientists better understand the role that the frontal cortex has to play in important higher order functions such as reasoning, language and social cognition.
In those years, while neurology was in its infancy, Gage's extraordinary story served as one of the first sources of evidence that the frontal lobe was involved in personality.