A Viewpoint on Treatment of Traumatic Bilateral Basal Ganglia Hemorrhage in a Child: Case Report

Baek, Kyeong Hee; Kim, Sung Kwon; Park, Hyun; Kang, Dong Ho; Hwang, Soo Hyun

doi:10.13004/kjnt.2016.12.2.148

Cited by 3 publications

(4 citation statements)

References 12 publications

(17 reference statements)

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“…3 In a study Moe et al, it was demonstrated that when associated with DAI affecting unilateral and bilateral BG, they represent 18% and 2%, respectively, 11 being extremely rare in the pediatric population. 9 Chung et al, 4 in a study with 309 pediatric TBI patients, showed that all BG lesions were unilateral and represented only 2.5%. Basal ganglia traumatic hematoma is often small, uni or bilateral, located in the internal capsule and lenticular nucleus (putamen and globus pallidus), 2 which may occur in the thalamus and caudate nucleus, 12 and it may be accompanied by cranial fracture, brain stem lesions, subarachnoid hematoma, 3 EDH, and SDH.…”

Section: Discussion Epidemiologymentioning

confidence: 99%

“…The poor prognosis of patients with BGTH 4 is related to the global characteristic of this brain lesion, 13 associated with the presence of intracranial hypertension, 5 presenting a poorer prognosis rate higher than other traumatic intracranial hemorrhage types. 9 The factors associated with poor prognosis are age > 60 years, DAI, large volume hematoma, extra-axial hematomas, abnormal pupillary and motor responses, severe TBI 14,16 and late hematoma increase. 2 Zakharova et al, 19 in a study with 278 patients, demonstrated that lesions located in the BG have a prognosis of adverse outcomes such as vegetative state, severe neurological deficit, and death.…”

Section: Complicationsmentioning

confidence: 99%

“…5 It often occurs in high-speed trauma, and falls from heights are one of the causes of pediatric BGTH. 6 Basal ganglia (BG) hematomas > 2 cm are considered large, 7,8 and those with diameter < 2 cm can be considered a hemorrhage due to cerebral contusion, 9 associated as part of the spectrum present in diffuse axonal injury (DAI). 5 Basal ganglia deep cerebral contusion and brain gray matter deep region are classified as intermediary contusion, characteristic of DAI.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Basal Ganglia Traumatic Hematoma: Case Series and Literature Review

Pereira¹,

Kalkmann

Nascimento

et al. 2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Introduction Basal ganglia traumatic hematoma (BGTH) is rare, occurring in 3% of closed traumatic brain injuries, and it is associated with a poor prognosis. In the present paper, the authors present a series of 16 BGTH cases, describing their causes, treatment, and results. Patients and Methods Thisis a retrospective study of 16 patients diagnosed with BGTH, associated with a literature review in the PubMed, ScienceDirect, and Google Scholar databases, using the terms craniocerebral trauma AND basal ganglia and basal ganglia AND hematoma AND trauma. Articles published in the period from 1986 to 2019 were selected, resulting in a total of 19 articles that met the inclusion criteria taking into account their citations and their respective impacts. Results Sixteen patients were studied. They were all male, with an average age of 21 years and 5 months. The main cause of BGTH was traffic accident (12). The mean score in the Glasgow coma scale at admission was 8. All patients underwent a computed tomography (CT) scan of the skull. The putamen was the most affected structure (5). Thirteen patients underwent conservative treatment, and three drained the associated intracranial hematoma. Nine patients died, and seven, and four had neurological sequel. Conclusions The neurosurgeon's knowledge of GBTH, including diagnosis and clinical surgical management, is extremely important, as this type of lesion is associated with a poor prognosis.

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Section: Discussion Epidemiologymentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Basal Ganglia Traumatic Hematoma: Case Series and Literature Review

Pereira¹,

Kalkmann

Nascimento

et al. 2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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“…[ 1 ] Sudden acceleration or deceleration forces that causes shearing of the lenticulostriate or the anterior choroidal artery will result in BG bleed. [ 2 ] Although rare bilateral BG hematoma following trauma has been reported,[ 3 ] the eloquent nature of this region is responsible for the severity of symptoms even with a small size hematoma. Moreover, the extent of involvement of the pyramidal or extrapyramidal pathway will determine the residual deficit.…”

mentioning

confidence: 99%

Isolated traumatic basal ganglia hematoma in children

Sahoo

Vankipuram

Srivastava

2017

J Emerg Trauma Shock

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Bilateral basal ganglia hemorrhage: a systematic review of etiologies, management strategies, and clinical outcomes

et al. 2023

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Bilateral basal ganglia hemorrhages (BBGHs) represent rare accidents, with no clear standard of care currently defined. We reviewed the literature on BBGHs and analyzed the available conservative and surgical strategies. PubMed, Scopus, Web of Science, and Cochrane were searched following the PRISMA guidelines to include studies reporting patients with BBGHs. Clinical characteristics, management, and outcomes were analyzed. We included 64 studies comprising 75 patients, 25 (33%) traumatic and 50 (67%) non-traumatic. Traumatic cases affected younger patients (mean age 35 vs. 46 years, p =0.014) and males (84% vs. 71%, p =0.27) and were characterized by higher proportion of normal blood pressures at admission (66% vs. 13%, p =0.0016) compared to non-traumatic cases. Most patients were comatose at admission (56%), with a mean Glasgow Coma Scale (GCS) score of 7 and a higher proportion of comatose patients in the traumatic than in the non-traumatic group (64% vs. 52%, p =0.28). Among the traumatic group, motor vehicle accidents and falls accounted for 79% of cases. In the non-traumatic group, hemorrhage was most associated with hypertensive or ischemic (54%) and chemical (28%) etiologies. Management was predominantly conservative (83%). Outcomes were poor in 56% of patients with mean follow-up of 8 months. Good recovery was significantly higher in the traumatic than in the non-traumatic group (48% vs. 17%, p =0.019). BBGHs are rare occurrences with dismal prognoses. Standard management follows that of current intracerebral hemorrhage guidelines with supportive care and early blood pressure management. Minimally invasive surgery is promising, though substantial evidence is required to outweigh the potentially increased risks of bilateral hematoma evacuation. Supplementary Information The online version contains supplementary material available at 10.1007/s10143-023-02044-x.

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A Viewpoint on Treatment of Traumatic Bilateral Basal Ganglia Hemorrhage in a Child: Case Report

Cited by 3 publications

References 12 publications

Basal Ganglia Traumatic Hematoma: Case Series and Literature Review

Basal Ganglia Traumatic Hematoma: Case Series and Literature Review

Isolated traumatic basal ganglia hematoma in children

Bilateral basal ganglia hemorrhage: a systematic review of etiologies, management strategies, and clinical outcomes

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