Bilateral Traumatic Hemorrhage of the Basal Ganglia

Jang, Keum Jun; Jwa, Cheol Su; Kim, Kang Hyun; Jinsuk, Kang

doi:10.3340/jkns.2007.41.4.272

Cited by 24 publications

(48 citation statements)

References 9 publications

(24 reference statements)

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“…Traumatic basal ganglia hemorrhage needs to be differentiated from jpmer spontaneous basal ganglionic hematomas. As in present case, in a previously healthy individual without any history of hypertension 10 with a clear cut history of trauma, and no evidence to suggest any other cause of basal ganglionic hemorrhage.…”

Section: Discussionmentioning

confidence: 61%

“…18 The management of the TBGH depends on the neurological status, size of the hematoma, presence of mass effect, and the options include conservative management, open surgery, CT-guided stereotactic, or ultrasound-guided aspiration. [2][3][4]10 In present case, in view of the smaller size of the lesion, we managed the patient conservatively. Traumatic basal ganglia hemorrhage needs to be differentiated from jpmer spontaneous basal ganglionic hematomas.…”

Section: Discussionmentioning

confidence: 99%

“…9,17 It may be difficult to differentiate TBGH from spontaneous hematomas on imaging; however, in presence of definite history of trauma and presence of typical findings demonstrating the direction of impact that corresponds with hemorrhagic site, one can suspect traumatic hemorrhages. 10 Hemorrhagic contusions located in the pallidum can have fluffy edges around the lesion which was described as characteristic of traumatic etiology. 18 The management of the TBGH depends on the neurological status, size of the hematoma, presence of mass effect, and the options include conservative management, open surgery, CT-guided stereotactic, or ultrasound-guided aspiration.…”

Section: Discussionmentioning

confidence: 99%

“…1,6,[10][11][12] The exact pathogenesis of TBGH is not clear, but, it has been suggested that the TBGH can occur from acceleration/deceleration forces at the time of injury leading to shear strain of the lenticulostriate or anterior choroidal vessels. 1,4,10,13,14-16 Based on the diameter, TBGH are classified as small (<2 cm) and large hemorrhages (>2 cm).…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Basal Ganglia Hematoma

2014

Journal of Postgraduate Medicine, Education and Research

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Traumatic basal ganglia hemorrhage (TBGH) is characterized as a hemorrhagic lesion located in the basal ganglia or in internal capsule or thalamus. Outcome of TBGH is mainly determined by the extent of associated brain injuries particularly the larger the size, presence of coagulation disorders, diffuse, presence of intraventricular or brain stem hemorrhage, age >60, pupillary asymmetry, abnormal motor response, and severe head injury all are associated with poorer outcome. In present case, we discuss a case of adult male traumatic basal ganglia hemorrhage with good outcome.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Traumatic Basal Ganglia Hematoma

2014

Journal of Postgraduate Medicine, Education and Research

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“…Mosberg and Lindenberg, 4 in an autopsy of fatal head injury patient, demonstrated massive hematoma in the improvement in all patients managed conservatively. Kimura et al, 13 Katz et al, 3 and Jang et al 7 have also reported favorable outcomes for TBGH with conservative management. Surgical evacuation entails approach to the hematoma via the thalamoganglionic region, leading to further damage of the eloquent areas resulting in possible poor outcome.…”

Section: Discussionmentioning

confidence: 93%

Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review

Velásquez¹,

Escobar²,

Carvajal³

et al. 2017

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Traumatic brain injury is a major public health problem, and is the leading cause of mortality, morbidity, and disability in children and young adults, especially young men (15-35 years). Bilateral traumatic basal ganglia hemorrhage (TBGH) is a rare entity with less than eight cases reported in literature. The mechanism of this injury is not well understood, and various theories based on autopsy findings have been proposed to explain this injury. Outcome of TBGH is usually favorable, unless associated with other concomitant neuroparenchymal injuries. A case of traumatic bilateral basal ganglia hematoma has been discussed here with review of available literature on the subject.

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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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Bilateral Traumatic Hemorrhage of the Basal Ganglia

Cited by 24 publications

References 9 publications

Traumatic Basal Ganglia Hematoma

Traumatic Basal Ganglia Hematoma

Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review

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

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