Prognosis in traumatic basal ganglia haematoma

Jayakumar, P. N.; Kolluri, V. R. Sastry; Basavakumar, D. G.; Arya, B. Y. T.; Das, B. S.

doi:10.1007/bf01772820

Cited by 22 publications

(17 citation statements)

References 11 publications

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“…The pioneering work of Adams et al [2] in 1986 identified TBGH as a distinct diagnosis rather than a spectrum of severe head injuries or diffuse axonal injuries, which was subsequently confirmed by many [1,5,6,7]. Its is mostly encountered in high-velocity trauma; however, falls from height are a frequent cause as well in children as recorded in 38% of our patients, which is similar to other studies [1,5,6,7,8,9]. …”

Section: Discussionsupporting

confidence: 78%

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Outcome of Pediatric Patients with Traumatic Basal Ganglia Hematoma: Analysis of 21 Cases

Kurwale

Gupta

Mahapatra³

2010

Pediatr Neurosurg

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Objectives: To analyze the outcome of a pediatric population with traumatic basal ganglia hematoma (TBGH). Methodology: Patients <15 years of age with TBGH were studied for mode of injury, severity of injury on admission, Glasgow coma scale (GCS) score on admission, radiology, intervention and overall outcome. Observations: Twenty-one patients (male:female = 4:1) with a mean age of 7.2 ± 3.7 years (range 0.33–15 years) were studied. High-velocity trauma (52%) followed by fall from height (38%) were the leading causes. Seventy-six percent of the patients had severe head injury. The mean GCS score on admission was 6.0 ± 2.5 (range 3–12), while the mean GCS score of the group with severe head injury was 4.81 ± 1.7 (range 3–7). Eleven (52.4%) patients had isolated basal ganglia hematoma while 10 (47.6%) had other associated intracranial injuries. Only 3 patients required surgical interventions. Eleven patients (52.4%) expired during their hospital stay. At discharge, 9 (42.9%) had a poor, nonfunctional outcome (Glasgow outcome scale, GOS 2, 3). Conclusion: The severity of head injuries and GCS score on admission mainly determined the ultimate outcome in pediatric TBGH. The mode of injury or associated intracranial injuries did not change the outcome. The presence of TBGH in severely head-injured patients worsens the prognosis and outcome.

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Section: Discussionsupporting

confidence: 78%

“…Jaykumar et al [8] reported no difference in outcome with respect to location and size of the hematoma. Munemoto et al [4], in 1989, analyzed 5 cases of TBGH children and concluded that larger hematomas had a poorer prognosis than the spotty type hemorrhage in basal ganglia.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Pediatric Patients with Traumatic Basal Ganglia Hematoma: Analysis of 21 Cases

Kurwale

Gupta

Mahapatra³

2010

Pediatr Neurosurg

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“…Intracerebral hematomas (ICH) (Figure 8) result from injury to intraparenchymal arteries or veins secondary to rotational strain or penetrating trauma 27, 83-85 and are usually located in the fronto-temporal white matter 48 or basal ganglia 83-85 . Differentiation from hemorrhagic contusions or TAI can be challenging 83-85 ; ICHs collect between relatively intact parenchyma in contrast to hemorrhagic contusions wherein hemorrhage is within a larger area of injured edematous brain 27 .…”

Section: Imaging Findings Of Traumatic Brain Injuriesmentioning

confidence: 99%

“…Differentiation from hemorrhagic contusions or TAI can be challenging 83-85 ; ICHs collect between relatively intact parenchyma in contrast to hemorrhagic contusions wherein hemorrhage is within a larger area of injured edematous brain 27 . Prognosis of isolated ICH is generally good 61 , but worsens when the lesion coexists with marked mass effect, TAI, or multiple basal ganglia hemorrhages 83, 84 . Temporal lobe hematomas are especially unpredictable, because even a relatively small lesion can lead to uncal herniation.…”

Section: Imaging Findings Of Traumatic Brain Injuriesmentioning

confidence: 99%

Imaging Evaluation of Acute Traumatic Brain Injury

Mutch

Talbott

Gean

2016

Neurosurgery Clinics of North America

119

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SYNOPSIS Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide. Imaging plays an important role in the evaluation, diagnosis, and triage of patients with TBI. Recent studies suggest that it will also help predict patient outcomes. TBI consists of multiple pathoanatomical entities. Here we review the current state of TBI imaging including its indications, benefits and limitations of the modalities, imaging protocols, and imaging findings for each these pathoanatomic entities. We also briefly survey advanced imaging techniques, which include a number of promising areas of TBI research.

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“…[2][3][4][5][6][7][8]13,16,[19][20][21] As we observed in the present case, many studies have shown a favorable outcome for patients with TBGH. …”

Section: Resultsmentioning

confidence: 76%

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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Prognosis in traumatic basal ganglia haematoma

Cited by 22 publications

References 11 publications

Outcome of Pediatric Patients with Traumatic Basal Ganglia Hematoma: Analysis of 21 Cases

Outcome of Pediatric Patients with Traumatic Basal Ganglia Hematoma: Analysis of 21 Cases

Imaging Evaluation of Acute Traumatic Brain Injury

Traumatic Basal Ganglia Hematoma

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