Vol 49, No 6 (2015)

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Traumatic brain injury presenting with bilateral basal ganglia hemorrhage

Murilo Bucci Vega1, Pedro Tadao Hamamoto Filho2, Carla de Jiácomo Machado2, Marco Antônio Zanini2
DOI: 10.1016/j.pjnns.2015.09.001
Neurol Neurochir Pol 2015;49(6):456-459.

Abstract

Context

Traumatic basal ganglia hemorrhage (TBGH) is a rare presentation of traumatic brain injury. Bilateral lesions are even rarer. Only twelve similar cases were previously published.

Case report

We report the case of a patient with bilateral TBGH. He was managed conservatively. Long-term follow-up disclosed a cognitive dysfunctions attributed to associated diffuse axonal injury. Acceleration and deceleration forces may have torn pallidum arterial branches determining hemorrhage.

Conclusion

Bilateral TBGH is an uncommon presentation of traumatic brain injury. Associated diffuse axonal injury worsens the outcome.

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Neurologia i Neurochirurgia Polska