open access
Traumatic brain injury presenting with bilateral basal ganglia hemorrhage
- Departamento de Medicina, Universidade Federal de São Carlos, Centro de Ciências Biológicas e da Saúde, São Carlos, Brazil
- Departamento de Neurologia, Psicologia e Psiquiatria, Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, Brazil
open access
Abstract
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 reportWe 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.
ConclusionBilateral TBGH is an uncommon presentation of traumatic brain injury. Associated diffuse axonal injury worsens the outcome.
Abstract
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 reportWe 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.
ConclusionBilateral TBGH is an uncommon presentation of traumatic brain injury. Associated diffuse axonal injury worsens the outcome.
Keywords
Traumatic brain injury, Basal ganglia hemorrhage, Diffuse axonal injury, Brain injury, Traumatic brain hemorrhage
Title
Traumatic brain injury presenting with bilateral basal ganglia hemorrhage
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
456-459
Page views
302
Article views/downloads
764
DOI
10.1016/j.pjnns.2015.09.001
Bibliographic record
Neurol Neurochir Pol 2015;49(6):456-459.
Keywords
Traumatic brain injury
Basal ganglia hemorrhage
Diffuse axonal injury
Brain injury
Traumatic brain hemorrhage
Authors
Murilo Bucci Vega
Pedro Tadao Hamamoto Filho
Carla de Jiácomo Machado
Marco Antônio Zanini