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Indian Journal of Neurotrauma 2011; 08(02): 109-110
DOI: 10.1016/S0973-0508(11)80010-9
Case report
Thieme Medical and Scientific Publishers Private Ltd.

Traumatic bilateral (mirror image) basal ganglia bleed

Ronyl Kaushal
,
Rashim Kataria
,
Ashok Gupta
,
VD Sinha

Verantwortlicher Herausgeber dieser Rubrik:
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Publikationsdatum:
05. April 2017 (online)

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Abstract

Bilateral traumatic hemorrhage of the basal ganglia is an extremely rare neuropathologic entity. Hematomas of the basal ganglia in head injury have long been recognized with an interest but their mechanism has not been revealed clearly. It is presumed to be secondary to rupture of the lenticulostriate or anterior choroidal artery by shearing as a result of acceleration/deceleration forces. Outcome of traumatic basal ganglia haemorrhage (TBGH) appears favourable unless it is large or associated with coagulation disorders or when it is associated with other intracranial injuries such as diffuse axonal injury, cerebral contusion etc. We present a rare case of 42 yrs old male with isolated bilateral (mirror-image) traumatic basal ganglia bleed. Mechanism, clinical features and management is discussed and available literature reviewed.

Keywords

basal ganglia - contusion - head injury - hemorrhage - traumatic brain injury
 

  • References

  • 1 Boto GR, Lobeto RD, Rivas J. Basal ganglion hematoma in severely head injured patients: clinicoradiological analysis of 37cases. J Neurosurg 2001; 94: 224-232
    CrossrefPubMedSuche in Google Scholar
  • 2 Adams JH, Doyle D, Graham DI, Lawrence AE, McLellan DR. Deep intracerebral (basal ganglia) hematomas in fatal non-missile head injury in man. J Neurol Neurosurg Psychiatry 1986; 49: 1039-1043
    CrossrefPubMedSuche in Google Scholar
  • 3 Katz DI, Alexander MP, Seliger GM, Bellas DN. Traumatic basal ganglia hemorrhage: clinicopathologic features and outcome. Neurology 1989; 39: 897-904
    CrossrefPubMedSuche in Google Scholar
  • 4 Macpherson P, Teasdale E, Dhaker S, Allerdyce G, Galbraith S. The significance of traumatic hematoma in the region of the basal ganglia. J Neurol Neurosurg Psychiatry 1986; 49: 29-34
    CrossrefPubMedSuche in Google Scholar
  • 5 Lindenberg R. Trauma of meninges and brain. In: Minckler J. (eds) Pathology of the Nervous System. 2nd edition McGraw-Hill; New York: 1971: 1705-1765
    Suche in Google Scholar
  • 6 Jellinger K. Traumatic basal ganglia hemorrhage. Neurology 1990; 40: 862-863
    CrossrefPubMedSuche in Google Scholar
  • 7 Mosberg Jr WH, Lindenberg R. Traumatic hemorrhage from the anterior choroidal artery. J Neurosurg 1959; 16: 209-221
    CrossrefPubMedSuche in Google Scholar
  • 8 Yanaka K, Egashira T, Maki Y. et al Bilateral traumatic hemorrhage in the basal ganglia: report of two cases. No Shinkei Geka 1991; 19: 369-373
    PubMedSuche in Google Scholar
  • 9 Lindenberg R. Significance of the tentorium in head injuries from blunt forces. Clin Neurosurg 1964; 12: 129-142
    PubMedSuche in Google Scholar
  • 10 Munemoto S, Komai T, Aizumi S. Traumatic hemorrhage in the basal ganglia in the child: Five cases. No Shinkei Geka 1985; 13: 1027-1033
    PubMedSuche in Google Scholar