J Korean Neurosurg Soc.  1990 Apr;19(4):455-461.

Clinical Analysis of Traumatic Basal Ganglia Hematoma(TBGH)

• Koh SY
• Hu C
• Han YP
• Kim HJ
• Hang SK
• Kim SI

Abstract

Recently, the detection of traumatic intracerebral hematoma has been greatly expedited by the advent of computed tomography. However, Traumatic Basal Ganglia Hematoma(TBGH) has remained rare and its prognosis has been regarded as poor. The authors obtained following results from the analysis of clinical features and outcome on 50 cases of TBGH who has been treated at the department of neurosurgery, Wonju Christian Hospital from January, 1984 to June, 1988. 1) The incidence of TBGH was 2% of all head-injured patients. 2) The average age of patient was 26.6 years, and the most common cause was motorvehicular accident(80%). 3) The clinical features revealed mental deterioration on 44 cases, followed by motor weakness(23 cases), and decerebrate rigidity(16 cases). 4) The frequent location of hematoma was putamen(27 cases, >50%), internal capsule(9 cases, 14%). 5) The combined lesion showed mostly lower GCS(Glasgow Coma Scale) than solitary lesion(P<0.001). 6) The groups of both GCS above 8(P<0.001) and small hematoma volume below < 15ml(P<0.001) showed relatively good outcome.

Keyword

Traumatic basal ganglia hematoma(TBGH); Glasgow outcome scale(GOS); Glasgow coma scale(GCS)

MeSH Terms

Basal Ganglia*
Coma
Gangwon-do
Hematoma
Humans
Incidence
Neurosurgery
Prognosis