J Korean Neurotraumatol Soc.  2008 Dec;4(2):89-92. 10.13004/jknts.2008.4.2.89.

Traumatic Intracerebral Hemorrhage in Bilateral Basal Ganglia

• Oh ET
• Hyun DK
• Yoon S
• Park HS
• Kim E
• Park HC
• Park CO

• KMID: 2156156
• DOI: http://doi.org/10.13004/jknts.2008.4.2.89

Abstract

Traumatic intracerebral hemorrhage in bilateral basal ganglia is a rare occurrence. A 43-year-old man was admitted after fight. Computerized tomography showed bilateral hemorrhage of basal ganglia. His medical history was not remarkable. He has no history of hypertension, diabetes mellitus and bleeding tendency. We concluded traumatic hemorrhage on bilateral basal ganglia with temporal fracture of the skull. The patient underwent external drainage of hematoma because the size of hematoma on right basal ganglia was increased at 3 days after admission. We shall report a rare case of bilateral traumatic hemorrhage on basal ganglia, and discuss the mechanism of development with literature review.

Keyword

Basal ganglia; Intracerebral hemorrhage; Trauma

MeSH Terms

Basal Ganglia
Cerebral Hemorrhage
Cerebral Hemorrhage, Traumatic
Diabetes Mellitus
Drainage
Hematoma
Hemorrhage
Humans
Hypertension
Skull

Figure

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  FIGURE 1 He was evaluated by several image studies immediately for acute state and magnetic resonance (MR) image for further informations including delayed change or abnormal malformation of brain. A: Skull X-ray showed fracture on right temporal bone (black arrow). B: Computed tomography (CT) scans of head showed hemorrhage in bilateral basal ganglia. C: CT scans of temporal bone showed fracture of right temporal bone (black arrow). D: MR image taken two days after head injury showed acute hemorrhage with surrounding edema in both basal ganglia without abnormal enhancement.

• 

  FIGURE 2 His mental status was deteriorated suddenly ant 3 days after admission He underwent surgery of extralesional drainage (ELD) immediately. A: Computed tomography (CT) scans showed that the hemorrhage had increased in the right basal ganglia at 3 days after admission. He underwent surgery of extralesional drainage (ELD) immediately. B: CT scans showed that hemorrhage was decreased at 3 days after surgery of ELD. C and D: CT scans showed that hemorrhage was almost resolved at 17 days after ELD. Encephalomalatic change and mild brain edema were remained in the same site.

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