J Korean Acad Rehabil Med.  2002 Dec;26(6):681-686.

Clinical Status and Prognosis of Patients with Basal Ganglia Hemorrhage in Traumatic Brain Injury

• Kim DH
• Lee SR
• Kwon HK
• Lee HJ

Abstract

OBJECTIVE
To assess the frequency of traumatic basal ganglia hemorrhage (TBGH) and its functional recovery in traumatic brain injury (TBI). METHOD: Three hundred two patients with TBI were retrospectively analyzed via the medical records and radiologic findings. The subjects were divided into 4 groups according to the brain lesions: extraaxial lesion (subdural hemorrhage, epidural hemorrhage, subarachnoid hemorrhage), intraaxial lesion (diffuse axonal injury, white matter hemorrhage, gray matter hemorrhage), mixed lesion, and TBGH. Statistical comparison of cause, severity and prognosis between groups.
RESULTS
Mean age was 41.6 years old. The most common lesion of TBI was extraaxial lesion. The most common cause was falls (47.5%). The incidence of TBGH group was 4.7%. Although TBGH group was of longer duration of hospital stay and lower GCS than the other brain lesions, there was no significant difference in GOS score. TBGH with extraaxial or mixed lesion was of lower GCS and GOS score compared with TBGH itself or TBGH with intraaxial lesion.
CONCLUSION
The associated cerebral lesion, but not TBGH itself, could be considered to be an important factor in determining severity and recovery of TBI.

MeSH Terms

Axons
Basal Ganglia Hemorrhage*
Basal Ganglia*
Brain
Brain Injuries*
Hemorrhage
Humans
Incidence
Length of Stay
Medical Records
Prognosis*
Retrospective Studies
Subarachnoid Hemorrhage