Korean J Neurotrauma.  2016 Oct;12(2):148-151. 10.13004/kjnt.2016.12.2.148.

A Viewpoint on Treatment of Traumatic Bilateral Basal Ganglia Hemorrhage in a Child: Case Report

• Baek KH
• Lee CH
• Kim SK
• Park H
• Kang DH
• Hwang SH

• KMID: 2356790
• DOI: http://doi.org/10.13004/kjnt.2016.12.2.148

Abstract

Traumatic basal ganglia hemorrhage (TBGH) is a rare presentation of head injuries. Bilateral lesions are extremely rare. The pathophysiologic mechanism of bilateral TBGH seems to be the same as diffuse axonal injury. However, limited information about childhood bilateral TBGH is available in the literature. We report the case of a child with bilateral TBGH treated with stereotactic aspiration of hemorrhage and periodic urokinase irrigation.

Keyword

Basal ganglia hemorrhage; Brain hemorrhage; Traumatic; Child; Urokinase-type plasminogen activator

MeSH Terms

Basal Ganglia Hemorrhage*
Basal Ganglia*
Child*
Craniocerebral Trauma
Diffuse Axonal Injury
Hemorrhage
Humans
Intracranial Hemorrhages
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator

Figure

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  FIGURE 1 Initial preoperative and postoperative non-contrast computed tomography (CT) scans of a 6-year-old boy. (A) Preoperative brain CT scan showing traumatic bilateral hemorrhage of the basal ganglia. (B) Postoperative brain CT scan. He underwent bilateral stereotactic aspiration.

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  FIGURE 2 (A) At postoperative day (POD) 2, brain computed tomography (CT) scan showings diffuse low density and severe brain swelling. Decompressive craniectomy and duroplasty were performed. (B) Brain CT scan immediately after craniectomy.

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  FIGURE 3 (A) Brain computed tomography (CT) scan performed 11 days after trauma showing resorbed intracranial hemorrhage but increased ventricle size. (B) Postoperative CT at 39 days after trauma showing ventriculoperitoneal shunting and cranioplasty.

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