Bilateral Traumatic Basal Ganglia Hemorrhage Associated With Epidural Hematoma: Case Report and Literature Review

Traumatic basal ganglia hematoma is a rare condition defined as presence of hemorrhagic lesions in basal ganglia or adjacent structures suchas internal capsule, putamen and thalamus. Bilateral basal ganglia hematoma are among the devastating and rare condition. We herein report a 28-year old man, a...

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Bibliographic Details
Main Authors: Willem Guillermo Calderon-Miranda, Hernando Raphael Alvis-Miranda, Gabriel Alcala-Cerra, Andres M. Rubiano, Luis Rafael Moscote-Salazar
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2014-07-01
Series:Bulletin of Emergency and Trauma
Subjects:
Online Access:http://www.beat-journal.com/BEATJournal/index.php/BEAT/article/view/125/264
Description
Summary:Traumatic basal ganglia hematoma is a rare condition defined as presence of hemorrhagic lesions in basal ganglia or adjacent structures suchas internal capsule, putamen and thalamus. Bilateral basal ganglia hematoma are among the devastating and rare condition. We herein report a 28-year old man, a victim of car-car accident who was brought to our surgical emergency room by immediate loss of consciousness and was diagnosed to have hyperdense lesion in the basal ganglia bilaterally, with the presence of right parietal epidural hematoma. Craniotomy and epidural hematoma drainage were considered, associated to conservative management of gangliobasal traumatic contusions. On day 7 the patient had sudden neurologic deterioration, cardiac arrest unresponsive to resuscitation. Management of these lesions is similar to any other injury in moderate to severe traumatic injury. The use of intracranial pressure monitoring must be guaranteed.
ISSN:2322-2522
2322-3960