CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2019; 08(02): 133-136
DOI: 10.1055/s-0039-1694850
Case Report
Neurological Surgeons' Society of India

Posttraumatic Bilateral Basal Ganglia Bleed: A Report of Three Extremely Rare Cases

Musali Siddartha Reddy
1   Department of Neurosurgery, Gandhi Medical College and Hospital, Padmarao Nagar, Secunderabad, Telangana, India
,
Hemant Beniwal
1   Department of Neurosurgery, Gandhi Medical College and Hospital, Padmarao Nagar, Secunderabad, Telangana, India
,
Ravi Karla
1   Department of Neurosurgery, Gandhi Medical College and Hospital, Padmarao Nagar, Secunderabad, Telangana, India
,
Prakash Rao Gollapudi
1   Department of Neurosurgery, Gandhi Medical College and Hospital, Padmarao Nagar, Secunderabad, Telangana, India
› Author Affiliations
Further Information

Publication History

Received: 06 July 2018

Accepted: 06 September 2018

Publication Date:
27 August 2019 (online)

Abstract

Basal ganglia bleed, though common in hypertensive, is unusual in posttraumatic patients. Bilateral basal ganglia hematoma following trauma is extremely rare and is limited to few case reports. The authors report three cases of bilateral basal ganglia hematomas in traumatic patients. All the cases were managed conservatively.

 
  • References

  • 1 Katz DI, Alexander MP, Seliger GM, Bellas DN. Traumatic basal ganglia hemorrhage: clinicopathologic features and outcome. Neurology 1989; 39 (07) 897-904
  • 2 Jang KJ, Jwa CS, Kim KH, Kang JK. Bilateral traumatic hemorrhage of the basal ganglia. J Korean Neurosurg Soc 2007; 41: 272-274
  • 3 Yanaka K, Egashira T, Maki Y. et al. [Bilateral traumatic hemorrhage in the basal ganglia: report of two cases] [in Japanese]. No Shinkei Geka 1991; 19 (04) 369-373
  • 4 Adams JH, Doyle D, Graham DI, Lawrence AE, McLellan DR. Deep intracerebral (basal ganglia) haematomas in fatal non-missile head injury in man. J Neurol Neurosurg Psychiatry 1986; 49 (09) 1039-1043
  • 5 Boto GR, Lobato RD, Rivas JJ, Gomez PA, de la Lama A, Lagares A. Basal ganglia hematomas in severely head injured patients: clinicoradiological analysis of 37 cases. J Neurosurg 2001; 94 (02) 224-232
  • 6 Graham D. Neuropathology of head injury. In: Harayan PK, Wilberger JE, Povlishock JT. eds. Neurotrauma. New York, NY: McGraw-Hill; 1996: 43-59
  • 7 Fujioka M, Maeda Y, Okuchi K, Kagoshima T, Taoka T. Secondary change in the substantia nigra induced by incomplete infarct and minor hemorrhage in the basal ganglia due to traumatic middle cerebral arterial dissection. Stroke 1999; 30 (09) 1975-1977
  • 8 Jain SK, Sundar IV, Sharma V, Prasanna KL, Kulwal G, Tiwari RN. Bilateral large traumatic basal ganglia haemorrhage in a conscious adult: a rare case report. Brain Inj 2013; 27 (04) 500-503
  • 9 Kaushal R, Kataria R, Gupta A, Sinha V. Traumatic bilateral (mirror-image) basal ganglia bleed. The Indian Journal of Neurotrauma 2011; 8 (02) 109-110
  • 10 Bhargava P, Grewal SS, Gupta B, Jain V, Sobti H. Traumatic bilateral basal ganglia hematoma: a report of two cases. Asian. J Neurosurg 2012; 7 (03) 147-150
  • 11 Kimura M, Sobata E, Suzuki S, Nonogaki Y, Iwabuchi T. [Traumatic hematoma in the basal ganglia (caudate) with favorable prognosis: report of two cases] [in Japanese]. No Shinkei Geka 1994; 22 (02) 155-158
  • 12 Lee JP, Wang ADJ. Post-traumatic basal ganglia hemorrhage: analysis of 52 patients with emphasis on the final outcome. J Trauma 1991; 31 (03) 376-380