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Bilateral traumatic basal ganglia hemorrhage
1Department of Radiology, Inje University Ilsan Paik Hospital, 170 Juhwaro, Ilsanseogu, Goyang, Gyeonggido, South Korea.
Radiology Case Reports
|September 3, 2020
Summary
Bilateral basal ganglia hemorrhage from head trauma is rare. Shearing injury is a potential cause, as seen in a case report of a patient with diffuse axonal injury who recovered fully.
Area of Science:
- Neurotrauma
- Neuroradiology
- Hemorrhagic injuries
Background:
- Traumatic brain injury (TBI) can cause various intracranial hemorrhages.
- Hemorrhage in the basal ganglia following closed head injury is exceptionally uncommon.
- The precise mechanisms leading to basal ganglia hemorrhage in TBI are not well-established.
Observation:
- A case of bilateral basal ganglia hemorrhage in a 33-year-old male victim of severe head trauma is presented.
- Imaging studies, including MRI and serial CT scans, identified small hemorrhages in the bilateral basal ganglia.
- Concurrent findings included non-hemorrhagic diffuse axonal injury in the bilateral internal capsules.
Findings:
- The case demonstrates a rare instance of bilateral traumatic basal ganglia hemorrhage.
- Diffuse axonal injury, a common consequence of TBI, was also present.
- Conservative management led to a favorable outcome with no residual neurological deficits.
Implications:
- This case suggests that shearing injury may be a contributing factor to bilateral traumatic basal ganglia hemorrhage.
- Understanding the mechanisms of rare TBI complications is crucial for accurate diagnosis and management.
- Further research into the biomechanics of TBI may elucidate the origins of such injuries.
