Murilo Bucci Vega1, Pedro Tadao Hamamoto Filho2, Carla de Jiácomo Machado3, Marco Antônio Zanini4. 1. Departamento de Medicina, Universidade Federal de São Carlos, Centro de Ciências Biológicas e da Saúde, São Carlos, Brazil. Electronic address: murilovega@hotmail.com. 2. Departamento de Neurologia, Psicologia e Psiquiatria, Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, Brazil. Electronic address: pthamamotof@hotmail.com. 3. Departamento de Neurologia, Psicologia e Psiquiatria, Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, Brazil. Electronic address: carla_jm520@yahoo.com.br. 4. Departamento de Neurologia, Psicologia e Psiquiatria, Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu, Brazil. Electronic address: mzanini@fmb.unesp.br.
Abstract
CONTEXT: Traumatic basal ganglia hemorrhage (TBGH) is a rare presentation of traumatic brain injury. Bilateral lesions are even rarer. Only twelve similar cases were previously published. CASE REPORT: We report the case of a patient with bilateral TBGH. He was managed conservatively. Long-term follow-up disclosed a cognitive dysfunctions attributed to associated diffuse axonal injury. Acceleration and deceleration forces may have torn pallidum arterial branches determining hemorrhage. CONCLUSION: Bilateral TBGH is an uncommon presentation of traumatic brain injury. Associated diffuse axonal injury worsens the outcome.
CONTEXT: Traumatic basal ganglia hemorrhage (TBGH) is a rare presentation of traumatic brain injury. Bilateral lesions are even rarer. Only twelve similar cases were previously published. CASE REPORT: We report the case of a patient with bilateral TBGH. He was managed conservatively. Long-term follow-up disclosed a cognitive dysfunctions attributed to associated diffuse axonal injury. Acceleration and deceleration forces may have torn pallidum arterial branches determining hemorrhage. CONCLUSION: Bilateral TBGH is an uncommon presentation of traumatic brain injury. Associated diffuse axonal injury worsens the outcome.