Journal List > J Korean Neurotraumatol Soc > v.4(2) > 1084033

Oh, Hyun, Yoon, Park, Kim, Park, and Park: Traumatic Intracerebral Hemorrhage in Bilateral Basal Ganglia


Traumatic intracerebral hemorrhage in bilateral basal ganglia is a rare occurrence. A 43-year-old man was admitted after fight. Computerized tomography showed bilateral hemorrhage of basal ganglia. His medical history was not remarkable. He has no history of hypertension, diabetes mellitus and bleeding tendency. We concluded traumatic hemorrhage on bilateral basal ganglia with temporal fracture of the skull. The patient underwent external drainage of hematoma because the size of hematoma on right basal ganglia was increased at 3 days after admission. We shall report a rare case of bilateral traumatic hemorrhage on basal ganglia, and discuss the mechanism of development with literature review.

Figures and Tables

He was evaluated by several image studies immediately for acute state and magnetic resonance (MR) image for further informations including delayed change or abnormal malformation of brain. A: Skull X-ray showed fracture on right temporal bone (black arrow). B: Computed tomography (CT) scans of head showed hemorrhage in bilateral basal ganglia. C: CT scans of temporal bone showed fracture of right temporal bone (black arrow). D: MR image taken two days after head injury showed acute hemorrhage with surrounding edema in both basal ganglia without abnormal enhancement.
His mental status was deteriorated suddenly ant 3 days after admission He underwent surgery of extralesional drainage (ELD) immediately. A: Computed tomography (CT) scans showed that the hemorrhage had increased in the right basal ganglia at 3 days after admission. He underwent surgery of extralesional drainage (ELD) immediately. B: CT scans showed that hemorrhage was decreased at 3 days after surgery of ELD. C and D: CT scans showed that hemorrhage was almost resolved at 17 days after ELD. Encephalomalatic change and mild brain edema were remained in the same site.


1. Adams JH, Doyle D, Graham DI, Lawrence AE, McLellan DR. Deep intracerebral (basal ganglia) hematomas in fatal non-missile head injury in man. J Neurol Neurosurg Psychiatry. 1986; 49:1039–1043.
2. 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; 94:224–232.
3. Graham D. Neuropathology of head injury. In : Harayan PK, Wilberger JE, Povlishock JT, editors. Neurotrauma. New York: McGraw-Hill;1996. p. 43–59.
4. Kang JK, Park CK, Kim MC, Kim DS, Song JU. Traumatic isolated intracerebral hemorrhage in children. Childs Nerv Syst. 1989; 5:303–306.
5. Katz DI, Alexander MP, Seliger GM, Bellas DN. Traumatic basal ganglia hemorrhage. clinicopathologic features and outcome. Neurology. 1989; 39:897–904.
6. Kim SH, Song SH, Youm JY, Kim Y. Clinical analysis of the traumatic basal ganglia hemorrhage. J Korean Neurosurg Soc. 1996; 25:1223–1229.
7. Lee JP, Wang AD. Post-traumatic basal ganglia hemorrhage: analysis of 52 patients with emphasis on the final outcome. J Trauma. 1991; 31:376–380.
8. Macpherson P, Teasdale E, Dhaker S, Allerdyce G, Galbraith S. The significance of traumatic hematoma in the region of the basal ganglia. J Neurol Neurosurg Psychiatry. 1986; 49:29–34.
9. Mosberg WH, Lindenberg R. Traumatic hemorrhage from the anterior choroidal artery. J Neurosurg. 1959; 16:209–221.
10. Yanaka K, Egashira T, Maki Y, Takano S, Okazaki M, Matsumaru Y, et al. Bilateral traumatic hemorrhage in the basal ganglia: report of two cases. No Shinkei Geka. 1991; 19:369–373.
11. Jang KJ, Jwa CS, Kim KH, Kang JK. Bilateral traumatic hemorrhage of the basal ganglia. J Korean Neurosurg Soc. 2007; 41:272–274.
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