Mughis Waqas, Khatri Muhammad Adil, Afreen Mahrukh, Afreen Javeria, Khan Atiq Ahmed
Department of Neurosurgery, Dow University of Health Sciences, Karachi, Pakistan.
Dow University of Health Sciences, Karachi, Pakistan.
J Pak Med Assoc. 2020 Oct;70(10):1854-1856. doi: 10.5455/JPMA.36070.
Intracerebral haemorrhage can be classified into traumatic and non-traumatic. Traumatic Basal Ganglia Haemorrhage (TBGH) has been reported in 2.4-3% cases of all closed head injuries whereas the incidence is higher in postmortem studies (9.8%), nevertheless, a bilateral TBGH is an extremely rare entity. According to our search through literature, only 12 case reports of bilateral TBGH have been published previously. A simple bilateral TBGH is rarely seen without any other lesions as it is usually associated with skull fractures, haemorrhages or brainstem injuries, making its incidence more during autopsies. We present a 30-year old male patient who had a traumatic brain injury (TBI) secondary to Road Traffic Accident (RTA) with GCS of 12/15, having no other co-morbids. CT-scan revealed bilateral basal ganglia bleed and the patient improved on conservative management only.
脑出血可分为创伤性和非创伤性。创伤性基底节出血（TBGH）在所有闭合性颅脑损伤病例中的报告发生率为2.4%-3%，而在尸检研究中的发生率更高（9.8%），尽管如此，双侧TBGH是一种极其罕见的情况。根据我们对文献的检索，此前仅发表过12例双侧TBGH的病例报告。单纯的双侧TBGH在没有任何其他病变的情况下很少见，因为它通常与颅骨骨折、出血或脑干损伤相关，这使得其在尸检时的发生率更高。我们报告一例30岁男性患者，因道路交通事故（RTA）继发创伤性脑损伤（TBI），格拉斯哥昏迷评分（GCS）为12/15，无其他合并症。CT扫描显示双侧基底节出血，患者仅通过保守治疗就有所好转。
