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创伤性脑损伤中的双侧基底节区出血:一例报告

Bilateral basal ganglia bleed in traumatic brain injury: A case report.

作者信息

Mughis Waqas, Khatri Muhammad Adil, Afreen Mahrukh, Afreen Javeria, Khan Atiq Ahmed

机构信息

Department of Neurosurgery, Dow University of Health Sciences, Karachi, Pakistan.

Dow University of Health Sciences, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2020 Oct;70(10):1854-1856. doi: 10.5455/JPMA.36070.

Abstract

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.

摘要

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。

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