title: Bilateral Traumatic Basal Ganglia Hemorrhage Associated With Epidural Hematoma: Case Report and Literature Review.
abstract: Traumatic basal ganglia hematoma is a rare condition defined as presence of hemorrhagic lesions in basal ganglia or adjacent structures suchas internal capsule, putamen and thalamus. Bilateral basal ganglia hematoma are among the devastating and rare condition. We herein report a 28-year old man, a victim of car-car accident who was brought to our surgical emergency room by immediate loss of consciousness and was diagnosed to have hyperdense lesion in the basal ganglia bilaterally, with the presence of right parietal epidural hematoma. Craniotomy and epidural hematoma drainage were considered, associated to conservative management of gangliobasal traumatic contusions. On day 7 the patient had sudden neurologic deterioration, cardiac arrest unresponsive to resuscitation. Management of these lesions is similar to any other injury in moderate to severe traumatic injury. The use of intracranial pressure monitoring must be guaranteed.
authors.affiliation: University of Magdalena, Cartagena de Indias, Colombia, South America.
authors.forename: Willem Guillermo
authors.initials: WG
authors.lastname: Calderon-Miranda
authors.affiliation: University of Cartagena, Cartagena de Indias, Colombia, South America.
authors.forename: Hernando Raphael
authors.initials: HR
authors.lastname: Alvis-Miranda
authors.affiliation: University of Cartagena, Cartagena de Indias, Colombia, South America.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Alcala-Cerra
authors.affiliation: Hospital University of Neiva, Cartagena de Indias, Colombia, South America.
authors.forename: Andres
authors.initials: A
authors.lastname: M Rubiano
authors.affiliation: University of Cartagena, Cartagena de Indias, Colombia, South America.
authors.forename: Luis Rafael
authors.initials: LR
authors.lastname: Moscote-Salazar
keywords: Basal ganglia hemorrhage; Cerebral contusion; Neurotrauma; Traumatic brain injury