TRAUMATIC BASAL GANGLIA BLEED

Peer Asad Aziz*, Sanaullah Pathan, M. Hamid Ali, Abdul Rauf Memon, Ahson Memon and Peer Abdul Ahad Aziz

ABSTRACT

Traumatic Basal ganglia bleed is not a frequent hemorrhagic lesion of basal ganglia or adjacent structures. The lesion determines clinical signs related to particular sub cortical structures involved, with incidence of 3% in close head injuries and 10% to 12% in autopsy cases.[1, 2, 3, 4] It is compatible with a favorable outcome, especially when occurring in isolation. We evaluated 19 cases to define its clinical status, cause and prognosis in duration of 2 years in department of neurosurgery LUMHS. we admitted 10 patients at GCS ≤ 8(severe head injury), 7 with moderate head injury at GCS between 9/12 and 2 patients were at GCS between13/15 with mild head injury. Seventeen patients had Contra- lateral hemiparesis, which recovered to varying extents, apparently related to lesion. Intraventricular, tentorial bleed, pneumocephalus and EDH were the associated findings in the selected subjects of study. Overall cognitive impairment and speed and quality of recovery are more related to associate cerebral damage with varying degree of prognosis.

Keywords: head injury, basal ganglia, hematoma.