Abstract
Traumatic basal ganglia hematoma (TBGH), seen rarely, has been associated with dismal prognosis. We evaluated ten patients (8 males, 2 females; average age 30 years) of TBGH and present their outcome. Average GCS at admission was 10 including 6 patients with severe head injury (GCS≤8). Brain lesions other than BGH were: diffuse axonal injury (DAI) (n=3), intraventricular bleed (n=1) and focal contusions in addition to BGH (n=4) in a total of 6 patients. Average volume of the BGH was 13.2 ml. None of the patients had a coagulation disorder. Surgical evacuation of focal hematoma other than BGH was done in 2 patients. Average GCS at discharge was 13. Average follow up was 30.4 months. Outcomes were excellent (GOS= 5) (n=3) or fair (GOS=4) (n=7) with no mortality. Outcome of TBGH appears favorable unless it is large and associated with coagulation disorders; however, DAI is an important factor governing the outcome in head injury including TBGH.
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