Pathogenesis diagnosis and treatment of traumatic basal ganglia hematoma

Abstract

Objective To investigate the pathogenesis,clinical characteristics,diagnosis and treatment of traumatic basal ganglia hematoma.Methods The clinical process and treatment of the traumatic basal ganglia hematoma of 16 cases were retrospectively analyzed.Results Five cases were performed with operation.Eleven cases taken conservative treatment.GOS of all the patients were determined after 6 months.Five cases were in good prognosis,7 cases were in moderate disability,3 cases were in severe disability,1 case died.Conclusions Traumatic basal ganglia hematoma most occurred in young adults,and more due to vehicle accident,often occurred in the hedge position.The incidence of TBGH was low and the morbidity rate was high.CT scan is the preferred diagnostic method,serial CT scans are helpful to diagnose the delayed basal ganglia hematoma.Most of the patients have favorable prognosis as long as the diagnosis is early established and the patients ware aggressively treated. Key words: Head trauma ; Basal ganglia hematoma ; Diagnosis ; Treatment