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  1 / 141 MEDLINE  
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[PMID]:28559063
[Au] Autor:Zwagerman NT; Agarwal N; Jankowitz BT
[Ad] Endereço:Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
[Ti] Título:Natural History of Intracranial Absorbable Gelatin Powder.
[So] Source:World Neurosurg;104:1044.e5-1044.e6, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This case report documents the natural history of intracranial absorbable gelatin powder. We depict the serial imaging of Surgifoam in the cavity of an intracranial hemorrhage cavity after surgical evacuation.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/terapia
Encéfalo/diagnóstico por imagem
Encefalocele/cirurgia
Gelatina/uso terapêutico
Hemostasia Cirúrgica/métodos
[Mh] Termos MeSH secundário: Hemorragia dos Gânglios da Base/complicações
Hemorragia dos Gânglios da Base/diagnóstico por imagem
Encefalocele/diagnóstico por imagem
Encefalocele/etiologia
Feminino
Seres Humanos
Meia-Idade
Procedimentos Neurocirúrgicos
Pós/uso terapêutico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Powders); 9000-70-8 (Gelatin)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE


  2 / 141 MEDLINE  
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[PMID]:28085681
[Au] Autor:Gupta A; Diaz FJ; Lal A; Sung L; Aaron CK
[Ad] Endereço:From the *Department of Pathology, †Department of Pathology, University of Michigan, Detroit, MI; ‡Forensic Services and Coroner's Complex, Provincial Forensic Pathology, Toronto, Ontario, Canada; §Department of Pathology, University of Michigan, Ann Arbor; and ∥Michigan Regional Poison Control Center, Children's Hospital of Michigan, Detroit, MI.
[Ti] Título:Basal Ganglion Hemorrhage as Delayed Complication of Diethylene Glycol Ingestion.
[So] Source:Am J Forensic Med Pathol;38(1):39-42, 2017 Mar.
[Is] ISSN:1533-404X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Diethylene glycol (DEG), an organic compound (HOCH2CH2)2O is a commonly used solvent. Mass poisoning outbreaks have been reported because of frequent contaminations. A PubMed search for diethylene resulted in 795 publications with 151 specifically discussing the toxicity. Of the 151 reported toxicity reviews/case reports, only 6 publications discussed the long-term neurological effects of diethylene toxicity. We report a fatal case of oral ingestion of DEG with complications from delayed toxicity. She died 7 days after the second admission. Autopsy disclosed a right basal ganglia hemorrhage within the brain and microscopic deposits of polarizable crystals into small cerebral blood vessels. Both kidneys illustrate tubular necrosis with scattered tubular deposition of polarizable calcium oxalate crystals. PubMed search leads to only 2 reported cases of basal ganglia hemorrhage (based on radiological findings) after ethylene glycol intoxication. Our case is the first reportable case of basal ganglia hemorrhage after DEG ingestion.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/induzido quimicamente
Hemorragia dos Gânglios da Base/patologia
Etilenoglicóis/toxicidade
Solventes/toxicidade
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Necrose Tubular Aguda/patologia
Pulmão/patologia
Tentativa de Suicídio
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Ethylene Glycols); 0 (Solvents); 61BR964293 (diethylene glycol)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170114
[St] Status:MEDLINE
[do] DOI:10.1097/PAF.0000000000000295


  3 / 141 MEDLINE  
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[PMID]:27578386
[Au] Autor:Zhang YX; Wei SQ; Xing YY; Liu Q; He WJ
[Ad] Endereço:Hiser Medical Group, Qingdao, China.
[Ti] Título:Bilateral traumatic hemorrhage of the basal ganglia.
[So] Source:Chin J Traumatol;19(4):247-8, 2016 Aug 01.
[Is] ISSN:1008-1275
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:Hemorrhage of the basal ganglia is common in hypertensive patients, and most of the cases are spon- taneous unilateral hemorrhage. Traumatic basal ganglia hemorrhage is uncommon, while bilateral hemorrhage of the basal ganglia after trauma is an extremely rare entity. This report described a rare case of bilateral hemorrhage of the basal ganglia after head trauma. We also analyzed the mechanisms and reviewed relative literatures.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/etiologia
Traumatismos Craniocerebrais/complicações
[Mh] Termos MeSH secundário: Hemorragia dos Gânglios da Base/diagnóstico por imagem
Feminino
Seres Humanos
Meia-Idade
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


  4 / 141 MEDLINE  
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[PMID]:27424987
[Au] Autor:Wang XM; Zhang YG; Li AL; Long ZH; Wang D; Li XX; Xia JH; Luo SY; Shan YH
[Ad] Endereço:Department of Critical Care, Zhumadian Central Hospital, Zhumadian, Henan Province, China. gkxio836@sina.com.
[Ti] Título:Expressions of serum inflammatory cytokines and their relationship with cerebral edema in patients with acute basal ganglia hemorrhage.
[So] Source:Eur Rev Med Pharmacol Sci;20(13):2868-71, 2016 Jul.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of the present study is to investigate expressions of inflammatory cytokines and their relationship with cerebral edema in the patients with acute basal ganglia hemorrhage. PATIENTS AND METHODS: Between January 2015 and March 2016, 94 patients with acute basal ganglia hemorrhage admitted to our institution were included in the present study. Serum levels of interleukin (IL)-4, IL-6, IL-8 and IL-10 were measured using enzyme-linked immunosorbent assay (ELISA), and conditions of cerebral edema were evaluated using head CT upon admission, 1d after admission and 3d after admission, respectively. RESULTS: Serum levels of IL-4, IL-6 and IL-8 peaked 1d after admission and decreased 3d after admission with statistical significance (p <0.05); the IL-10 level was continuously increased after admission and peaked 3 days after admission with statistical significance (p<0.05). Cerebral edema was not observed in any of these patients upon admission, while occurred with a maximal edema volume 1 day after admission and the volume decreased 3 days after admission with statistical significance (p <0.05). Correlation analysis showed that levels of IL-4, IL-6 and IL-8 were positively correlated with severity of cerebral edema (r=0.324, 0286, 0.305, p <0.05 respectively), whereas IL-10 level was negatively correlated with severity of cerebral edema (r=-0.336, p <0.05). CONCLUSIONS: Serum levels of IL-4, IL-6 and IL-10 are positively correlated while the IL-10 level is negatively correlated with the severity of the cerebral edema in patients with acute basal ganglia hemorrhage.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/sangue
Edema Encefálico/sangue
Citocinas/sangue
[Mh] Termos MeSH secundário: Doença Aguda
Hemorragia dos Gânglios da Base/complicações
Edema Encefálico/etiologia
Seres Humanos
Interleucina-10/sangue
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cytokines); 0 (IL10 protein, human); 130068-27-8 (Interleukin-10)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE


  5 / 141 MEDLINE  
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[PMID]:27375143
[Au] Autor:Zhao J; Chen Z; Wang Z; Yu Q; Yang W
[Ad] Endereço:Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
[Ti] Título:Simultaneous bilateral hypertensive basal ganglia hemorrhage.
[So] Source:Neurol Neurochir Pol;50(4):275-9, 2016 Jul-Aug.
[Is] ISSN:0028-3843
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Hypertension is the single most important risk factor for intracerebral hemorrhage (ICH) and often leads to solitary hematoma. Multiple spontaneous simultaneous ICH is not common, and bilateral hemorrhages occurred in symmetrical basal ganglia is extremely rare. Most reported cases accepted conservative treatment and suffered extremely poor outcome. CASE REPORT: A 57-year-old male became unconscious when having supper and was transported to our emergency room immediately. Non-contract CT brain scanning showed simultaneous bilateral hypertensive basal ganglia hemorrhage; he was treated by stereotactic aspiration and thrombolysis for both sides, with subsequent thrombolysis and clot aspiration through hematoma-indwelling catheter. The hematomas were almost totally cleared within a week. His condition improved gradually. Nearly 10 months after onset, he could chow and swallow food, controlling bowels and bladder all by himself, but need some help when feeding and using toilet. CONCLUSION: Simultaneous bilateral hypertensive basal ganglia hemorrhage is a devastating cerebrovascular disease with significant high morbidity and mortality. Stereotactic aspiration and thrombolysis is a safe and effective way to clear hematomas within short time, thus reducing the neurological impairment from hematoma mass effect and secondary brain injury, improving prognosis.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/etiologia
Encéfalo/diagnóstico por imagem
Hipertensão/complicações
[Mh] Termos MeSH secundário: Hemorragia dos Gânglios da Base/diagnóstico por imagem
Hemorragia dos Gânglios da Base/cirurgia
Seres Humanos
Masculino
Meia-Idade
Técnicas Estereotáxicas
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161231
[Lr] Data última revisão:
161231
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160705
[St] Status:MEDLINE


  6 / 141 MEDLINE  
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[PMID]:27295604
[Au] Autor:Younsi A; Scherer M; Unterberg AW; Orakcioglu B
[Ad] Endereço:Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address: alexander.younsi@med.uni-heidelberg.de.
[Ti] Título:Visualization of pressure related vessel compression in the perihemorrhagic zone during endoscopic ICH evacuation.
[So] Source:Clin Neurol Neurosurg;147:64-70, 2016 Aug.
[Is] ISSN:1872-6968
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The existence of perihemorrhagic ischemia in intracerebral hemorrhage (ICH) has been subject to intense debate. In contrast, the concept of reduced cerebral blood flow (CBF) in the perihemorrhagic zone (PHZ) is widely accepted. This report aims to demonstrate preliminary experience with endoscopic visualization of perihemorrhagic vessel compression in patients with ICH. PATIENTS AND METHODS: Endoscopic findings in the PHZ during minimally invasive hematoma evacuation in six patients with basal ganglia ICH are described. 3D-Neuronavigation for exact real-time orientation and a translucent working channel for tissue visibility are used. RESULTS: While entering the hematoma with the endoscope, the same distinct areas are illustrated in five patients: In the cortical entry zone, uncompressed vessels are present. In the subcortical white matter, vessel quantity shows its physiological rarification. In perihemorrhagic white matter adjacent to the ICH however, vessels appear to be almost completely absent. After hematoma-evacuation, the lack of vessels in the PHZ vanishes and in contrast, correlates of hyperperfusion are observed. Occurrence of these findings does not show correlation with clinical or radiological parameters. However, the only patient without vessel compression in the PHZ had the best neurological outcome in this small case series. CONCLUSION: We present visual correlates of mechanical vasoconstriction due to tissue compression in the PHZ of patients with basal ganglia ICH. Removal of the hematoma leads to visible reperfusion of the PHZ. These findings may help to understand the perihemorrhagic pathophysiology associated with focal reduction of cerebral blood flow and possibly ischemic changes in ICH.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/diagnóstico por imagem
Hemorragia dos Gânglios da Base/cirurgia
Circulação Cerebrovascular
Neuroendoscopia/métodos
Neuronavegação/métodos
[Mh] Termos MeSH secundário: Adulto
Hematoma/diagnóstico por imagem
Hematoma/cirurgia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160614
[St] Status:MEDLINE


  7 / 141 MEDLINE  
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[PMID]:27281090
[Au] Autor:Kim DH; Kyeong S; Cho Y; Jung TM; Ahn SJ; Park YG
[Ad] Endereço:aDepartment of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul bSeverance Biomedical Science Institute, Yonsei University College of Medicine cDepartment of Rehabilitation Medicine and Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine dDepartment of Radiology, Yonsei University College of Medicine.
[Ti] Título:Usefulness of voxel-based lesion mapping for predicting motor recovery in subjects with basal ganglia hemorrhage: A preliminary study with 2 case reports.
[So] Source:Medicine (Baltimore);95(23):e3838, 2016 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It is important to estimate motor recovery in the early phase after stroke. Many studies have demonstrated that both diffusion tensor tractography (DTT) and motor-evoked potentials (MEP) are valuable predictors of motor recovery, but these modalities do not directly reflect the status of the injured gray matter. We report on 2 subjects with basal ganglia hemorrhage who showed similar DTT and MEP findings, but had markedly different clinical outcomes. Specifically, Subject 1 showed no improvement in motor function, whereas Subject 2 exhibited substantial improvement 7 weeks after onset. To determine if differences in gray matter might lend insight into these different outcomes, we analyzed gray matter lesions of the 2 subjects using a novel voxel-based lesion mapping method. The lesion of Subject 1 mainly included the putamen, thalamus, and Heschl's gyri, indicating extension of the hemorrhage in the posterior direction. In contrast, the lesion of Subject 2 mainly included the putamen, insula, and pallidum, indicating that the hemorrhage extended anterior laterally. These differential findings suggest that voxel-based gray matter lesion mapping may help to predict differential motor recovery in subjects with basal ganglia hemorrhage with similar DTT and MEP findings.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/diagnóstico
Mapeamento Encefálico/métodos
Imagem de Tensor de Difusão/métodos
Atividade Motora/fisiologia
Tratos Piramidais/diagnóstico por imagem
Recuperação de Função Fisiológica/fisiologia
[Mh] Termos MeSH secundário: Adulto
Hemorragia dos Gânglios da Base/fisiopatologia
Potencial Evocado Motor/fisiologia
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Tratos Piramidais/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160610
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000003838


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[PMID]:27125348
[Au] Autor:Chia BK; Chong WS; Tey HL
[Ad] Endereço:National Skin Centre, Singapore.
[Ti] Título:Generalised Anhidrosis Secondary to Intracranial Haemorrhage.
[So] Source:Ann Acad Med Singapore;45(2):69-70, 2016 Feb.
[Is] ISSN:0304-4602
[Cp] País de publicação:Singapore
[La] Idioma:eng
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/complicações
Hipo-Hidrose/etiologia
Malformações Arteriovenosas Intracranianas/complicações
Hemorragias Intracranianas/complicações
[Mh] Termos MeSH secundário: Adulto
Hemorragia dos Gânglios da Base/diagnóstico por imagem
Seres Humanos
Hipo-Hidrose/diagnóstico por imagem
Malformações Arteriovenosas Intracranianas/diagnóstico por imagem
Hemorragias Intracranianas/diagnóstico por imagem
Imagem por Ressonância Magnética
Masculino
Ruptura
Tálamo/diagnóstico por imagem
Terceiro Ventrículo/diagnóstico por imagem
Tomografia de Coerência Óptica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160430
[St] Status:MEDLINE


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[PMID]:27008453
[Au] Autor:Xu F; Lian L; Liang Q; Zhu W; Liu X; Kang H; Zhang M; Wang F; Xue Z; Tang Z; Zhu S
[Ad] Endereço:a Neurology Department , Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan , China.
[Ti] Título:Extensive basal ganglia hematomas treated by local thrombolysis versus conservative management - a comparative retrospective analysis.
[So] Source:Br J Neurosurg;30(4):401-6, 2016 Aug.
[Is] ISSN:1360-046X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Single-target puncture plus catheter insertion into the clot is a routine step in hematoma aspiration and local thrombolysis for spontaneous intracerebral haemorrhage (ICH). However, multiple-target puncture of this procedure may imply faster hematoma reduction for large-area ICH. We retrospectively examined the outcomes after clot aspiration plus local thrombolysis with single-/double-target and conservative therapy for extensive basal ganglic hematomas. METHODS: A case note review was conducted on a consecutive series of ICH patients in a single centre with huge basal ganglia hematomas who underwent clots aspiration and thrombolysis or pure medical therapy. We analysed the clinical presentation, radiological features and treatment outcomes of ICH patients in single-target group, double-target group and conservative group. RESULTS: A total of 92 ICH cases were included in this study. At the post-treatment assessment, the average level by hematoma size in single-target and double-group was respectively smaller than that in the conservative group (20.61 ml vs. 15.75 ml vs 60.53 ml, p < 0.01). The 30-day case fatality rate in conservative group was respectively significantly higher than that in single-target and double-target groups (50% vs. 14.70% vs. 20.59%, p < 0.01). At the time of 6-month follow-up, the proportion of good survival in conservative group was respectively remarkably less than that in single- and double-target group (29.17% vs.64.71% vs. 67.65%, p < 0.01). But no difference was detected with respect to 30-day mortality or long-time outcome between the two micro-invasive groups (p = 0.53 and 0.798, respectively). CONCLUSION: Our data suggested for the massive basal ganglia hematomas, clot aspiration and thrombolysis can improve the short- and long-term prognosis compared with the pure conservative therapy. But, no evidence was found to demonstrate double-target of this procedure to be more effective than single-target to improve the outcome.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/tratamento farmacológico
Hemorragia dos Gânglios da Base/cirurgia
Hemorragia Cerebral/tratamento farmacológico
Fibrinolíticos/uso terapêutico
Ativador de Plasminogênio Tecidual/uso terapêutico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Hemorragia Cerebral/cirurgia
Tratamento Conservador/métodos
Feminino
Fibrinolíticos/administração & dosagem
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Terapia Trombolítica/métodos
Ativador de Plasminogênio Tecidual/administração & dosagem
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fibrinolytic Agents); EC 3.4.21.68 (Tissue Plasminogen Activator)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160324
[St] Status:MEDLINE
[do] DOI:10.3109/02688697.2016.1161168


  10 / 141 MEDLINE  
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[PMID]:26994013
[Au] Autor:Ögrenci A; Eksi MS; Gün B; Koban O
[Ad] Endereço:Department of Neurosurgery, Batman State Hospital, Batman, Turkey.
[Ti] Título:Traumatic basal ganglia hematoma following closed head injuries in children.
[So] Source:Childs Nerv Syst;32(7):1237-43, 2016 Jul.
[Is] ISSN:1433-0350
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: High-velocity trauma with acceleration/deceleration forces turns into shear stress over lenticulostriate or anterior choroidal arteries that lead to basal ganglia hemorrhage. Traumatic basal ganglia hematoma has rarely been described in pediatric population. The aim of this study was to present our clinical series of pediatric patients with traumatic basal ganglia hematoma and to analyze the prognostic indicators of traumatic basal ganglia hematoma. METHODS: In this retrospective case series, emergency admissions of pediatric patients with traumatic basal ganglia hematoma due to closed head injury were analyzed. Demographic, clinical, and radiographical data of the patients were retrieved from patients' charts and picture archiving and communication system. RESULTS: There were four children with traumatic basal ganglia hematoma (TBGH). All patients were male. Median age was 8 years (range = 7-16 years). Road accident (three) and fall (one) were the causes of the traumas. Basal ganglia hematoma was present on the right side in one patient and on the left side in three patients. Hematoma volumes ranged from 0.9 to 8.94 ml. All patients were treated conservatively. One patient recovered fully; two patients were moderately disabled at their last clinical follow-ups. The last patient with diffuse subarachnoidal hemorrhage and edema died despite all interventions. CONCLUSIONS: Traumatic basal ganglia hematomas are unique and different from other kind of intracerebral hematomas. The eloquent nature of basal ganglia makes it more vulnerable to head trauma. Mechanism of injury, energy and velocity of injury are the most important prognostic criteria. Post-traumatic phase of injury should be carefully observed in patients with TBGH, especially when mechanism and velocity of injury are severe and high.
[Mh] Termos MeSH primário: Hemorragia dos Gânglios da Base/etiologia
Traumatismos Cranianos Fechados/complicações
[Mh] Termos MeSH secundário: Adolescente
Hemorragia dos Gânglios da Base/diagnóstico por imagem
Criança
Feminino
Traumatismos Cranianos Fechados/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Estudos Retrospectivos
Tomógrafos Computadorizados
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160320
[St] Status:MEDLINE
[do] DOI:10.1007/s00381-016-3060-z



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