Bilateral large traumatic XXXX of the basal ganglion.

@entity1 @entity548 @entity510 @entity75 @entity542 @entity772 @entity1410 @entity21962 @entity21915
Traumatic bilateral basal ganglia bleed is extremely rare. It is defined as a @entity548 located in the basal ganglia or neighboring structures such as the internal capsule and the thalamus. This report describes a 37-year-old @entity1 who had large bilateral @entity21915 ( @entity21915 ) with subdural @entity1410 and @entity510 . With regards to an etiology of bilateral @entity548 of the basal ganglia, we could not disclose any possible cause except @entity542 in spite of full diagnostic work-up. Our final diagnosis was bilateral traumatic @entity21915 (TBGH). The pathomechanism of such injuries is still not clear and it is proposed to be due to shear @entity21962 . Rather than any features of the TBGH itself, duration of @entity772 and/or associated temporal herniation predicted slower recovery and worse outcome. Bilateral TBGH is an extremely rare entity, compatible with a favorable recovery, if not associated with @entity75 and occurring in isolation. TBGH can be considered as a marker of poor outcome rather than its cause. The BGHs seem to be hemorrhagic contusions resulting from a shearing injury, due to high velocity impact.
