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Journal of Korean Neurosurgical Society 1990;19(4): 455-461.
Clinical Analysis of Traumatic Basal Ganglia Hematoma(TBGH).
Seung Yeun Koh, Chul Hu, Yong Pyo Han, Hun Joo Kim, Soon Ki Hang, Soo Ill Kim
Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea.
Recently, the detection of traumatic intracerebral hematoma has been greatly expedited by the advent of computed tomography. However, Traumatic Basal Ganglia Hematoma(TBGH) has remained rare and its prognosis has been regarded as poor. The authors obtained following results from the analysis of clinical features and outcome on 50 cases of TBGH who has been treated at the department of neurosurgery, Wonju Christian Hospital from January, 1984 to June, 1988. 1) The incidence of TBGH was 2% of all head-injured patients. 2) The average age of patient was 26.6 years, and the most common cause was motorvehicular accident(80%). 3) The clinical features revealed mental deterioration on 44 cases, followed by motor weakness(23 cases), and decerebrate rigidity(16 cases). 4) The frequent location of hematoma was putamen(27 cases, >50%), internal capsule(9 cases, 14%). 5) The combined lesion showed mostly lower GCS(Glasgow Coma Scale) than solitary lesion(P<0.001). 6) The groups of both GCS above 8(P<0.001) and small hematoma volume below < 15ml(P<0.001) showed relatively good outcome.
Key Words: Traumatic basal ganglia hematoma(TBGH); Glasgow outcome scale(GOS); Glasgow coma scale(GCS)
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