Clinical Status and Prognosis of Patients with Basal Ganglia Hemorrhage in Traumatic Brain Injury.

, Kim, Dong Hwee; , Lee, Sang Ryong; , Kwon, Hee Kyu; , Lee, Hang Jae

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2002;26(6):681-686.

Kim, Dong Hwee , Lee, Sang Ryong , Kwon, Hee Kyu , Lee, Hang Jae

Department of Rehabilitation Medicine, Korea University College of Medicine, Korea. dragon0165@hanmail.net

외상성 뇌손상 환자에서 기저핵 출혈의 임상 양상과 예후

김동휘·이상룡·권희규·이항재

고려대학교 의과대학 재활의학교실

Abstract

Objective
To assess the frequency of traumatic basal ganglia hemorrhage (TBGH) and its functional recovery in traumatic brain injury (TBI).
Method
Three hundred two patients with TBI were retrospectively analyzed via the medical records and radiologic findings. The subjects were divided into 4 groups according to the brain lesions: extraaxial lesion (subdural hemorrhage, epidural hemorrhage, subarachnoid hemorrhage), intraaxial lesion (diffuse axonal injury, white matter hemorrhage, gray matter hemorrhage), mixed lesion, and TBGH. Statistical comparison of cause, severity and prognosis between groups was performed wth Chi-square analysis.
Results
Mean age was 41.6 years old. The most common lesion of TBI was extraaxial lesion. The most common cause was falls (47.5%). The incidence of TBGH group was 4.7%. Although TBGH group was of longer duration of hospital stay and lower GCS than the other brain lesions, there was no significant difference in GOS score. TBGH with extraaxial or mixed lesion was of lower GCS and GOS score compared with TBGH itself or TBGH with intraaxial lesion.
Conclusion
The associated cerebral lesion, but not TBGH itself, could be considered to be an important factor in determining severity and recovery of TBI. (J Korean Acad Rehab Med 2002; 26: 681-686)

Key Words: Traumatic brain injury, Basal ganglia hemorrhage, Glasgow coma scale, Glasgow outcome scale