Bilateral basal ganglia hemorrhage: a systematic review of etiologies, management strategies, and clinical outcomes.
Basal ganglia
Head trauma
Hematoma evacuation
Intracerebral hemorrhage
Neurointensive care management
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
05 Jun 2023
05 Jun 2023
Historique:
received:
25
01
2023
accepted:
27
05
2023
revised:
06
05
2023
medline:
7
6
2023
pubmed:
5
6
2023
entrez:
5
6
2023
Statut:
epublish
Résumé
Bilateral basal ganglia hemorrhages (BBGHs) represent rare accidents, with no clear standard of care currently defined. We reviewed the literature on BBGHs and analyzed the available conservative and surgical strategies. PubMed, Scopus, Web of Science, and Cochrane were searched following the PRISMA guidelines to include studies reporting patients with BBGHs. Clinical characteristics, management, and outcomes were analyzed. We included 64 studies comprising 75 patients, 25 (33%) traumatic and 50 (67%) non-traumatic. Traumatic cases affected younger patients (mean age 35 vs. 46 years, p=0.014) and males (84% vs. 71%, p=0.27) and were characterized by higher proportion of normal blood pressures at admission (66% vs. 13%, p=0.0016) compared to non-traumatic cases. Most patients were comatose at admission (56%), with a mean Glasgow Coma Scale (GCS) score of 7 and a higher proportion of comatose patients in the traumatic than in the non-traumatic group (64% vs. 52%, p=0.28). Among the traumatic group, motor vehicle accidents and falls accounted for 79% of cases. In the non-traumatic group, hemorrhage was most associated with hypertensive or ischemic (54%) and chemical (28%) etiologies. Management was predominantly conservative (83%). Outcomes were poor in 56% of patients with mean follow-up of 8 months. Good recovery was significantly higher in the traumatic than in the non-traumatic group (48% vs. 17%, p=0.019). BBGHs are rare occurrences with dismal prognoses. Standard management follows that of current intracerebral hemorrhage guidelines with supportive care and early blood pressure management. Minimally invasive surgery is promising, though substantial evidence is required to outweigh the potentially increased risks of bilateral hematoma evacuation.
Identifiants
pubmed: 37273079
doi: 10.1007/s10143-023-02044-x
pii: 10.1007/s10143-023-02044-x
pmc: PMC10240133
doi:
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
135Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Int J Gen Med. 2020 Dec 08;13:1435-1439
pubmed: 33335415
Am J Emerg Med. 2015 Nov;33(11):1717.e1-2
pubmed: 25892398
Pediatr Neurosurg. 2010;46(4):267-71
pubmed: 21160235
Neurol Neurochir Pol. 2016 Jul-Aug;50(4):275-9
pubmed: 27375143
Lancet. 2013 Aug 3;382(9890):397-408
pubmed: 23726393
J Clin Neurosci. 2010 Jun;17(6):685-93
pubmed: 20399668
Stroke. 2012 Nov;43(11):2923-30
pubmed: 22989500
J Clin Neurosci. 2011 Sep;18(9):1215-8
pubmed: 21752649
J Neurointerv Surg. 2019 Jun;11(6):579-583
pubmed: 30617144
Am J Pathol. 1972 Feb;66(2):313-30
pubmed: 5009976
AJNR Am J Neuroradiol. 2020 Oct;41(10):1797-1799
pubmed: 32819902
Neuroradiology. 2005 Feb;47(2):105-7
pubmed: 15714272
Asian J Neurosurg. 2012 Jul;7(3):147-50
pubmed: 23293672
J Neuropathol Exp Neurol. 1971 Jul;30(3):536-50
pubmed: 4105427
J Clin Neurosci. 2016 Mar;25:19-26
pubmed: 26596401
Neuroradiology. 1995 Aug;37(6):447-8
pubmed: 7477853
Chin J Traumatol. 2016 Aug 1;19(4):247-8
pubmed: 27578386
J Neurosurg. 2002 Jan;96(1):86-9
pubmed: 11794609
Neurosurg Focus. 2012 Apr;32(4):E8
pubmed: 22463118
Pediatr Neurol. 1999 Mar;20(3):219-22
pubmed: 10207932
J Int Med Res. 2022 Mar;50(3):3000605221087060
pubmed: 35321577
Neurol Neurochir Pol. 2015;49(6):456-9
pubmed: 26652883
Stroke. 2010 Apr;41(4):810-3
pubmed: 20185788
J Neurosurg. 2014 Feb;120(2):426-33
pubmed: 24053505
AJNR Am J Neuroradiol. 1995 Jun-Jul;16(6):1370-1
pubmed: 7677044
Neuroradiology. 1995 Nov;37(8):645-8
pubmed: 8748896
Asian J Neurosurg. 2016 Oct-Dec;11(4):457
pubmed: 27695573
J Neurointerv Surg. 2020 Jan;12(1):55-61
pubmed: 31300535
Acta Neurochir (Wien). 1989;97(3-4):114-6
pubmed: 2718802
Stroke. 2019 Jul;50(7):1688-1695
pubmed: 31177984
Lancet Neurol. 2009 Apr;8(4):355-69
pubmed: 19233729
N Engl J Med. 2008 May 15;358(20):2127-37
pubmed: 18480205
Clin Case Rep. 2022 Feb 15;10(2):e05437
pubmed: 35223012
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Surg Neurol. 2006 Jun;65(6):547-55; discussion 555-6
pubmed: 16720167
Neurology. 1990 May;40(5):862-3
pubmed: 2330124
J Neurol Sci. 2000 Dec 1;181(1-2):137-9
pubmed: 11099724
Ann Ophthalmol (Skokie). 2007 Fall;39(3):249-52
pubmed: 18025636
Brain Sci. 2019 Nov 09;9(11):
pubmed: 31717522
J Neuroimaging. 2013 Jan;23(1):122-5
pubmed: 21899647
Crit Care Med. 2008 Jul;36(7):2151-6
pubmed: 18552701
J Trauma. 1991 Mar;31(3):376-80
pubmed: 2002524
J Neurol. 2020 Aug;267(8):2179-2184
pubmed: 32458193
Lancet. 2010 Jul 10;376(9735):112-23
pubmed: 20561675
Asian J Neurosurg. 2014 Oct-Dec;9(4):240
pubmed: 25685230
Yonsei Med J. 2002 Aug;43(4):533-5
pubmed: 12205743
Stroke. 2022 Jul;53(7):e282-e361
pubmed: 35579034
J Assoc Physicians India. 2018 Sep;66(9):93-94
pubmed: 31321941
N Am J Med Sci. 2013 Oct;5(10):623-4
pubmed: 24350079
Turk Neurosurg. 2010 Jul;20(3):406-8
pubmed: 20669117
Int J Stroke. 2009 Feb;4(1):11-6
pubmed: 19236490
J Korean Neurosurg Soc. 2009 Aug;46(2):109-15
pubmed: 19763212
Lancet Neurol. 2008 May;7(5):391-9
pubmed: 18396107
Radiol Case Rep. 2020 Aug 18;15(10):1901-1904
pubmed: 32874381
J Mech Behav Biomed Mater. 2015 Jun;46:318-30
pubmed: 25819199
JAMA. 2020 Aug 25;324(8):799-801
pubmed: 32702090
J Pak Med Assoc. 2020 Oct;70(10):1854-1856
pubmed: 33159769
Brain Inj. 2013;27(4):500-3
pubmed: 23472761
Cureus. 2020 Apr 28;12(4):e7869
pubmed: 32489724
Cureus. 2020 Nov 2;12(11):e11299
pubmed: 33282576
Brain. 2000 Sep;123 ( Pt 9):1850-62
pubmed: 10960049
Stroke. 2018 Nov;49(11):2612-2620
pubmed: 30355183
Neuroradiology. 1999 Sep;41(9):670-3
pubmed: 10525769
J Neurosurg. 1989 Apr;70(4):530-5
pubmed: 2926492
Health Technol Assess. 2015 Sep;19(70):1-138
pubmed: 26346805
Medicine (Baltimore). 2022 Dec 2;101(48):e32000
pubmed: 36482580
Sci Rep. 2022 Dec 5;12(1):21035
pubmed: 36471004
Nihon Geka Hokan. 1980 Mar 1;49(2):205-8
pubmed: 7387320
Lancet. 2005 Jan 29-Feb 4;365(9457):387-97
pubmed: 15680453
Korean J Neurotrauma. 2016 Oct;12(2):148-151
pubmed: 27857925
J Comput Assist Tomogr. 1985 May-Jun;9(3):497-501
pubmed: 3989046
Neurol India. 2015 May-Jun;63(3):456-7
pubmed: 26053832
J Postgrad Med. 2013 Jul-Sep;59(3):243-4
pubmed: 24029212
J Mech Behav Biomed Mater. 2014 Jan;29:213-24
pubmed: 24099950
Neurol Med Chir (Tokyo). 1986 Jul;26(7):545-7
pubmed: 2430218
Acta Neurochir Suppl. 2013;118:139-42
pubmed: 23564120
J Neurosurg. 1994 Jan;80(1):51-7
pubmed: 8271022
Brain. 2006 Aug;129(Pt 8):2189-201
pubmed: 16815876
J Clin Neurosci. 2012 Oct;19(10):1416-21
pubmed: 22920271
Stroke. 1997 Jan;28(1):1-5
pubmed: 8996478
J Neurosurg. 2001 Feb;94(2):224-32
pubmed: 11213958
Biomed Res Int. 2021 Oct 25;2021:9233559
pubmed: 34734087
Stroke Vasc Neurol. 2022 Oct;7(5):399-405
pubmed: 35264401
Neurol Med Chir (Tokyo). 1995 Aug;35(8):584-6
pubmed: 7566389
Neuroradiology. 1994 Nov;36(8):605-7
pubmed: 7862274
J Comput Assist Tomogr. 1984 Feb;8(1):125-7
pubmed: 6690494
J Neurosurg. 1959 Mar;16(2):209-21
pubmed: 13642112
BMJ Case Rep. 2013 Nov 08;2013:
pubmed: 24214154
J Assoc Physicians India. 2005 Feb;53:144-6
pubmed: 15847037
J Stroke. 2017 Jan;19(1):3-10
pubmed: 28178408
Acta Neurochir (Wien). 2005 Apr;147(4):393-9; discussion 399
pubmed: 15605198
N Engl J Med. 2001 May 10;344(19):1450-60
pubmed: 11346811
Pediatr Int. 2009 Dec;51(6):829-31
pubmed: 20158624
J Neurosurg Sci. 2018 Dec;62(6):718-733
pubmed: 30160081
Neurology. 1981 Apr;31(4):484-6
pubmed: 7194444
Ulus Travma Acil Cerrahi Derg. 2012 Sep;18(5):461-2
pubmed: 23188613
Brain Dev. 2020 Apr;42(4):357-362
pubmed: 31937422
Case Rep Psychiatry. 2020 Aug 31;2020:2398721
pubmed: 32953191
Stroke. 2019 May;50(5):1108-1115
pubmed: 30932784
Bull Emerg Trauma. 2014 Jul;2(3):130-2
pubmed: 27162882
Lancet Neurol. 2010 Feb;9(2):167-76
pubmed: 20056489
Biorheology. 2010;47(5-6):255-76
pubmed: 21403381
Neurology. 2001 May 22;56(10):1294-9
pubmed: 11376176
Neurosurg Rev. 1991;14(2):145-8
pubmed: 1870721
Sci Rep. 2020 Oct 1;10(1):16346
pubmed: 33004960
Stroke. 2013 Mar;44(3):627-34
pubmed: 23391763
Prog Neurobiol. 2018 Oct;169:55-75
pubmed: 30077774
Clin Neurol Neurosurg. 1999 Sep;101(3):193-5
pubmed: 10536906
J Med Case Rep. 2011 Jul 25;5:324
pubmed: 21787414
J Stroke Cerebrovasc Dis. 2003 Jan;12(1):44-6
pubmed: 17903903
Lancet. 2019 Mar 9;393(10175):1021-1032
pubmed: 30739747
Neuroradiology. 2007 May;49(5):427-35
pubmed: 17294234
BMJ Case Rep. 2018 Jan 9;2018:
pubmed: 29321200
Neurology. 2008 Mar 11;70(11):848-52
pubmed: 18332342
Neurol Neurochir Pol. 2018 Jan - Feb;52(1):94-97
pubmed: 28965668