Bilateral basal ganglia hemorrhage in a 2-year-old child

Mohammed A Alrawi; Muthanna N Abdulqader; Hayder R Salih; Saleh Abdulkareem Saleh; Mohammedbaqer Ali Al-Ghuraibawi; Mustafa M Altaweel; Mustafa Ismail; Samer S Hoz

doi:10.25259/SNI_973_2022

Bilateral basal ganglia hemorrhage in a 2-year-old child

Surg Neurol Int. 2023 Dec 1:14:415. doi: 10.25259/SNI_973_2022. eCollection 2023.

Authors

Mohammed A Alrawi¹, Muthanna N Abdulqader¹, Hayder R Salih¹, Saleh Abdulkareem Saleh², Mohammedbaqer Ali Al-Ghuraibawi³, Mustafa M Altaweel¹, Mustafa Ismail¹, Samer S Hoz⁴

Affiliations

¹ Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq.
² Department of Neurosurgery, College of Medicine, University of Baghdad, Baghdad, Iraq.
³ Department of Neurosurgery, College of Medicine, University of Warith Al-Anbiyaa, Karbala, Iraq.
⁴ Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, United States.

Abstract

Background: Basal ganglia hemorrhage (BGH) is an intracerebral subtype of hemorrhage located in the caudate nucleus, putamen, globus pallidus, or adjacent structures such as the thalamus or internal capsule. Bilateral involvement of both basal ganglia is exceedingly infrequent. Herein, we report a case of a 2-year-old female who was discovered to have spontaneous bilateral BGH with a unique hemorrhagic extension.

Case description: A 2-year-old female child who presented with a decreased level of consciousness, seizure, and fever was discovered to have bilateral BGH during imaging evaluation that extended from the head of the caudate to involve the putamen, globus pallidus, and anterior limb of the internal capsule.

Conclusion: Bilateral BGH is extremely rare, and to the best of our knowledge, this is the first case report in pediatric age groups.

Keywords: Bilateral basal ganglia hemorrhage; Intracerebral hemorrhage; Pediatric; Spontaneous.

Publication types

Case Reports