Conservative treatment of corpus callosum hemorrhage in severe traumatic brain injury: a case report

Yunus Kuntawi Aji; Tedy Apriawan; Abdul Hafid Bajamal

doi:10.15562/bmj.v6i3.684

Conservative treatment of corpus callosum hemorrhage in severe traumatic brain injury: a case report

Yunus Kuntawi Aji ,

Tedy Apriawan ,

Abdul Hafid Bajamal ,

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DOI: https://doi.org/10.15562/bmj.v6i3.684 |
Published: 2017-08-04

Abstract

Background: Hemorrhage in the corpus callosum (CC) potentially has a poor prognosis. Surgical treatment can lead to high morbidity and mortality. Patients with CC hemorrhage may improve clinically and radiologically with conservative treatment. Case: A child with multiple traumas including severe traumatic brain injury presented to our emergency room with a decrease of consciousness, aphasia, and seizure. On admission, her Glasgow Coma Scale score was E2V1M5 (8/15). The brain CT Scan showed hemorrhage in the body of the corpus callosum. We treated the patient conservatively in close observation in the intensive care unit. The patient showed significant improvement on day 4 and day 11 both clinically and radiologically. The patient was discharged from the hospital on day 20 in a stable neurological condition. Conclusion: Rather than surgery, a conservative treatment can be a better option for a patient with corpus callosum hemorrhage.

References

Kulkarni GB, Pendarkar H, Mirza MA, Mustare V. Corpus callosal hemorrhage due to deep cerebral venous thrombosis. Neurology India 2014; 62(5): 563-5. doi: http://dx.doi.org/10.4103/0028-3886.144497.
Elsayed A, Elgamal E, Elsayed AA, Wasserberg J, Kuncz A. Non-surgical treatment of massive traumatic corpus callosum hematoma after blunt head injury: a case report. Neurologia I Neurochirurgia Polska 2016; 30: 1-4. doi: http://dx.doi.org/10.1016/j.pjnns.2016.04.005.
Matsukawa H, Shinoda M, Fujii M, Takahashi O, Murakata A, Yamamoto D, Sumiyoshi S, Ishikawa R. Intraventricular hemorrhage on computed tomography and corpus callosum injury on magnetic resonance imaging in patients with isolated blunt traumatic brain injury. J Neurosurg 2012; 117: 334-9. doi: http://dx.doi.org/10.3171/2012.5.JNS112318.
Huang Y, Jia J. Corpus callosum hematoma secondary to cerebral malformation presenting as alien hand syndrome. Neurocase 2013; 19(4): 377-81. doi: http://dx.doi.org/10.1080/13554794.2012.690420.
Kim IH, Lee S, Lee CY, Lee DG. Intracranial hemorrhage in the corpus callosum presenting as callosal disconnection syndrome: FDG-PET and tractography : a case report. Ann Rehabil Med 2014; 38(6): 871-5. doi: http://dx.doi.org/10.5535/arm.2014.38.6.871.
Sorimachi T, Yajima N, Sasaki O, Koike T, Fujii Y. Hematoma in the splenium of the corpus callosum in the subacute stage of subarachnoid hemorrhage. Neurol Med Chir 2010; 50: 209-12. doi: http://dx.doi.org/10.2176/nmc.50.209.
Lemaire A, Cuttone F, Desgue J, Ivascau C, Buklas D, Massetti M. Corpus callosum hemorrhage during left ventricular-assist device support. Asian Cardiovascular & Thoracic Annals 2012; 21(5): 605-7. doi: http://dx.doi.org/10.1177/0218492312460773.
Abud TG, Nguyen AD, Abud LG, Houdart E. Anterior cerebral artery aneurysm rupture presenting as hemorrhage in the splenium of the corpus callosum. Radiol Bras 2016; 49(4): 268-9. doi: http://dx.doi.org/10.1590/0100-3984.2015.0130.
Perez-Bovet J, Marnov A, Blasco JLS, Martin JJA. Delated haemorrhage in the splenium of the corpus callosum after aneurysm rupture. British Journal of Neurosurgery 2013; Early Online: 1-3. doi: http://dx.doi.org/10.3109/02688697.2013.799121.

[1] Kulkarni GB, Pendarkar H, Mirza MA, Mustare V. Corpus callosal hemorrhage due to deep cerebral venous thrombosis. Neurology India 2014; 62(5): 563-5. doi: http://dx.doi.org/10.4103/0028-3886.144497.

[2] Elsayed A, Elgamal E, Elsayed AA, Wasserberg J, Kuncz A. Non-surgical treatment of massive traumatic corpus callosum hematoma after blunt head injury: a case report. Neurologia I Neurochirurgia Polska 2016; 30: 1-4. doi: http://dx.doi.org/10.1016/j.pjnns.2016.04.005.

[3] Matsukawa H, Shinoda M, Fujii M, Takahashi O, Murakata A, Yamamoto D, Sumiyoshi S, Ishikawa R. Intraventricular hemorrhage on computed tomography and corpus callosum injury on magnetic resonance imaging in patients with isolated blunt traumatic brain injury. J Neurosurg 2012; 117: 334-9. doi: http://dx.doi.org/10.3171/2012.5.JNS112318.

[4] Huang Y, Jia J. Corpus callosum hematoma secondary to cerebral malformation presenting as alien hand syndrome. Neurocase 2013; 19(4): 377-81. doi: http://dx.doi.org/10.1080/13554794.2012.690420.

[5] Kim IH, Lee S, Lee CY, Lee DG. Intracranial hemorrhage in the corpus callosum presenting as callosal disconnection syndrome: FDG-PET and tractography : a case report. Ann Rehabil Med 2014; 38(6): 871-5. doi: http://dx.doi.org/10.5535/arm.2014.38.6.871.

[6] Sorimachi T, Yajima N, Sasaki O, Koike T, Fujii Y. Hematoma in the splenium of the corpus callosum in the subacute stage of subarachnoid hemorrhage. Neurol Med Chir 2010; 50: 209-12. doi: http://dx.doi.org/10.2176/nmc.50.209.

[7] Lemaire A, Cuttone F, Desgue J, Ivascau C, Buklas D, Massetti M. Corpus callosum hemorrhage during left ventricular-assist device support. Asian Cardiovascular & Thoracic Annals 2012; 21(5): 605-7. doi: http://dx.doi.org/10.1177/0218492312460773.

[8] Abud TG, Nguyen AD, Abud LG, Houdart E. Anterior cerebral artery aneurysm rupture presenting as hemorrhage in the splenium of the corpus callosum. Radiol Bras 2016; 49(4): 268-9. doi: http://dx.doi.org/10.1590/0100-3984.2015.0130.

[9] Perez-Bovet J, Marnov A, Blasco JLS, Martin JJA. Delated haemorrhage in the splenium of the corpus callosum after aneurysm rupture. British Journal of Neurosurgery 2013; Early Online: 1-3. doi: http://dx.doi.org/10.3109/02688697.2013.799121.

Conservative treatment of corpus callosum hemorrhage in severe traumatic brain injury: a case report

Abstract

References

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