Non-surgical treatment of massive traumatic corpus callosum hematoma after blunt head injury: A case report

• Published in: Neurologia i neurochirurgia polska Vol. 50; no. 4; pp. 309 - 312
• Main Authors: Elsayed, A., Elgamal, E., Elsayed, A.A., Wasserberg, J., Kuncz, A.
• Format: Journal Article
• Language: English
• Published: Poland Elsevier Urban & Partner Sp. z o.o 01.07.2016; Wydawnictwo Via Medica
• Subjects: Adult; Bed Rest; Blunt head trauma; Case reports; Conservative treatment; Corpus Callosum - diagnostic imaging; Corpus callosum hematoma; Female; Head injuries; Head Injuries, Closed - diagnostic imaging; Head Injuries, Closed - therapy; Hematoma; Hematoma - diagnostic imaging; Hematoma - therapy; Humans; Magnetic Resonance Imaging; Tomography, X-Ray Computed; Trauma; Corpus callosum hematoma; Blunt head trauma; Conservative treatment
• ISSN: 0028-3843; 1897-4260
• DOI: 10.1016/j.pjnns.2016.04.005

Massive hematoma of the corpus callosum caused by blunt head trauma is an extremely rare lesion. Most frequent traumatic lesions involve the corpus callosum are diffuse axonal injuries. They might be associated with small hemorrhagic foci in the hemispheric and brain stem white matter, intraventricular hemorrhages, subarachnoid hemorrhages, traumatic lesions of the septum pellucidum and fornix. Many cases of corpus callosum injury present with permanent disconnection syndrome. We present a case of a 32-year-old female suffered blunt head trauma resulted in massive corpus callosum hematoma which was managed non-surgically. The patient initially had a reduced conscious level and symptoms of disconnection syndrome, and significant recovery was observed at 6 months follow up.