CASE REPORT

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

Yunus Kuntawi Aji , Tedy Apriawan, Abdul Hafid Bajamal

Yunus Kuntawi Aji
Department of Neurosurgery, Faculty of Medicine Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, Indonesia. Email: yunus.neurosurgery@gmail.com

Tedy Apriawan
Department of Neurosurgery, Faculty of Medicine Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, Indonesia

Abdul Hafid Bajamal
Department of Neurosurgery, Faculty of Medicine Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, Indonesia
Online First: August 04, 2017 | Cite this Article
Aji, Y., Apriawan, T., Bajamal, A. 2017. Conservative treatment of corpus callosum hemorrhage in severe traumatic brain injury: a case report. Bali Medical Journal 6(3): S97-S99. DOI:10.15562/bmj.v6i3.684


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.

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