Good functional outcome following bilateral external capsule hemorrhage mimicking bilateral basal ganglia hemorrhage in a coma patient

Abstract

Simultaneous spontaneous bilateral external capsule hemorrhage is a rare clinical entity with extremely poor outcome. However, knowledge on the effective management of this fatal disease is limited. Herein,we described a case of a 42-year-old man with acute coma and quadriplegia as well as respiratory failure related to the disease. The patient underwent minimally invasive surgery plus local thrombolysis. Consequently, he recovered with satisfactory neurological function recovery on the 180th day of follow-up.

Keywords:

• spontaneous intracerebral hemorrhage
• spastic bulbar palsy
• respiratory failure
• surgery
• critical care

Disclosure statement

All authors report no disclosures.

Informed consent

Written permission of the patient was obtained.

Additional information

Funding

This work was supported by the Natural Science Foundation of Hubei Province, China [No. 2016CFB552] and the Independent Innovation Research Fund of Huazhong University of Science and Technology [No. 2015ZHYX010].