Summary
Five unusual cases with massive haematoma of the corpus callosum caused by blunt head trauma are presented. Aside from the callosal haematomas, intraventricular and subarachnoid haemorrhages or small haemorrhagic foci in the basal ganglia or thalamus were common concomitant lesions on the computerized tomographic (CT) scan. The sites of the impacts were the frontal and occipital areas which were close to the midline and above the level of the corpus callosum. Severe and diffuse brain dysfunction was suggested by the severity of the Glasgow coma score (GCS) and the abnormality on multimodality evoked potentials. An intensive medical treatment such as barbiturate could be promising since a direct surgical approach was dubious because of additional damage to the severely injured brain.
Similar content being viewed by others
References
Adams JJ, Graham DI, Murray CS et al (1982) Diffuse axonal injury due to non-missile head injury in humans: An analysis of 45 cases. Ann Neurol 12: 557–563
Komatsu S, Sato T, Kagawa S et al (1979) Traumatic lesions of the corpus callosum. Neurosurgery 5: 32–35
Lindenberg RL, Fisher RS, Durlacher SH et al (1955) Lesions of the corpus callosum following blunt mechanical trauma to the head. Am J Pathol 31: 297–317
Ogura K, Yamamoto I, Hara M et al (1982) Computerized tomography of the traumatic hematoma in thecorpus callosum. Report of two cases. Neurol Surg (Tokyo) 10: 1299–1301 (in Japanese)
Oya M, Takei F, Tsugane R et al (1983) Traumatic hemorrhage at the region of the corpus callosum. Neurotraumatology (Tokyo) 6: 87–93
Richard KE, Frowin RA (1983) The value of ICP-monitoring in the treatment of traumatic bilaterally or medially situated intracerebral contusional hemorrhages. In: Ishii S, Nagai H, Brock M (eds) Intracranial pressure V. Springer, Berlin Heidelberg New York, pp 517–526
Ruberns AB, Geschwind N, Mahowald MW et al (1977) Posttraumatic cerebral hemispheric disconnection syndrome. Arch Neurol 34: 750–755
Schneider RC, Crosby EC (1980) Injuries involving the cervicomedullary junction. Neurotraumatology (Tokyo) 3: 1–32
Teasdale G, Jennett B (1974) Assessment of coma and impaired consciousness. A practical scale. Lancet II: 81–84
Zimmerman RA, Bilaniuk LT, Gennarelli T (1978) Computed tomography of shearing injury of the cerebral white matter. Radiology 127: 393–396
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shigemori, M., Kojyo, N., Yuge, T. et al. Massive traumatic haematoma of the corpus callosum. Acta neurochir 81, 36–39 (1986). https://doi.org/10.1007/BF01456262
Issue Date:
DOI: https://doi.org/10.1007/BF01456262