Traumatic intracerebral hemorrhage in bilateral basal ganglia is a rare occurrence. A 43-year-old man was admitted after fight. Computerized tomography showed bilateral hemorrhage of basal ganglia. His medical history was not remarkable. He has no history of hypertension, diabetes mellitus and bleeding tendency. We concluded traumatic hemorrhage on bilateral basal ganglia with temporal fracture of the skull. The patient underwent external drainage of hematoma because the size of hematoma on right basal ganglia was increased at 3 days after admission. We shall report a rare case of bilateral traumatic hemorrhage on basal ganglia, and discuss the mechanism of development with literature review.