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StrokePeran Bedah Saraf Dalam
Penatalaksanaan Stroke
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Stroke
Stroke Iskemik(85%)
Stroke
Hemoragik(15%)
Trombotik
Aneurisma
HIPERTENSIEmbolus dari
antung!le"er
Embolik
A#$
ainn&a
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'PERANAN EAH
SARA*+
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STR,-E HE$,RA.I-
'INI-ASI+
$EN/R/N-AN TE-0
INTRA-RANIA
bila ada tandatanda 2eningkatan TI-
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I3H dengan 4olume &ang uku2 besar se"inggamenimbulkan 2eningkatan TI-
7/23/2019 Stroke Yarsi
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I3H keil disertai denganIntra4entriular
Hemorr"age (I#H)
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I3H serebelum disertaidengan I#H danHidrose6alus
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' 7ENIS TINA-AN+
Tergantung 2ada 2en&ebab 2eningkatan TI
Hematoma intrakranial -RANI,T,$I
Hidrose6alus dengan I#H E9ternal rain
Hidrose6alus tan2a I#H #P s"unt
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STR,-E HE$,RA.I-
'INI-ASI+
$E$PERAI-I -EAINANPE$//H ARAH
-elainan 4askuler beru2a aneurisma atau
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ANE/RIS$A
SERERA
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ANE/RIS$A
SERERA-on4ensional -raniotomi :3li22ing Aneurisma
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ANE/RIS$A
SERERA$inimal In4asi4e3oiling
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A#$ SERERA
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A#$ SERERA-on4ensional -raniotomi :Reseksi A#$
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A#$ SERERA
$inimal In4asi4eEmbolisasi
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STR,-E IS-E$I-
'INI-ASI+
$E$PERAI-I AIRAN
ARAH
A-/T Rekanalisasi-R,NI- Penega"an Stroke erulang
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STR,-E IS-E$I- *ASE
A-/T
3urrent treatmentstrateg& 6or is"emi
stroke is based on anurgent restoration o6blood ;o< to t"eis"emi 2enumbra
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STR,-E IS-E$I- *ASE
A-/T.,EN PERI,
= > am I# THR,$,?SIS
= @ am IA THR,$,?SIS
8 B am $E3HANI3A THR,$,?SI
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STR,-E IS-E$I- *ASE
A-/T
$E3HANI3A THR,$,?SIS $ER3I
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STR,-E IS-E$I- *ASE
A-/T
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STR,-E IS-E$I- *ASE
-R,NI- PEN3E.AHAN STR,-EER/AN.
AA PEN?E$PITAN PE$//H
ARAH
-AR,TIS
INTRA-RANIA
PEN?E$PITAN PE$//H
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PEN?E$PITAN PE$//H
ARAH
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STR,-E IS-E$I- *ASE
-R,NI- -on4ensional3arotid EndArteretom& (3EA)
7/23/2019 Stroke Yarsi
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STR,-E IS-E$I- *ASE
-R,NI- $inimal In4asi4eStenting
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Terima
-asi"
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