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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- 

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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)

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STR,-E IS-E$I- *ASE

-R,NI- $inimal In4asi4eStenting

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 Terima

-asi"