Laporan pendahuluan intracerebral hematoma pdf

Doc laporan pendahuluan intracerebral hematoma uniee. Axbx c 2 where a is maximum hematoma diameter in cm, b is diameter perpendicular to a, and c is the number of slices showing hematoma multiplied by the slice thickness typically 0. Surgical techniques have varied from the open large craniotomy, burr hole and aspiration to the minimally invasive techniques. Hematoma epidural paling sering terjadi di daerah perietotemporal akibat robekan arteria meningea media. We investigated the frequency of spot sign and its relationship with hematoma expansion and outcome in patients with primary pontine hemorrhage pph.

Li q, liu qj, yang ws, wang xc, zhao lb, xiong x, et al. Intra cerebral hematom ich merupakan koleksi darah focus yang biasanya diakibatkan oleh cidera regangan atau robekan rotasional terhadap pembuluh pembuluh darah dalam jaringan fungsi otak atau kadang kerena cidera tekanan. Symptoms can include headache, onesided weakness, vomiting, seizures, decreased level of consciousness, and neck stiffness. Pasien dengan hematoma lober superfisial cenderung lebih baik dari perdarahan batang otak yang lebih dalam. Divided in to two major types primary and secondary. Treatment focuses on stopping the bleeding, removing the blood. Kelainan ini sering ditemukan pada penderita trauma kepala. Tanpa perlindungan ini, otak yang lembut akan mudah sekali. The presenting symptoms were those of hypertensive intracerebral hemorrhage or brain tumor. Stroke hemoragik pada umumnya terjadi pada lanjut usia. Management of spontaneous intracerebral hematoma ncbi. Epidural hematoma terjadi pada 1% trauma kepala, insiden tertinggi terjadi pada usia 2030 tahun, jarang terjadi pada usia dibawah 2 tahun atau lebih dari 60 tahun, disebabkan dura yang melekat erat pada tabula interna skull.

Organized intracerebral hematoma with acute hemorrhage. Intracerebral hemorrhage shape predicts the risk of intracerebral hematoma expansion. Primary ich develops in the absence of any underlying vascular malformation or coagulopathy. Intracerebral hematomas producing chronic neurological disability are reported rarely. Pengertian intracerebral hematoma adalah perdarahan yang terjadi didalam jaringan otak.

Computed tomography or magnetic resonance imaging is used to detect an intracranial hematoma. Hematom intraserbral pasca traumatik merupkan koleksi darah fokal yang biasanya diakibatkan cedera regangan atau robekan rasional terhadap pembuluhpembuluh darahintraparenkimal otak atau kadangkadang cedera penetrans. Clinical profile 30 years, male, known hypertensive was on irregular medication and known epileptic patient was on medication since 2001 to 2004 had sudden onset loss of consciousness while partying with the friends and came to hospital examination revealed gcs e1v1m3 515 pupil. The aim of this study is to define the position of surgery preference in the treatment choice for spontaneous intracerebral hematoma ich and to compare the efficacy of surgery with the medical. Pdf the pathophysiology of intracerebral haemorrhage. Perdarahan intracerebral adalah perdarahan yang terjadi pada jaringan otak biasanya akibat robekan pembuluh darah yang ada dalam jaringan otak. Intracerebral hemorrhage ich is when blood suddenly bursts into brain tissue, causing damage to your brain. The hemorrhages were spontaneous, were located in deep structures of the brain, and presented without a clinical history of hypertension or trauma. Hematoma growth is a principal cause of early neurological deterioration.

Nov 24, 2009 laporan pendahuluan intracerebral hematoma ich. Ct evolution of hematoma and surrounding hypodensity in a. Mar 24, 2014 hipertensi merupakan penyebab terbanyak. Sometimes surgery is needed to drain blood from a hematoma. Intracerebral hematoma occurs in about 35100,000 population and the incidence is likely increase over the next few decades as the population ages. The hematoma and swelling can result in increased pressure within the skull intracranial pressure, which can make symptoms worse and increase the risk of dying. Intracerebral hemorrhage vanderbilt university medical. Computed tomography ctscan pemeriksaan ctscan dapat menunjukkan lokasi, volume, efek, dan potensi cedara intracranial lainnya. Jan 06, 2014 laporan pendahuluan stroke hemoragik a. Faktor etiologi yang lain adalah aneurisma kriptogenik, diskrasia darah, penyakit darah seperti hemofilia, leukemia, trombositopenia, pemakaian anti koagulan dalam jangka lama, malformasi arteriovenosa dan malformasi mikro angiomatosa dalam otak, tumor otak primer dan metastase yang tumbuh cepat, amiloidosis serebrovaskuler dan eklamsia. A stroke occurs when the brain is deprived of oxygen and blood supply. Ukuran hematom ini bervariasi dari beberapa milimeter sampai.

Perluasan klot ke sistema ventrikuler memperburuk outcome. Pdf laporan asuhan keperawatan cedera kepala1 researchgate. Each case was associated with a thick, fibrous capsule found histologically to arise from an occult vascular malformation. Hematoma intracerebral ou hemorragia intracerebral e um acidente vascular cerebral, vulgarmente conhecido por derrame cerebral. Various conditions are associated with increased risk of intracerebral hemorrhage. Dengan makin membesarnya hematoma, maka seluruh isi otak akan terdorong kearah yang berlawanan, menyebabkan tekanan intracranial yang besar. Pasien sadar tentu lebih baik dari pada pasien koma. Intracerebral hematoma following such evacuation is rare and two cases are reported.

Pada hematom intraserebral dan kontusio serebri dengan efek. It is suggested that this complication could be due to the disturbances of intracerebral vascular homeostatis occurring after rapid evacuation of subdural hematomas where there has been a. Intracerebral hemorrhage ich, hemorrhagic stroke, stroke. Most epidural and intracerebral hematomas and many. Latar belakang perdarahan intracerebral merupakan penyabab cerebrovaskular accident yang ketiga. Blogging stroke intracerebral hemorrhage shape predicts the.

Two cases of chronic intracerebral hematoma are described. Intracerebral hemorrhage ich is caused by bleeding within the brain tissue itself a lifethreatening type of stroke. Look up information on diseases, tests, and procedures. Management of intracerebral hemorrhage in a large metropolitan population. Intracerebral hematoma following evacuation of chronic.

The aim of this study was to determine whether volume and localization of intracerebral hematoma affects the sixmonth prognosis of patients with intracerebral hemorrhage ich. Chronic encapsulated intracerebral hematoma neurosurgery. Surgical resection is effective to improve the neurological symptoms and good prognosis is expected, but the lesion can be difficult to diagnose. Intracerebral hemorrhage may be caused by trauma brain injury or abnormalities of the blood vessels aneurysm or angioma, but it is most commonly associated with high blood pressure hypertensive intracerebral hemorrhage. Pembengkakan otak mungkin terjadi dengan atau tanpa hematoma intrakranial. Pdf the aim of this study is to define the position of surgery preference in the treatment choice for spontaneous intracerebral hematoma ich and to. Does the volume and localization of intracerebral hematoma. The evolution of intracerebral hematoma and perihematoma edema in the ultraearly period on computed tomographic ct scans in patients with intracerebral hemorrhage ich is not well understood. You may not embed one of our images on your web page without a link back to our site. A hematoma is most likely to occur after a severe head injury, though drug overdoses, chronic hypertension, and blood disorders can also cause sudden bleeding. Our retrospective study included 104 patients 28 female and 76 male with intracerebral bleeding, treated between 1978 and 1988 in the neurosurgical clinic of the medical university in hannover. Pendahuluan otak dilindungi dari cedera oleh rambut, kulit, dan tulang yang membungkusnya.

Spontaneous intracerebral hematoma caused by cerebral neoplasms. Chronic subdural hematomas are more common among people with alcoholism, older people, and people who take drugs that make blood less likely to clot anticoagulants or antiplatelets. We aimed to investigate hematoma and perihematoma changes in neutral brain models of ich. The study included 75 patients with ich of both sex and all age groups. Ich, based on ct scan findings, was divided in the following groups. Clinical profile 30 years, male, known hypertensive was on irregular medication and known epileptic patient was on medication since 2001 to 2004 had sudden onset loss of consciousness while partying with the friends and came to hospital examination revealed gcs e1v1m3 515 pupil right 5 mm not reacting. In many cases bleeding is present in both the brain tissue and the. Although the surgical management of spontaneous intracerebral hematoma sich is a controversial issue, it can be life saving in a deteriorating patient. The sudden increase in pressure within the brain can cause damage to the brain cells surrounding the blood. Browse home laporan pendahuluan asuhan keperawatan lengkap. Intracerebral hematoma, metaanalyses, surgery, glasgow coma scale oz.

The pathology underlying spontaneous bleeding from a cerebral. The studies are not adequate to analyze the best type of surgery. Intracerebral hematoma definition of intracerebral hematoma. Faktor etiologi yang lain adalah aneurisma kriptogenik, diskrasia darah, penyakit darah seperti hemofilia, leukemia, trombositopenia, pemakaian anti koagulan dalam jangka lama, malformasi arteriovenosa dan malformasi mikro angiomatosa dalam otak, tumor otak primer dan metastase yang tumbuh cepat, amiloidosis serebrovaskuler dan eklamsia jarang. Timbul tandatanda lanjut peningkatan tekanan intracranial antara lain kekakuan deserebrasi dan gangguan tandatanda vital dan fungsi pernafasan. Meskipun begitu, pada orang tua, sakit kepala kemungkinan ringan atau tidak ada. It is suggested that this complication could be due to the disturbances of intracerebral vascular homeostatis occurring after rapid evacuation of subdural hematomas where there has been a large shift of the brain stem. If you would like a large, unwatermarked image for your web page or. Basal ganglia are the most common site of intracerebral hemorrhage, accounting for nearly 50% of cases. Cedera kepala yaitu adanya deformasi berupa penyimpangan bentuk atau penyimpangan garis pada tulang tengkorak, percepatan dan perlambatan accelerasi decelerasi yang merupakan perubahan bentuk dipengaruhi oleh perubahan peningkatan pada percepatan faktor dan penurunan kecepatan, serta notasi yaitu pergerakan pada kepala dirasakan juga oleh otak sebagai akibat. Intracerebral hemorrhage occurs when a diseased blood vessel within the brain bursts, allowing blood to leak inside the brain.

An intracerebral hematoma is an uncommon yet lifethreatening condition in which one or more blood vessels rupture in the brain. Setelah menyelesaikan modul intracerebral hematoma peserta didik diharapkan mampu mengenali penyakit intracerebral hematoma, mampu mengobati penyakit intracerebral hematoma saraf serta mampu kegawatdaruratan intracerebral hematoma. Surgical management and casefatality rates of intracerebral hemorrhage in 1988 and 2005. Prospective and retrospective studies indicate that up to 38% hematoma expansion. Mampu menerangkan insidensi, dan patogenesis penyakit intracerebral hematoma 2.

Intracranial hematomas msd manual consumer version. Paula, 2009 intra cerebral hematom adalah perdarahan kedalam substansi otak. Surgical treatment results were found to be superior to medical treatment in cases with hematoma volume 40ml, and gcs. We report a 57yearold man who presented one month after sustaining a traumatic right temporal intracerebral hematoma with history of headache, left hemiparesis and altered sensorium of two days duration. Intra cerebral hematom adalah perdarahan kedalam substansi otak. Intracerebral hemorrhage shape predicts the risk of intracerebral hematoma expansion andrea morotti, md li q, liu qj, yang ws, wang xc, zhao lb, xiong x, et al.

An imaging predictor for early hematoma expansion and poor outcome in patients with intracerebral hemorrhage. Pdf spontaneous intracerebral haemorrhage carries a high mortality rate and treatment of the disease raises more questions then answers. Mar 21, 2016 cedera kepala yaitu adanya deformasi berupa penyimpangan bentuk atau penyimpangan garis pada tulang tengkorak, percepatan dan perlambatan accelerasi decelerasi yang merupakan perubahan bentuk dipengaruhi oleh perubahan peningkatan pada percepatan faktor dan penurunan kecepatan, serta notasi yaitu pergerakan pada kepala dirasakan juga oleh otak sebagai akibat perputaran pada tindakan. Five cases of pathologically proven organized intracerebral hematoma with recent hemorrhage are reported. May 16, 2017 intracerebral hemorrhage ich is when blood suddenly bursts into brain tissue, causing damage to your brain. Understanding the etiology of these conditions and their pathophysiological contribution to ich will likely lead to better therapeutic and preventative measures and improve the morbidity and mortality associated with intracerebral hemorrhage.

Pengertian stroke hemoragik menurut who stroke adalah adanya tandatanda klinik yang berkembang cepat akibat gangguan fungsi otak fokal global dengan gejalagejala yang berlangsung selama 24 jam atau lebih yang menyebabkan kematian tanpa adanya penyebab lain yang jelas selain vaskular muttaqin, 2008. Jun 06, 2014 chronic encapsulated intracerebral hematoma ceih is a rare entity that was first reported in 1981. An intracerebral hemorrhage account for 15% of all strokes and is the one of the most disabling forms of stroke. Pengertian stroke stroke adalah penyakit atau gangguan fungsional otak akut fokal maupun global akibat terhambatnya peredaran darah ke otak. Chronic encapsulated intracerebral hematoma ceih is a rare entity that was first reported in 1981. Intracerebral hemorrhage ich, also known as cerebral bleed, is a type of intracranial bleed that occurs within the brain tissue or ventricles. Primary intracerebral hemorrhage is more common than secondary.

Intracranial hematomas injuries and poisoning merck. This type of hematoma expands slowly and behaves as a spaceoccupying lesion. Ich is most commonly caused by hypertension, arteriovenous malformations, or head trauma. Sebagian besar obat kemoterapi sitostatika yang digunakan saat ini bekerja terutama terhadap selsel kanker yang sedang berproliferasi, semakin aktif selsel kanker tersebut berproliferasi maka semakin peka terhadap sitostatika hal ini disebut kemoresponsif, sebaliknya semakin lambat prolifersainya maka kepekaannya semakin rendah, hal ini disebut kemoresisten. Secara klinis ditandai dengan adanya penurunan kesadaran yang. If you would like a large, unwatermarked image for your web page or blog, please purchase the appropriate license.

Nontraumatic spontaneous hypertensive intracerebral hematoma sich is a devastating disease with higher rates of mortality and morbidity. Intracerebral hematoma is a topic covered in the diseases and disorders to view the entire topic, please sign in or purchase a subscription nursing central is an awardwinning, complete mobile solution for nurses and students. Dugaan gejala terbentuknya disfungsi otak dan menjadi memburuk sebagaimana peluasan pendarahaan. Dengan proyeksi anteroposterior ap, lateral dengan sisi yang mengalami trauma pada film untuk mencari adanya fraktur tulang yang memotong sulcus arteria meningea media. The results of surgery for intracerebral hematomas. Currently, intracerebral hemorrhage ich has the highest mortality rate of all stroke subtypes. Pdf laporan askep cidera kepala by arin widiastuti find, read and cite all the research you need on researchgate. Perdarahan yang terjadi pada memar otak dapat membesar menjadi hematom intraserebral. If the amount of blood increases rapidly, the sudden buildup in. Dalam sekitar setengah orang, hal itu diawali dengan sakit kepala berat, seringkali selama aktifitas. Intracerebral hemorrhage shape predicts the risk of. Pdf metaanalyses of intracerebral hematoma treatment. Penelitian dixon 1984 memperlihatkan bahwa satusatunya prediktor terpenting atas outcome adalah skala koma glasgow.