Diagnosis dan Tata Laksana Perdarahan Batang Otak Primer
DOI:
https://doi.org/10.55175/cdk.v51i3.944Kata Kunci:
Batang otak, hipertensi, perdarahanAbstrak
Perdarahan batang otak primer merupakan jenis perdarahan intraserebral yang mengenai batang otak, biasanya disebabkan hipertensi kronis. Manifestasi klinis berupa penurunan kesadaran, kelemahan motorik, gangguan napas, hipertermia, dan kelainan pupil. Diagnosis dengan CT scan/MRI kepala berupa perdarahan di mesensefalon, pons, atau medula oblongata. Tata laksana konservatif dengan stabilisasi fungsi vital, koreksi kelainan hemostatik, dan pemantauan intensif gejala neurologis. Tindakan operasi masih kontroversial karena kurangnya bukti klinik dan penelitian. Prognosis umumnya dubia ad malam, tergantung derajat penurunan kesadaran awal, lokasi, dan volume perdarahan.
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Chen P, Yao H, Tang X, Wang Y, Zhang Q, Liu Y, et al. Management of primary brainstem hemorrhage: A review of outcome prediction, surgical treatment, and animal model. Disease Markers 2022;2022:4293590.
Chen D, Tang Y, Nie H, Zhang P, Wang W, Dong Q, et al. Primary brainstem hemorrhage: A review of prognostic factors and surgical management. Front Neurol. 2021;12:727962.
Sophie W, Yang Y, Emanuela K, Andreas L, Marian N, Oliver B. Management of brainstem hemorrhages. Swiss Medical Weekly 2019;149:w20062
Tortora GJ, Derrickson B. Principle of anatomy and physiology. 15th Ed. New York: John Wiley & Sons; 2018 .p. 505-8.
Chen L, Chen T, Mao G, Chen B, Li M, Zhang H, et al. Clinical neurorestorative therapeutic guideline for brainstem hemorrhage. J Neurorestoratol. 2020;8(4):232-40.
Khairunnisa N, Makkiyah FA, Sinaga TA, Nurrizka RH. Prognostic factors in predicting primary brainstem hemorrhage patients: An experience in Indonesia’s rural hospital. Pharmacogn J. 2021;13(6):1445-9.
Behrouz R. Prognostic factors in pontine haemorrhage: A systematic review. Eur Stroke J. 2018;3(2):101-9.
Hao G, Xu Z, Zhu J. Surgical treatment of spontaneous brainstem hemorrhage: A case report. Medicine 2019;98:51(e18430).
Zhou J, Ping A, Mao J, Gu Y, Liu F, Shao A. ZJUSAH classification: A new classification for primary brainstem hemorrhage. Life 2023;13(3):846.
Aninditha T, Harris S, Winnugroho W. Buku ajar neurologi. 2nd Ed. Jakarta: Departemen Neurologi FKUI; 2022.
Steven MG, Wendi CZ, Charlotte C, Dar D, Brandon F, Joshua N. 2022 Guideline for management of patients with intracerebral hemorrhage: A guideline from a American Heart Association/American Stroke Association. Ahajournal 2022;53(7):e282-e361.
Andrews PJD, Verma V, Healy M, Lavinio L, Curtis C, Reddy U, et al. Targeted temperature management in patients with intracerebral hemorrhage, subarachnoid hemorrhage, or acute ischaemic stroke: Consensus recommendation. Br J Anaesthesia 2018;121(4):768-75.
AlMahammedi RM, AlMutairi H, AlHoussien RO, AlOtayan MT, AlMutairi AK, Bafail WO. Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization. Neuroscience 2020;25(2):91-6.
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