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Pendahuluan Stroke pada anak < stroke pada dewasa < 5 dari seluruh kasus stroke Stroke pada anak dibagi atas: 1. Stroke anak . Stroke neonatal/perinatal 2.

Anatomi Sirkulus Willisi .

Etiologi Stroke Iskemik Stroke Hemoragik Penyakit jantung kongenital AVM Gangguan Hematologi Aneurysma Hemophilia .

Patofisiologi .

Gejala Klinis asimptomatik Stroke Iskemik Hipotoni tiba-tiba Neonatal/Perinatal Ringan : asimptomatik Stroke Hemoragik Berat : kejang fokal / kejang umum. hipotoni . hemiplegi.

FKL Anak Sefalgia Hemoragik Defisit neurologis fokal / penurunan kesadaran .Kejang + hemiparese Cont…. kognitif. Iskemik Defisit lapangan pandang Gangguan motorik.

Diagnosa .

. Ureum Kreatini. darah lengkap. MR Angiogram Third Line MRI jantung. GDS. First Line CT-scan / MRI kepala. SGOT/SGPT. Foto Thorax. EKG. angiografi cerebral . Second Line Ekokardiography.Cont. EEG.

Penatalaksanaan Mannitol Warfarin Oksigenasi LMWH Keseimbangan cairan dan elektrolit .

Prognosis  Anak > Dewasa  Mortalitas : hemoragik > iskemik .

Kesimpulan  Stroke dapat terjadi pada masa prenatal. bayi dan kanak-kanak  Jenis stroke sama dengan dewasa yaitu stroke iskemik dan hemoragik  Faktor resiko pada anak > dewasa  Gold standar : CT-scan kepala .

editor. Cerebrovascular Disease in Clinical Practice.p. Available from: http://www. Textbook of Child Neurology.asha. Available. 5th ed. Orencia. Feigin VL.org/research/facts/stroke.htm.org/research/facts/stroke. 2007. from: http://www.Referensi Gisenberg. Lecture Notes Neurology Edisi kedelapan. Brown Jr RD.ninds. Stroke in Children and Young Adults. Menkes JH. Lionel. Biller J.702-24. Wiebers DO.htm Abram HS. .347-56. Boston: Little. 1st ed. Childhood Strokes: Evaluation and Management. Recognition and treatment of Stroke in Children. Brown and Co. Baltimore: Williams & Wilkins.1-14) The Child Neurology Society Ad Hoc Committee on Stroke in Children. 1995. 1994. Stroke in Children and Young Adults: Overview.Newton. MA: Butterworth-Heinemann. 1997. Jakarta: penerbit Erlangga) AJ.p. Risk Factors and Prognosis. In: Biller J.p.

org/research/facts/stroke.Cont. Mahar. 1999 Edition.2010) Castrogiovanni A. Available from: http://www.ed.asha. 16th ed. Behrman RE. M Frotscher.7..China : Williams & Wilkins. editor. Stroke in Neonates and Children: Overview. Philadelphia: WB Saunders C: 2000.htm. Mardjono. Baehr.p. Nelson Textbook of Pediatrics. Jenson HB. Clinical Neuroanatomy.Snell.15-29. Diagnosis Topik Neurologi DUUS. Kliegman RM. Jakarta: Dian Rakyat. 1854-7 Richard S. Special Populations Stroke and Communication Disorders. ASHA Communication Facts. 2007.p. Jakarta: EGC . Stroke in Children and Young Adults. MA: Butterworth-Heinemann. In: Biller J. 2003. 1994. Mathews KD. M. Neurologi Klinis Dasar. Newton.

Terima Kasih .