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Tiv A Pada Kraniotomi Pengangka Tan Meningioma Residif (Tiva For Crainotomy Recidive Meningioma Removal)

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Meningiomas are brain tumors that are very likely to bleed from the meninges and spinal cord tissue, brain tissue does not grow out of Meningiomas usually grow into that causes pressure on the brain and spinal cord, but also grew out towards the skull, resulting in thickening of the skull. Meningioma not always require immediate treatment. Signs and symptoms of meningioma is usually gradual but sometimes require emergency action. At the beginning of obscure symptoms, depending on the tumor location. Symptoms such as double vision I blurred, headache, hearing loss, loss of memory, seizures, weakness of the arms and legs. In these patients the first surgery 2 years ago as an atypical meningioma (WHO grade II as meningiomas) where growth is slightly more aggressive than grade I and a slightly higher risk of becoming residif. Now repeat surgery.
Case reports: Aman aged 68 years, weight 67 kg who complained of dizziness and the same complaint two years ago. On physical examination, GCS 15 (E4M6 V5), blood pressure 110/80 mmHg, heart rate 80 times /minute, respiratory rate 16 times I minute, temperature 36.80 C. On examination MSCT Angio circle of Willies/Cerebral, an impression: the size of 49x42x47 mm left ditemporal perifokal accompanied by cerebral edema with midline shift to the right about 12 mm. Do the management of anesthesia with propofol TIVA, dexmedetomidine, fentanyl, ventilation controls with vecuronium, lasts 10 hours on a meningioma tumor removal surgery a second. In this operation the tumor can not be removed completely due to bleeding. Post-operative care in the ICU with the help of mechanical ventilation and the patient died after being treated for 7 days.
Key words: meningiomas, TIVA, brain protection, craniotomy.

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Detail Information

Series Title

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Call Number

Jurnal Neuroanestesia Indonesia, 1 (4) 2012 : 269-

Publisher

Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2012

Collation

9p

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ISBN/ISSN

2088-9670

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Edition

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Subject(s)

Meningioma
CRAINOTOMY

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