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Luaran Pasien Dengan Perdarahan Intraserebral Danintraventrikular Yang Dilakukan Vp-Shunt Emergensi (Outcome of Patients With Intracerebral And Intra Ventricular Haemorrhage After An Emergency Vp-Shunt Insertion)/

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Background and Objective: Intraventricular and intracerebral haemorrhage is an acute condition that can occurs spontaneously due to hypertension or rupture of aneurism, and also can be occurs as a result from brain damage caused by trauma. Management in this acute condition can be done by either giving particular drugs or through surgical procedures. The aim of surgical procedure is to reduce a sudden increase of intracranial pressure as well as to evacuate hematome, in order to prevent functional neurology disturbance and damage. By performing this management, intracranial pressure is expected to decrease, and to reduce the risk of hydrocephalus resulted from an occlusion in brain ventricular system as one of the complication of intracranial haemorrhage.
Subject and Method: Ventriculo-Peritoneal Shunt (VP-Shunt) was inserted during the first 72 hours after the event in 8 patients with intraventricular and intracerebral haemorrhage due to stroke and trauma. Level of consciousness was assessed, by comparing the pre-operative and 72 hours post-operative using Glasgow Coma Scale (GCS), and the patient outcome was also assessed.
Result: Six (75%) patients showed an increase GCS after VP-Shunt insertion, with 4 of them can be discharged from the hospital, whilst 4 patients died due to other complications.
Conclusion: VP-Shunt insertion in acute condition in patients with intraventricular and haemorrhage is considered to be useful in accelerating the level of consciousness, even though the overall outcome of the patients is not significantly difJerent.
Keywords: intraventricular haemorrhage, intracerebral haemorrhage, Ventriculo-Peritoneal

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Series Title

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Call Number

Jurnal Neuroanastesia Indonesia, 1 (3) 2012 : 158-

Publisher

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

Collation

5p

Language

ISBN/ISSN

2088-9670

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Edition

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Subject(s)

CEREBRAL HEMORRHAGE
OUTCOME ASSESSMENT

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