Neurona
Vol 38 No 4 (2021)

MANAJEMEN SUBDURAL HEMATOMA KRONIS: SEBUAH PARADIGMA BARU STRATEGI NEUROINTERVENSI

Fritz S. Usman (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)
Graha Agung Mulyono (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)
Beny Rilianto (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)
Hendra Irawan (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)
Nasrul Irawan (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)
Gunawan Septa Dinata (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)
Erwin Joe (Department Neurologi, RSUP Fatmawati, Jakarta, Indonesia)



Article Info

Publish Date
01 Sep 2021

Abstract

Chronic Subdural Hematoma (cSDH) is a significant challenge in neurology; it causes high morbidity and mortality rates and a high risk of recurrence. The primary mechanism of cSDH is the microhemorrhage caused by the repeated cycle of inflammation and angiogenesis. Treatment options for cSDH vary from conservative management, surgical therapy, endovascular strategy, or any combination. The endovascular strategy for cSDH management is embolizing the middle meningeal artery. This strategy gives neurologists a promising treatment option, as it proposes a minimally invasive option or, in conjunction with surgery, can prevent recurrences. In addition, middle meningeal artery embolization can also be done in a frail, elderly patient who will not tolerate an extensive craniotomy procedure; the procedure provide earlier ambulatory, which minimalizes hospital cost. Keywords: Chronic Subdural Hematoma, endovascular strategy, middle meningeal artery embolization

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Journal Info

Abbrev

neurona

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience

Description

Neurona merupakan satu-satunya jurnal yang memuat perkembangan penelitian dan kasus terbaru bidang neurosains oleh Perhimpunan Dokter Spesialis Saraf (PERDOSSI) Pusat di Indonesia. Jurnal ini diterbitkan bulan Maret, Juni, September dan Desember. Bidang studi cakupan NEURONA meliputi: Stroke dan ...