Cermin Dunia Kedokteran
Vol 47 No 7 (2020): Neurologi

Faktor-faktor Prognostik Bangkitan Neonatus

Scorpicanrus Tumpal Andreas (Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Kristen Indonesia, Jakarta, Indonesia)
Ida Bagus Eka Utama (Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Kristen Indonesia, Jakarta, Indonesia)



Article Info

Publish Date
01 Sep 2020

Abstract

Bangkitan neonatus (neonatal seizures) sangat berhubungan dengan mortalitas dan morbiditas di ruang perawatan perinatologi. Mekanisme penting bangkitan neonatus antara lain: peningkatan eksitabilitas, penurunan efektivitas inhibisi neurotransmiter pada otak imatur, konfigurasi kanal ion, dan peranan neuropeptida. Penyebabnya merupakan faktor utama prognosis. Berat badan lahir, skor APGAR, pemeriksaan neurologis saat bangkitan, ultrasonografi (USG) otak, terapi antikonvulsan, dan adanya status epileptikus juga mempengaruhi prognosis. Neonatal seizures were strongly associated with perinatal mortality and morbidity. Mechanisms of neonatal seizures include increased neonatal excitability, reduced effectiveness of neurotransmitter inhibition in immature brain, ion channel configuration, and role of neuropeptides. The etiology was a major factor in prognosis. Besides birth weight, APGAR score, neurological examination during seizures, brain ultrasonography (USG), anticonvulsant therapy, and the presence of status epilepticus affect the prognosis.

Copyrights © 2020






Journal Info

Abbrev

cdk

Publisher

Subject

Health Professions

Description

Cermin Dunia Kedokteran (CDK) is a Medical Journal published since 1974 and affiliated with PT Kalbe Farma Tbk. CDK is intended to help accommodate scientific publications and help increase and disseminate knowledge related to the development of medical science, pharmacy, and public health. CDK ...