Pendahuluan

Stroke pada anak < stroke pada dewasa

< 5 dari seluruh kasus stroke

Stroke pada anak dibagi atas:

1. Stroke neonatal/perinatal
2. Stroke anak

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,
hemiplegi, hipotoni

Kejang +
hemiparese

Cont.

Iskemik

Defisit lapangan
pandang
Gangguan
motorik, kognitif,
FKL

Anak

Sefalgia
Hemoragik
Defisit neurologis
fokal / penurunan
kesadaran

Diagnosa

Cont..
First Line
CT-scan / MRI kepala,
darah lengkap,
SGOT/SGPT, EKG, Foto
Thorax, GDS, Ureum
Kreatini.

Second Line
Ekokardiography, EEG,
MR Angiogram

Third Line
MRI jantung, angiografi
cerebral

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

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

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

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