Scribd Logo
Upload

Welcome to Scribd!

  • Stroke: Definisi (WHO) Def. Neuro Fokal / Global Akut 24 Jam / Meninggal Kelainan Pemb. Darah Otak

    Uploaded by

    RadityaRezha
    9 views14 pages
    This document discusses stroke, classifying it as either ischemic (85% of cases) or hemorrhagic (12% of cases) and describing the pathological causes of each type. It also discusses atherosclerosis as a pathological process involving endothelial injury, lipid accumulation, and cell proliferation in the intima. Specific types of ischemic stroke are then described such as those caused by embolism or thrombosis. Risk factors and characteristics of stroke in young people and embolic stroke of cardiac origin are also summarized.

    Original Description:

    Stroke P3D

    Original Title

    Stroke P3D

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document discusses stroke, classifying it as either ischemic (85% of cases) or hemorrhagic (12% of cases) and describing the pathological causes of each type. It also discusses atherosclerosis as a pathological process involving endothelial injury, lipid accumulation, and cell proliferation in the intima. Specific types of ischemic stroke are then described such as those caused by embolism or thrombosis. Risk factors and characteristics of stroke in young people and embolic stroke of cardiac origin are also summarized.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    9 views14 pages

    Stroke: Definisi (WHO) Def. Neuro Fokal / Global Akut 24 Jam / Meninggal Kelainan Pemb. Darah Otak

    Uploaded by

    RadityaRezha
    This document discusses stroke, classifying it as either ischemic (85% of cases) or hemorrhagic (12% of cases) and describing the pathological causes of each type. It also discusses atherosclerosis as a pathological process involving endothelial injury, lipid accumulation, and cell proliferation in the intima. Specific types of ischemic stroke are then described such as those caused by embolism or thrombosis. Risk factors and characteristics of stroke in young people and embolic stroke of cardiac origin are also summarized.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 14

    STROKE

    Definisi ( WHO )
    - Def. Neuro Fokal / Global
    - Akut
    - > 24 Jam / Meninggal
    - Kelainan Pemb. Darah Otak

    Klasifikasi Patologi :

    Stroke Iskemik :
    - Atherotrombotik
    - Kardioemboli

    Stroke Perdarahan :
    - PIS
    - PSA

    Different Types of Stroke, 2000


    Cerebral
    Embolus
    24%

    Ischemic
    Stroke
    85%

    TIA 3%

    Cerebral
    Thrombosis
    61%

    Intracerebral
    Hemorrhage
    Hemorrhagic
    9%

    Stroke
    12%

    Subarachnoid
    Hemorrhage 3%

    American Heart Association (AHA). Heart Disease and Stroke Statistics


    2003 Update. 2003. Available at: http://www.americanheart.org/downloadable/heart/
    10590179711482003HDSStatsBookREV7-03.pdf. Accessed October 13, 2003.

    Klasifikasi Anatomi P. Darah

    Sist. Karotis

    Sist. Vertebrobasiler

    FOKUS

    Proses Atherotrombotik

    Stroke KE

    Stroke Usia Muda

    Atherosklerosis

    Atherosclerosis Process

    Atherosclerosis Process

    "response-to-injury" hypothesis : endothel Chronic injury


    Monocyte, lipoprotein, platelet, lymphocyte, and smooth muscle cells
    interactions.
    The main "battleground" : the intima
    Complex lipids + protein + carbohydrates + cell proliferation accumulation
    in the intima .

    Type I : chronic minimal injury, endothelial cells functional alterations w.o


    significant morphologic changes caused by turbulence of blood flow.
    Other factors : hypertension, hyperchol, vasoactive amines, viral, tobacco,
    immunocomplexes.

    Type II : denuding of endothel and superficial intima . result of toxic


    released by macrophages in the intima + platelet deposition w/w.o
    thrombus formation.

    Type III : deep intima and medial damage + platelet aggregation + mural
    thrombosis. Vascular injury seen following plaque rupture.

    STROKE KE

    Resource : jantung
    Turbulensi darah
    Kelainan : Irama ( AF) , anatomi ( dinding :
    AMI, OMI, katup : MI MS )
    Fungsi
    Red Trombus : Eritrosit dominan, unstable
    TH/ : Trombolitik ( rTPA )

    STROKE KE
    Khas :
    Infark luas, Maximal at onset
    Infark berdarah ( Akibat reperfusi )
    - Hari 2 -4
    - TTIK
    - CT Scan : Salt & Pepper

    STROKE USIA MUDA

    Insidensi Meningkat

    A VM ANOMALY VASCULER
    B LOOD DYSCRASIA
    C ARDIOVASKULER
    D RUGS

    STROKE USIA MUDA

    AVM
    - Nyeri kepala , satu sisi, berdenyut
    - Bila pecah : Nyeri kepala hebat, KK,
    TTIK, LB : Bloody
    - D/ : MRA
    - Th/ : Operatif

    Stroke usia muda

    Drugs : Amphetamine, Coccaine, Smoking,


    Alcohol.

    Life style

    Economic Burden

    You might also like