Manajemen Aneurisma Intrakranial

Yudhi Adrianto, A Firdaus Sani, Hendro Susilo
Staf Pengajar Departemen Neurologi FK Universitas Airlangga – RSUD Dr. Soetomo Surabaya

Abstract

         Manajemen aneurisma intrakranial membutuhkan pemahaman dan pendekatan yang menyeluruh. Pemahaman tentang perjalanan alamiah, konfigurasi anatomis aneurisma, kondisi pasien, fasilitas rumah sakit serta kemampuan operator merupakan pertimbangan yang penting dalam menentukan pilihan terapi. Pilihan pendekatan penanganan kasus aneurisma intrakranial baik itu konservatif maupun agresif akan berbeda tiap kasus. Pendekatan konservatif lebih pada observasi imejing dan evaluasi klinis hingga saat diputuskan untuk pendekatan yang agresif. Pendekatan agresif meliputi pemasangan klip aneurisma melalui prosedur bedah kepala terbuka dan pemasangan koil melalui prosedur minimal invasif (neurointervensi). Saat ini baik clipping maupun coiling bersaing sebagai pilihan terapi untuk berbagai kasus aneurisma intrakranial. Dalam kajian ilmiah ini akan diulas secara menyeluruh mengenai manajemen aneurisma intrakranial, mulai dari patofisiologi, perjalanan alamiah hingga berbagai pilihan terapi untuk penanganan kasus aneurisma intrakranial.

Kata kunci: aneurisma intrakranial, strokr, SAH, coiling, clipping

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