Seksio Sesarea pada Wanita G3P2A0 Hamil 34 minggu dengan Preeklamsia Berat dan Perdarahan Intraserebral Spontan

A 32-year-old woman, G3P2A0, at 34 weeks of gestation came to Sardjito hospital emergency department with complaints of not being able to speak and right limb weakness since 8 hours before entering the hospital. Patient have hypertension since before pregnancy. CT-scan result obtain bleeding in the parietal lobes sinistra and basal nuclei with a bleeding volume 60 cc accompanied by midline shifting. Patient was diagnosed with superimposed severe preeklamsia, coma cum dekstra lateralization, and spontaneous intracerebral hemmorhage. Section cesarean and craniectomy hematoma evacuation then was performed. Postoperatively, patient was treated in the ICU and then transferred to the stroke unit.

Perempuan G3P2A0 usia 32 tahun hamil 34 minggu datang ke IGD RSUP Dr. Sardjito dengan keluhan tidak bisa bicara dan lemah anggota gerak kanan sejak 8 jam sebelum masuk rumah sakit. Pasien memiliki riwayat hipertensi sejak sebelum kehamilan. Hasil CT-scan didapatkan perdarahan pada lobus parietalis sinistra dan nucleus basalis dengan volume perdarahan 60 cc disertai pergeseran garis tengah. Pasien didiagnosis dengan preeklamsia berat superimposed, koma cum lateralisasi dekstra, dan perdarahan intraserebral spontan. Pasien kemudian dilakukan seksio sesaria dan craniectomy dekompresi evakuasi hematom. Paska operasi pasien dirawat di ICU kemudian dipindahkan ke unit stroke.

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