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b0\i0\ul0\strike0 penyebab\f0\fs24\cf0\b0\i0\ul0\strike0 penting\f0\fs24\cf0\b
0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\b0\i\ul0\strike0 Kongenital\f0\fs24\
cf0\b0\i0\ul0\strike0 ,\par\pard\plain\sl-329\par\pard\plain\li2270\sl-217\f0\fs
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l-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Magendie\f0\fs2
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0\b0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\b0\i\ul0\strike0 Obstruktif\f0\fs
24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 pelebaran\f0\fs2
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li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 d.\f0\fs24\cf0\b0\i\ul0\strike0 Kis
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adinya\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0
akibat\f0\fs24\cf0\b0\i0\ul0\strike0 aneurisma\par\pard\plain\sl-336\par\pard
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ruang\f0\fs24\cf0\b0\i0\ul0\strike0 subarachnoid.\f0\fs24\cf0\b0\i0\ul0\strike0
Pelebaran\f0\fs24\cf0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0\b0\i0\ul0\strik
e0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 fase\par\pard\plain\sl-336\par\pard\plai
n\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 akut\f0\fs24\cf0\b0\i0\ul0\strike0
meningitis\f0\fs24\cf0\b0\i0\ul0\strike0 purulenta\f0\fs24\cf0\b0\i0\ul0\stri
ke0 terjadi\f0\fs24\cf0\b0\i0\ul0\strike0 bila\f0\fs24\cf0\b0\i0\ul0\strike0
aliran\f0\fs24\cf0\b0\i0\ul0\strike0 CSS\f0\fs24\cf0\b0\i0\ul0\strike0 tergang
gu\f0\fs24\cf0\b0\i0\ul0\strike0 oleh\f0\fs24\cf0\b0\i0\ul0\strike0 obstruksi\
f0\fs24\cf0\b0\i0\ul0\strike0 mekanik\par\pard\plain\sl-336\par\pard\plain\li22
69\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 eksudat\f0\fs24\cf0\b0\i0\ul0\strike0 p
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ktus\f0\fs24\cf0\b0\i0\ul0\strike0 silvii\f0\fs24\cf0\b0\i0\ul0\strike0 sister

na\f0\fs24\cf0\b0\i0\ul0\strike0 basalis.\par\pard\plain\sl-200\par\pard\plain\
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ain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-350\par\pard\plain\li2993\sl217\f0\fs24\cf0\b0\i0\ul0\strike0 Selain\f0\fs24\cf0\b0\i0\ul0\strike0 itu,\f0\
fs24\cf0\b0\i0\ul0\strike0 ibu\f0\fs24\cf0\b0\i0\ul0\strike0 hamil\f0\fs24\cf0
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4\cf0\b0\i0\ul0\strike0 a.\f0\fs24\cf0\b0\i0\ul0\strike0 CMV\f0\fs24\cf0\b0\i0\
ul0\strike0 (Cytomegalovirus)\par\pard\plain\sl-336\par\pard\plain\li3404\sl-21
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nslate_c?hl=id&langpair=en%7Cid&u=http://www.medicalnewstoday.com/articles/16739
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saja,\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 bayi\
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pada\f0\fs24\cf0\b0\i0\ul0\strike0 orang\f0\fs24\cf0\b0\i0\ul0\strike0 dewasa
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plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Akibatny
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\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pa
rd\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-20
0\par\pard\plain\sl-200\par\pard\plain\sl-289\par\pard\plain\li8191\sl-278\f1\fs
20\cf0\b\i0\ul0\strike0 Universitas\f1\fs20\cf0\b\i0\ul0\strike0 Sumatera\f1\fs
20\cf0\b\i0\ul0\strike0 Utara\sect\sectd\sbkpage\pgwsxn12243\pghsxn15840\pard\p
lain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\pa
r\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\s
l-357\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b\i0\ul0\strike0 2.4.\f0\fs24\cf0
\b\i0\ul0\strike0 Epidemiologi\par\pard\plain\sl-336\par\pard\plain\li2269\sl-2
17\f0\fs24\cf0\b\i0\ul0\strike0 2.4.4.\f0\fs24\cf0\b\i0\ul0\strike0 Distribusi\
f0\fs24\cf0\b\i0\ul0\strike0 dan\f0\fs24\cf0\b\i0\ul0\strike0 Frekuensi\par\pa
rd\plain\sl-321\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 a.\f0
\fs24\cf0\b0\i0\ul0\strike0 Orang\par\pard\plain\sl-336\par\pard\plain\li2993\s
l-217\f0\fs24\cf0\b0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0
internus\f0\fs24\cf0\b0\i0\ul0\strike0 atau\f0\fs24\cf0\b0\i0\ul0\strike0 penu
mpukan\f0\fs24\cf0\b0\i0\ul0\strike0 cairan\f0\fs24\cf0\b0\i0\ul0\strike0 sere
brospinalis\f0\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\sl-336\par\pard\p
lain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 berlebihan\f0\fs24\cf0\b0\i0\ul
0\strike0 dalam\f0\fs24\cf0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0\b0\i0\ul0\
strike0 otak\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike
0 akibat\f0\fs24\cf0\b0\i0\ul0\strike0 pembesaran\f0\fs24\cf0\b0\i0\ul0\strike
0 kranium,\f0\fs24\cf0\b0\i0\ul0\strike0 terjadi\f0\fs24\cf0\b0\i0\ul0\strike0
pada\f0\fs24\cf0\b0\i0\ul0\strike0 satu\par\pard\plain\sl-336\par\pard\plain\
li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 diantara\f0\fs24\cf0\b0\i0\ul0\strik
e0 2.000\f0\fs24\cf0\b0\i0\ul0\strike0 janin\f0\fs24\cf0\b0\i0\ul0\strike0 da
n\f0\fs24\cf0\b0\i0\ul0\strike0 merupakan\f0\fs24\cf0\b0\i0\ul0\strike0 12%\f0

\fs24\cf0\b0\i0\ul0\strike0 diantara\f0\fs24\cf0\b0\i0\ul0\strike0 malformasi\


f0\fs24\cf0\b0\i0\ul0\strike0 berat\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24
\cf0\b0\i0\ul0\strike0 ditemukan\par\pard\plain\sl-336\par\pard\plain\li2269\sl
-217\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 waktu\f0\
fs24\cf0\b0\i0\ul0\strike0 lahir.\f0\fs24\cf0\b0\i0\ul0\strike0 Cacat\f0\fs24\
cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 sering\f0\fs24\cf0\b0
\i0\ul0\strike0 terjadi\f0\fs24\cf0\b0\i0\ul0\strike0 bersamaan\f0\fs24\cf0\b0
\i0\ul0\strike0 adalah\f0\fs24\cf0\b0\i0\ul0\strike0 spina\f0\fs24\cf0\b0\i0\u
l0\strike0 bifida\f0\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\sl-329\par
\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 ditemukan\f0\fs24\cf0\b0
\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 sepertiga\f0\fs24\cf0\b0\i0
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\ul0\strike0 lingkaran\f0\fs24\cf0\b0\i0\ul0\strike0 kepala\f0\fs24\cf0\b0\i0\
ul0\strike0 melampaui\f0\fs24\cf0\b0\i0\ul0\strike0 50\f0\fs24\cf0\b0\i0\ul0\s
trike0 cm,\f0\fs24\cf0\b0\i0\ul0\strike0 dan\par\pard\plain\sl-336\par\pard\pl
ain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 terkadang\f0\fs24\cf0\b0\i0\ul0\
strike0 mencapai\f0\fs24\cf0\b0\i0\ul0\strike0 80\f0\fs24\cf0\b0\i0\ul0\strike
0 cm.\f0\fs24\cf0\b0\i0\ul0\strike0 Volume\f0\fs24\cf0\b0\i0\ul0\strike0 cair
an\f0\fs24\cf0\b0\i0\ul0\strike0 biasanya\f0\fs24\cf0\b0\i0\ul0\strike0 antara
\f0\fs24\cf0\b0\i0\ul0\strike0 500\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\c
f0\b0\i0\ul0\strike0 1500\f0\fs24\cf0\b0\i0\ul0\strike0 ml,\f0\fs24\cf0\b0\i0\
ul0\strike0 tetapi\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\c
f0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0\strike0 mencapai\f0\fs24\cf0\b
0\i0\ul0\strike0 5\f0\fs24\cf0\b0\i0\ul0\strike0 liter.\f0\fs24\cf0\b0\i0\ul0\
strike0 Presentasi\f0\fs24\cf0\b0\i0\ul0\strike0 sungsang\f0\fs24\cf0\b0\i0\ul
0\strike0 ditemukan\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\s
trike0 sepertiga\f0\fs24\cf0\b0\i0\ul0\strike0 kasus.\f0\fs24\cf0\b0\i0\ul0\st
rike0 Apapun\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\
i0\ul0\strike0 presentasinya,\f0\fs24\cf0\b0\i0\ul0\strike0 biasanya\f0\fs24\cf
0\b0\i0\ul0\strike0 akan\f0\fs24\cf0\b0\i0\ul0\strike0 terjadi\f0\fs24\cf0\b0\
i0\ul0\strike0 disproporsi\f0\fs24\cf0\b0\i0\ul0\strike0 sephalopelvik,\f0\fs2
4\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 biasanya\par\pard\pl
ain\sl-276\par\pard\plain\li2269\sl-276\f0\fs24\cf0\b0\i0\ul0\strike0 mengakibat
kan\f0\fs24\cf0\b0\i0\ul0\strike0 distosia\f0\fs24\cf0\b0\i0\ul0\strike0 yang\
f0\fs24\cf0\b0\i0\ul0\strike0 berat.\f0\fs16\cf0\b0\i0\ul0\strike0 20\par\pard\
plain\sl-336\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\
fs24\cf0\b0\i0\ul0\strike0 umumnya,\f0\fs24\cf0\b0\i0\ul0\strike0 kejadian\f0\
fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 sama\f0\
fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 laki-laki\f0\fs2
4\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 perempuan.\par\pard\
plain\sl-329\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Insiden\
f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 menya
jikan\f0\fs24\cf0\b0\i0\ul0\strike0 kurva\f0\fs24\cf0\b0\i0\ul0\strike0 usia\f
0\fs24\cf0\b0\i0\ul0\strike0 bimodal.\f0\fs24\cf0\b0\i0\ul0\strike0 Satu\f0\fs
24\cf0\b0\i0\ul0\strike0 puncak\f0\fs24\cf0\b0\i0\ul0\strike0 terjadi\f0\fs24\
cf0\b0\i0\ul0\strike0 pada\par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f
0\fs24\cf0\b0\i0\ul0\strike0 masa\f0\fs24\cf0\b0\i0\ul0\strike0 bayi\f0\fs24\cf
0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 terkait\f0\fs24\cf0\b0\i
0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 berbagai\f0\fs24\cf0\b0\i0\
ul0\strike0 bentuk\f0\fs24\cf0\b0\i0\ul0\strike0 cacat\f0\fs24\cf0\b0\i0\ul0\s
trike0 bawaan.\f0\fs24\cf0\b0\i0\ul0\strike0 Dipuncak\f0\fs24\cf0\b0\i0\ul0\st
rike0 lain\f0\fs24\cf0\b0\i0\ul0\strike0 terjadi\f0\fs24\cf0\b0\i0\ul0\strike0
di\par\pard\plain\sl-275\par\pard\plain\li2270\sl-277\f0\fs24\cf0\b0\i0\ul0\st
rike0 masa\f0\fs24\cf0\b0\i0\ul0\strike0 dewasa\f0\fs24\cf0\b0\i0\ul0\strike0
yaitu\f0\fs24\cf0\b0\i0\ul0\strike0 mewakili\f0\fs24\cf0\b0\i0\ul0\strike0 sek
itar\f0\fs24\cf0\b0\i0\ul0\strike0 40%\f0\fs24\cf0\b0\i0\ul0\strike0 dari\f0\f
s24\cf0\b0\i0\ul0\strike0 total\f0\fs24\cf0\b0\i0\ul0\strike0 kasus\f0\fs24\cf
0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 .\f0\fs16\cf0\b0
\i0\ul0\strike0 10\par\pard\plain\sl-336\par\pard\plain\li2993\sl-217\f0\fs24\cf
0\b0\i0\ul0\strike0 Dalam\f0\fs24\cf0\b0\i0\ul0\strike0 sebuah\f0\fs24\cf0\b0\i

0\ul0\strike0 penelitian\f0\fs24\cf0\b0\i0\ul0\strike0 (1968\f0\fs24\cf0\b0\i0


\ul0\strike0 -\f0\fs24\cf0\b0\i0\ul0\strike0 1976)\f0\fs24\cf0\b0\i0\ul0\strik
e0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 berbasis\f0\fs24\cf0\b0\i0\ul0\strike0
rumah\f0\fs24\cf0\b0\i0\ul0\strike0 sakit\f0\fs24\cf0\b0\i0\ul0\strike0 di\f0\
fs24\cf0\b0\i0\ul0\strike0 Amerika\par\pard\plain\sl-336\par\pard\plain\li2270\
sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Serikat\f0\fs24\cf0\b0\i0\ul0\strike0 deng
an\f0\fs24\cf0\b0\i0\ul0\strike0 total\f0\fs24\cf0\b0\i0\ul0\strike0 174.000\f
0\fs24\cf0\b0\i0\ul0\strike0 kelahiran,\f0\fs24\cf0\b0\i0\ul0\strike0 peneliti
\f0\fs24\cf0\b0\i0\ul0\strike0 menemukan\f0\fs24\cf0\b0\i0\ul0\strike0 kejadia
n\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\par\pard\plain\sl-329\par\pard\pla
in\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 bawaan\f0\fs24\cf0\b0\i0\ul0\stri
ke0 sebesar\f0\fs24\cf0\b0\i0\ul0\strike0 6,6\f0\fs24\cf0\b0\i0\ul0\strike0 k
asus\f0\fs24\cf0\b0\i0\ul0\strike0 per\f0\fs24\cf0\b0\i0\ul0\strike0 10.000\f0
\fs24\cf0\b0\i0\ul0\strike0 kelahiran.\f0\fs24\cf0\b0\i0\ul0\strike0 Tidak\f0\
fs24\cf0\b0\i0\ul0\strike0 ada\f0\fs24\cf0\b0\i0\ul0\strike0 perbedaan\f0\fs24
\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 signifikan\par\pard\
plain\sl-275\par\pard\plain\li2270\sl-277\f0\fs24\cf0\b0\i0\ul0\strike0 dalam\f0
\fs24\cf0\b0\i0\ul0\strike0 insiden\f0\fs24\cf0\b0\i0\ul0\strike0 antara\f0\fs
24\cf0\b0\i0\ul0\strike0 kulit\f0\fs24\cf0\b0\i0\ul0\strike0 putih\f0\fs24\cf0
\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 kulit\f0\fs24\cf0\b0\i0\u
l0\strike0 hitam.\f0\fs16\cf0\b0\i0\ul0\strike0 21\par\pard\plain\sl-200\par\pa
rd\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-20
0\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pla
in\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\
pard\plain\sl-242\par\pard\plain\li8191\sl-278\f1\fs20\cf0\b\i0\ul0\strike0 Univ
ersitas\f1\fs20\cf0\b\i0\ul0\strike0 Sumatera\f1\fs20\cf0\b\i0\ul0\strike0 Uta
ra\sect\sectd\sbkpage\pgwsxn12243\pghsxn15840\sected\cols1\colno1\colw12240\pard
\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\
par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain
\sl-350\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 b.\f0\fs24\cf
0\b0\i0\ul0\strike0 Tempat\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0
\ul0\strike0 Waktu\par\pard\plain\sl-336\par\pard\plain\li2993\sl-217\f0\fs24\c
f0\b0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\c
f0\b0\i0\ul0\strike0 mempengaruhi\f0\fs24\cf0\b0\i0\ul0\strike0 kesehatan\f0\f
s24\cf0\b0\i0\ul0\strike0 baik\f0\fs24\cf0\b0\i0\ul0\strike0 pasien\f0\fs24\cf
0\b0\i0\ul0\strike0 anak\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\u
l0\strike0 dewasa.\par\pard\plain\sl-329\par\pard\plain\li2269\sl-217\f0\fs24\c
f0\b0\i0\ul0\strike0 Menurut\f0\fs24\cf0\b0\i0\ul0\strike0 situs\f0\fs24\cf0\b0
\i0\ul0\strike0 NIH\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\s
trike0 tahun\f0\fs24\cf0\b0\i0\ul0\strike0 2008,\f0\fs24\cf0\b0\i0\ul0\strike0
diperkirakan\f0\fs24\cf0\b0\i0\ul0\strike0 700.000\f0\fs24\cf0\b0\i0\ul0\stri
ke0 anak-anak\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0
orang\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\
strike0 dewasa\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0
hidup\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i\ul0\strike0 hydr
ocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 .\f0\fs24\cf0\b0\i\ul0\strike0 Hydrocep
halus\f0\fs24\cf0\b0\i0\ul0\strike0 Pediatric\f0\fs24\cf0\b0\i0\ul0\strike0 me
mpengaruhi\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\
ul0\strike0 satu\f0\fs24\cf0\b0\i0\ul0\strike0 di\f0\fs24\cf0\b0\i0\ul0\strike0
setiap\f0\fs24\cf0\b0\i0\ul0\strike0 500\f0\fs24\cf0\b0\i0\ul0\strike0 kelah
iran\f0\fs24\cf0\b0\i0\ul0\strike0 hidup,\f0\fs24\cf0\b0\i0\ul0\strike0 membua
tnya\f0\fs24\cf0\b0\i0\ul0\strike0 menjadi\f0\fs24\cf0\b0\i0\ul0\strike0 salah
\f0\fs24\cf0\b0\i0\ul0\strike0 satu\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24
\cf0\b0\i0\ul0\strike0 paling\par\pard\plain\sl-336\par\pard\plain\li2269\sl-21
7\f0\fs24\cf0\b0\i0\ul0\strike0 umum\f0\fs24\cf0\b0\i0\ul0\strike0 cacat\f0\fs2
4\cf0\b0\i0\ul0\strike0 perkembangan\f0\fs24\cf0\b0\i0\ul0\strike0 ,\f0\fs24\c
f0\b0\i0\ul0\strike0 lebih\f0\fs24\cf0\b0\i0\ul0\strike0 umum\f0\fs24\cf0\b0\i
0\ul0\strike0 dari\f0\fs24\cf0\b0\i0\ul0\strike0 sindrom\f0\fs24\cf0\b0\i0\ul0
\strike0 Down\f0\fs24\cf0\b0\i0\ul0\strike0 atau\f0\fs24\cf0\b0\i0\ul0\strike0
tuli.\f0\fs24\cf0\b0\i0\ul0\strike0 Ini\f0\fs24\cf0\b0\i0\ul0\strike0 adalah

\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike
0 penyebab\f0\fs24\cf0\b0\i0\ul0\strike0 utama\f0\fs24\cf0\b0\i0\ul0\strike0 o
perasi\f0\fs24\cf0\b0\i0\ul0\strike0 otak\f0\fs24\cf0\b0\i0\ul0\strike0 untuk\
f0\fs24\cf0\b0\i0\ul0\strike0 anak-anak\f0\fs24\cf0\b0\i0\ul0\strike0 di\f0\fs
24\cf0\b0\i0\ul0\strike0 Amerika\f0\fs24\cf0\b0\i0\ul0\strike0 Serikat.\f0\fs2
4\cf0\b0\i0\ul0\strike0 Ada\f0\fs24\cf0\b0\i0\ul0\strike0 lebih\f0\fs24\cf0\b0
\i0\ul0\strike0 dari\f0\fs24\cf0\b0\i0\ul0\strike0 180\par\pard\plain\sl-329\p
ar\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 penyebab\f0\fs24\cf0\b
0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 berbeda\f0\fs24\cf0\b0\i0\
ul0\strike0 kondisi\f0\fs24\cf0\b0\i0\ul0\strike0 tersebut,\f0\fs24\cf0\b0\i0\
ul0\strike0 salah\f0\fs24\cf0\b0\i0\ul0\strike0 satu\f0\fs24\cf0\b0\i0\ul0\str
ike0 etiologi\f0\fs24\cf0\b0\i0\ul0\strike0 diperoleh\f0\fs24\cf0\b0\i0\ul0\st
rike0 paling\f0\fs24\cf0\b0\i0\ul0\strike0 umum\par\sect\sected\sbknone\cols8\
colno1\colw3150\colsr10\colno2\colw1330\colsr10\colno3\colw690\colsr10\colno4\co
lw730\colsr10\colno5\colw1510\colsr10\colno6\colw970\colsr10\colno7\colw1170\col
sr10\colno8\colw2620\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\
b0\i0\ul0\strike0 adalah\par\pard\column\plain\sl-336\par\pard\plain\li0\sl-217\
f0\fs24\cf0\b0\i0\ul0\strike0 perdarahan\par\pard\column\plain\sl-336\par\pard\p
lain\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 otak\par\pard\column\plain\sl-336\
par\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\column\pla
in\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 berhubungan\pa
r\pard\column\plain\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strik
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e0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 Cit\f0\fs24\cf0\b0\i0\ul0\strike0 Yasa\f
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f0\b0\i0\ul0\strike0 Inggris\f0\fs24\cf0\b0\i0\ul0\strike0 melaporkan\f0\fs24\
cf0\b0\i0\ul0\strike0 bahwa\f0\fs24\cf0\b0\i0\ul0\strike0 insidensi\par\pard\p
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sar\f0\fs24\cf0\b0\i0\ul0\strike0 5-10,8\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0
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0\b0\i0\ul0\strike0 11%-\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\
fs24\cf0\b0\i0\ul0\strike0 43%\f0\fs24\cf0\b0\i0\ul0\strike0 disebabkan\f0\fs24
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f0\b0\i0\ul0\strike0 Menurut\f0\fs24\cf0\b0\i0\ul0\strike0 Harsoso\f0\fs24\cf0
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dan\f0\fs24\cf0\b0\i0\ul0\strike0 meningitis,\f0\fs24\cf0\b0\i0\ul0\strike0 da
n\f0\fs24\cf0\b0\i0\ul0\strike0 kurang\par\pard\plain\sl-276\par\pard\plain\li2
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f0\fs24\cf0\b0\i0\ul0\strike0 akibat\f0\fs24\cf0\b0\i0\ul0\strike0 tumor\f0\fs
24\cf0\b0\i0\ul0\strike0 fossa\f0\fs24\cf0\b0\i0\ul0\strike0 posterior.\f0\fs1
6\cf0\b0\i0\ul0\strike0 23\par\pard\plain\sl-336\par\pard\plain\li2993\sl-217\f0

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f0\fs24\cf0\b0\i\ul0\strike0 Kongenital\f0\fs24\cf0\b0\i0\ul0\strike0 bervaria
si\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 populasi\f
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269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 kelahiran\f0\fs24\cf0\b0\i0\ul0\strike0
di\f0\fs24\cf0\b0\i0\ul0\strike0 Jepang.\f0\fs24\cf0\b0\i0\ul0\strike0 Insid
ens\f0\fs24\cf0\b0\i0\ul0\strike0 bentuk\f0\fs24\cf0\b0\i\ul0\strike0 hydrocep
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24\cf0\b0\i0\ul0\strike0 sekitar\f0\fs24\cf0\b0\i0\ul0\strike0 sisterna\f0\fs2
4\cf0\b0\i0\ul0\strike0 basalis\f0\fs24\cf0\b0\i0\ul0\strike0 dan\par\pard\pla
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0\i0\ul0\strike0 toksoplasmosis.\par\pard\plain\sl-336\par\pard\plain\li0\sl-21
7\f0\fs24\cf0\b0\i0\ul0\strike0 Masalah\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0
\fs24\cf0\b0\i0\ul0\strike0 perkembangan\f0\fs24\cf0\b0\i0\ul0\strike0 janin\f
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sa\f0\fs24\cf0\b0\i0\ul0\strike0 anak\f0\fs24\cf0\b0\i0\ul0\strike0 -\f0\fs24\
cf0\b0\i0\ul0\strike0 anak).\par\pard\plain\sl-336\par\pard\plain\li0\sl-217\f0
\fs24\cf0\b0\i0\ul0\strike0 Lesi\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\
b0\i0\ul0\strike0 tumor\f0\fs24\cf0\b0\i0\ul0\strike0 sumsum\f0\fs24\cf0\b0\i0
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l0\strike0 atau\f0\fs24\cf0\b0\i0\ul0\strike0 otak.\f0\fs24\cf0\b0\i0\ul0\stri
ke0 Pada\f0\fs24\cf0\b0\i0\ul0\strike0 anak\f0\fs24\cf0\b0\i0\ul0\strike0 yan
g\par\pard\plain\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0
menyebabkan\f0\fs24\cf0\b0\i0\ul0\strike0 penyumbatan\f0\fs24\cf0\b0\i0\ul0\str
ike0 ventrikel\f0\fs24\cf0\b0\i0\ul0\strike0 IV\f0\fs24\cf0\b0\i0\ul0\strike0

/\f0\fs24\cf0\b0\i0\ul0\strike0 akuaduktus\f0\fs24\cf0\b0\i0\ul0\strike0 sylv


ii\f0\fs24\cf0\b0\i0\ul0\strike0 bagian\par\sect\sected\sbknone\cols8\colno1\co
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in\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 subaraknoid.\par\pard\plain\sl-336\p
ar\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\
b0\i\ul0\strike0 non\f0\fs24\cf0\b0\i\ul0\strike0 -\f0\fs24\cf0\b0\i\ul0\strik
e0 Komunikans\f0\fs24\cf0\b0\i0\ul0\strike0 berarti\f0\fs24\cf0\b0\i0\ul0\stri

ke0 terdapat\f0\fs24\cf0\b0\i0\ul0\strike0 hambatan\f0\fs24\cf0\b0\i0\ul0\stri


ke0 sirkulasi\par\pard\plain\sl-268\par\pard\plain\li0\sl-277\f0\fs24\cf0\b0\i0
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w9260\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pla
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cf0\b\i0\ul0\strike0 Klinis\f0\fs16\cf0\b\i0\ul0\strike0 8\par\sect\sected\sbkn
one\cols1\colno1\colw12240\pard\plain\sl-329\par\pard\plain\li2993\sl-217\f0\fs2
4\cf0\b0\i0\ul0\strike0 Gambaran\f0\fs24\cf0\b0\i0\ul0\strike0 klinik\f0\fs24\c
f0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 dipengaruhi\f0
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24\cf0\b0\i0\ul0\strike0 gejala\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0
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anial.\f0\fs24\cf0\b0\i0\ul0\strike0 Rincian\f0\fs24\cf0\b0\i0\ul0\strike0 gam
baran\f0\fs24\cf0\b0\i0\ul0\strike0 klinik\f0\fs24\cf0\b0\i0\ul0\strike0 adala
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2.6.1.\f0\fs24\cf0\b\i0\ul0\strike0 Neonatus\par\pard\plain\sl-329\par\pard\pl
ain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Gejala\f0\fs24\cf0\b0\i\ul0\stri
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ike0 paling\f0\fs24\cf0\b0\i0\ul0\strike0 umum\f0\fs24\cf0\b0\i0\ul0\strike0
dijumpai\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 neon
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li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 iritabilitas.\f0\fs24\cf0\b0\i0\ul0\
strike0 Sering\f0\fs24\cf0\b0\i0\ul0\strike0 kali\f0\fs24\cf0\b0\i0\ul0\strike
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f0\fs24\cf0\b0\i0\ul0\strike0 makan\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\
cf0\b0\i0\ul0\strike0 minum,\f0\fs24\cf0\b0\i0\ul0\strike0 kadang\f0\fs24\cf0\
b0\i0\ul0\strike0 \u8211?\f0\fs24\cf0\b0\i0\ul0\strike0 kadang\par\pard\plain\
sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 kesadaran\f0\f
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i0\ul0\strike0 Anak\f0\fs24\cf0\b0\i0\ul0\strike0 kadang\f0\fs24\cf0\b0\i0\ul0
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ejala\f0\fs24\cf0\b0\i0\ul0\strike0 \u8211?\f0\fs24\cf0\b0\i0\ul0\strike0 geja
la\f0\fs24\cf0\b0\i0\ul0\strike0 lainnya\f0\fs24\cf0\b0\i0\ul0\strike0 belum\f
0\fs24\cf0\b0\i0\ul0\strike0 tampak,\par\pard\plain\sl-329\par\pard\plain\li226
9\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 sehingga\f0\fs24\cf0\b0\i0\ul0\strike0 a
pabila\f0\fs24\cf0\b0\i0\ul0\strike0 dijumpai\f0\fs24\cf0\b0\i0\ul0\strike0 ge
jala\f0\fs24\cf0\b0\i0\ul0\strike0 \u8211?\f0\fs24\cf0\b0\i0\ul0\strike0 gejal
a\f0\fs24\cf0\b0\i0\ul0\strike0 seperti\f0\fs24\cf0\b0\i0\ul0\strike0 tersebut
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cf0\b0\i0\ul0\strike0 perlu\f0\fs24\cf0\b0\i0\ul0\strike0 dicurigai\par\pard\p
lain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 adanya\f0
\fs24\cf0\b0\i0\ul0\strike0 kemungkinan\f0\fs24\cf0\b0\i\ul0\strike0 hydroceph

alus.\f0\fs24\cf0\b0\i0\ul0\strike0 Dengan\f0\fs24\cf0\b0\i0\ul0\strike0 demik


ian\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0\strike0 dilakuka
n\f0\fs24\cf0\b0\i0\ul0\strike0 pemantauan\par\pard\plain\sl-336\par\pard\plain
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0 teratur\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 sis
tematik.\par\pard\plain\sl-336\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul
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di\f0\fs24\cf0\b0\i0\ul0\strike0 bawah\f0\fs24\cf0\b0\i0\ul0\strike0 6\f0\fs
24\cf0\b0\i0\ul0\strike0 tahun,\f0\fs24\cf0\b0\i0\ul0\strike0 termasuk\f0\fs24
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lain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 kepala\f0
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4\cf0\b0\i0\ul0\strike0 belum\f0\fs24\cf0\b0\i0\ul0\strike0 menutup\f0\fs24\cf
0\b0\i0\ul0\strike0 secara\f0\fs24\cf0\b0\i0\ul0\strike0 sempurna.\f0\fs24\cf0
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00\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-382\par\pard\pl
ain\li8191\sl-278\f1\fs20\cf0\b\i0\ul0\strike0 Universitas\f1\fs20\cf0\b\i0\ul0\
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2243\pghsxn15840\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\p
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sl-200\par\pard\plain\sl-350\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\
strike0 dipantau\f0\fs24\cf0\b0\i0\ul0\strike0 dari\f0\fs24\cf0\b0\i0\ul0\strik
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ar\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0
tampak\f0\fs24\cf0\b0\i0\ul0\strike0 menonjol,\f0\fs24\cf0\b0\i0\ul0\strike0 p
ada\f0\fs24\cf0\b0\i0\ul0\strike0 palpasi\f0\fs24\cf0\b0\i0\ul0\strike0 terasa
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4\cf0\b0\i0\ul0\strike0 padat.\f0\fs24\cf0\b0\i0\ul0\strike0 Pemeriksaan\f0\fs
24\cf0\b0\i0\ul0\strike0 fontanela\f0\fs24\cf0\b0\i0\ul0\strike0 ini\par\pard\
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trike0 menonjol\f0\fs24\cf0\b0\i0\ul0\strike0 bukan\f0\fs24\cf0\b0\i0\ul0\stri
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i2269\sl-217\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus.\f0\fs24\cf0\b0\i0\ul0\s
trike0 Pada\f0\fs24\cf0\b0\i0\ul0\strike0 umur\f0\fs24\cf0\b0\i0\ul0\strike0
1\f0\fs24\cf0\b0\i0\ul0\strike0 tahun,\f0\fs24\cf0\b0\i0\ul0\strike0 fontanela
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f0\fs24\cf0\b0\i0\ul0\strike0 karena\f0\fs24\cf0\b0\i0\ul0\strike0 rongga\f0\fs
24\cf0\b0\i0\ul0\strike0 tengkorak\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\
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0\i0\ul0\strike0 akan\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs2
4\cf0\b0\i0\ul0\strike0 mengalami\f0\fs24\cf0\b0\i0\ul0\strike0 dekompresi.\par

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0\ul0\strike0 sangat\f0\fs24\cf0\b0\i0\ul0\strike0 menonjol,\f0\fs24\cf0\b0\i0
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cf0\b0\i0\ul0\strike0 tekanan\f0\fs24\cf0\b0\i0\ul0\strike0 intrakranial\f0\fs
24\cf0\b0\i0\ul0\strike0 akan\f0\fs24\cf0\b0\i0\ul0\strike0 mendesak\f0\fs24\c
f0\b0\i0\ul0\strike0 darah\f0\fs24\cf0\b0\i0\ul0\strike0 vena\f0\fs24\cf0\b0\i
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r\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 normal\f0\fs24\cf0\b0\i
0\ul0\strike0 di\f0\fs24\cf0\b0\i0\ul0\strike0 basis\f0\fs24\cf0\b0\i0\ul0\str
ike0 otak\f0\fs24\cf0\b0\i0\ul0\strike0 menuju\f0\fs24\cf0\b0\i0\ul0\strike0
ke\f0\fs24\cf0\b0\i0\ul0\strike0 sistem\f0\fs24\cf0\b0\i0\ul0\strike0 kolatera
l\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 saluran\f0\f
s24\cf0\b0\i0\ul0\strike0 \u8211?\f0\fs24\cf0\b0\i0\ul0\strike0 saluran\f0\fs2
4\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 tidak\par\pard\plai
n\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 mempunyai\f0
\fs24\cf0\b0\i0\ul0\strike0 klep.\f0\fs24\cf0\b0\i0\ul0\strike0 Mata\f0\fs24\c
f0\b0\i0\ul0\strike0 penderita\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\f
s24\cf0\b0\i0\ul0\strike0 memperlihatkan\f0\fs24\cf0\b0\i0\ul0\strike0 gambara
n\f0\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\sl-336\par\pard\plain\li226
9\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 khas,\f0\fs24\cf0\b0\i0\ul0\strike0 yang
\f0\fs24\cf0\b0\i0\ul0\strike0 disebut\f0\fs24\cf0\b0\i0\ul0\strike0 sebagai\f
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nervus\f0\fs24\cf0\b0\i0\ul0\strike0 abdusens,\f0\fs24\cf0\b0\i0\ul0\strike0
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trike0 \u8211?\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b
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il.\f0\fs24\cf0\b0\i0\ul0\strike0 Tidak\f0\fs24\cf0\b0\i0\ul0\strike0 adanya\f
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l-217\f0\fs24\cf0\b\i0\ul0\strike0 2.6.2.\f0\fs24\cf0\b\i0\ul0\strike0 Dewasa\p


ar\pard\plain\sl-321\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0
Gejala\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 paling
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4\cf0\b0\i0\ul0\strike0 itu,\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217
\f0\fs24\cf0\b0\i0\ul0\strike0 gangguan\f0\fs24\cf0\b0\i0\ul0\strike0 visus,\f0
\fs24\cf0\b0\i0\ul0\strike0 gangguan\f0\fs24\cf0\b0\i0\ul0\strike0 motorik/ber
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24\cf0\b0\i0\ul0\strike0 1/3\f0\fs24\cf0\b0\i0\ul0\strike0 kasus\par\pard\plai
n\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus
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d\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 abduse
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0\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-303\par\pard\pla
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f0\fs24\cf0\b0\i\ul0\strike0 Hydrocephalus\par\sect\sected\sbknone\cols2\colno1
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rd\plain\sl-200\par\pard\plain\sl-296\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b
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s24\cf0\b0\i0\ul0\strike0 Pencegahan\f0\fs24\cf0\b0\i0\ul0\strike0 primer\f0\fs
24\cf0\b0\i0\ul0\strike0 adalah\f0\fs24\cf0\b0\i0\ul0\strike0 upaya\f0\fs24\cf
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an\par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\stri
ke0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 tahap\f0\fs24\cf0\b0\i0\ul0\strike0 sus

eptibel\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 induks


i\f0\fs24\cf0\b0\i0\ul0\strike0 penyakit,\f0\fs24\cf0\b0\i0\ul0\strike0 dengan
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dinya\f0\fs24\cf0\b0\i0\ul0\strike0 kasus\f0\fs24\cf0\b0\i0\ul0\strike0 baru\f
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s24\cf0\b0\i0\ul0\strike0 kasus\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\
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in\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 a.\f0\fs24\cf0\b0\i0\ul0\strike0
Pada\f0\fs24\cf0\b0\i0\ul0\strike0 kehamilan\f0\fs24\cf0\b0\i0\ul0\strike0 pe
rawatan\f0\fs24\cf0\b0\i0\ul0\strike0 prenatal\f0\fs24\cf0\b0\i0\ul0\strike0 y
ang\f0\fs24\cf0\b0\i0\ul0\strike0 teratur\f0\fs24\cf0\b0\i0\ul0\strike0 secara
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mengurangi\f0\fs24\cf0\b0\i0\ul0\strike0 risiko\f0\fs24\cf0\b0\i0\ul0\strike0
memiliki\f0\fs24\cf0\b0\i0\ul0\strike0 bayi\f0\fs24\cf0\b0\i0\ul0\strike0 pre
matur,\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 mengur
angi\f0\fs24\cf0\b0\i0\ul0\strike0 risiko\f0\fs24\cf0\b0\i0\ul0\strike0 bayi\p
ar\pard\plain\sl-336\par\pard\plain\li3348\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0
mengalami\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus.\par\pard\plain\sl-200\par
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-200\par\pard\plain\sl-200\par\pard\plain\sl-335\par\pard\plain\li8191\sl-278\f1
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trike0 semua\par\pard\plain\sl-336\par\pard\plain\li3348\sl-217\f0\fs24\cf0\b0\
i0\ul0\strike0 vaksinasi\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul
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\f0\fs24\cf0\b0\i0\ul0\strike0 c.\f0\fs24\cf0\b0\i0\ul0\strike0 Meningitis\f0\f
s24\cf0\b0\i0\ul0\strike0 merupakan\f0\fs24\cf0\b0\i0\ul0\strike0 salah\f0\fs2
4\cf0\b0\i0\ul0\strike0 satu\f0\fs24\cf0\b0\i0\ul0\strike0 penyebab\f0\fs24\cf
0\b0\i0\ul0\strike0 terjadinya\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\f
s24\cf0\b0\i0\ul0\strike0 .\par\pard\plain\sl-336\par\pard\plain\li3348\sl-217\f
0\fs24\cf0\b0\i0\ul0\strike0 Untuk\f0\fs24\cf0\b0\i0\ul0\strike0 itu\f0\fs24\cf
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4\cf0\b0\i0\ul0\strike0 \u8211?\f0\fs24\cf0\b0\i0\ul0\strike0 orang\f0\fs24\cf
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24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 gangguan\f0\fs24\

cf0\b0\i0\ul0\strike0 sistem\f0\fs24\cf0\b0\i0\ul0\strike0 imun\f0\fs24\cf0\b0


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24\cf0\b0\i0\ul0\strike0 d.\f0\fs24\cf0\b0\i0\ul0\strike0 Mencegah\f0\fs24\cf0\
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cf0\b\i0\ul0\strike0 Pencegahan\f0\fs24\cf0\b\i0\ul0\strike0 Sekunder\par\sect
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par\pard\plain\li2269\sl-217\f0\fs24\cf0\b\i0\ul0\strike0 a.\par\pard\column\pla
in\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\b\i0\ul0\strike0 Diagnosis\par\s
ect\sected\sbknone\cols1\colno1\colw12240\pard\plain\sl-329\par\pard\plain\li299
3\sl-217\f0\fs24\cf0\b0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike
0 merupakan\f0\fs24\cf0\b0\i0\ul0\strike0 salah\f0\fs24\cf0\b0\i0\ul0\strike0
satu\f0\fs24\cf0\b0\i0\ul0\strike0 dari\f0\fs24\cf0\b0\i0\ul0\strike0 kelaina
n\f0\fs24\cf0\b0\i0\ul0\strike0 kongenital.\f0\fs24\cf0\b0\i0\ul0\strike0 Untu
k\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strik
e0 mewaspadai\f0\fs24\cf0\b0\i0\ul0\strike0 adanya\f0\fs24\cf0\b0\i0\ul0\strike
0 kelainan\f0\fs24\cf0\b0\i0\ul0\strike0 kongenital\f0\fs24\cf0\b0\i0\ul0\stri
ke0 maka\f0\fs24\cf0\b0\i0\ul0\strike0 diperlukan\f0\fs24\cf0\b0\i0\ul0\strike
0 pemeriksaan\f0\fs24\cf0\b0\i0\ul0\strike0 fisik,\par\pard\plain\sl-329\par\p
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0\ul0\strike0 kongenital\f0\fs24\cf0\b0\i0\ul0\strike0 setelah\par\pard\plain\
sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 bayi\f0\fs24\c
f0\b0\i0\ul0\strike0 lahir.\f0\fs24\cf0\b0\i0\ul0\strike0 Disamping\f0\fs24\cf
0\b0\i0\ul0\strike0 itu,\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i
0\ul0\strike0 kemajuan\f0\fs24\cf0\b0\i0\ul0\strike0 teknologi\f0\fs24\cf0\b0\
i0\ul0\strike0 kedokteran\f0\fs24\cf0\b0\i0\ul0\strike0 suatu\f0\fs24\cf0\b0\i
0\ul0\strike0 kelainan\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs
24\cf0\b0\i0\ul0\strike0 kongenital\f0\fs24\cf0\b0\i0\ul0\strike0 kemungkinan\f
0\fs24\cf0\b0\i0\ul0\strike0 telah\f0\fs24\cf0\b0\i0\ul0\strike0 diketahui\f0\
fs24\cf0\b0\i0\ul0\strike0 selama\f0\fs24\cf0\b0\i0\ul0\strike0 kehidupan\f0\f
s24\cf0\b0\i0\ul0\strike0 janin\f0\fs24\cf0\b0\i0\ul0\strike0 seperti\f0\fs24\
cf0\b0\i0\ul0\strike0 adanya\par\pard\plain\sl-275\par\pard\plain\li2269\sl-277
\f0\fs24\cf0\b0\i0\ul0\strike0 diagnosa\f0\fs24\cf0\b0\i0\ul0\strike0 prenatal\
f0\fs24\cf0\b0\i0\ul0\strike0 atau\f0\fs24\cf0\b0\i0\ul0\strike0 antenatal.\f0
\fs16\cf0\b0\i0\ul0\strike0 2\par\pard\plain\sl-336\par\pard\plain\li2993\sl-217
\f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus,
\f0\fs24\cf0\b0\i0\ul0\strike0 diagnosa\f0\fs24\cf0\b0\i0\ul0\strike0 biasanya
\f0\fs24\cf0\b0\i0\ul0\strike0 mudah\f0\fs24\cf0\b0\i0\ul0\strike0 dibuat\f0\f
s24\cf0\b0\i0\ul0\strike0 secara\f0\fs24\cf0\b0\i0\ul0\strike0 klinis.\f0\fs24
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sl-329\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\c
f0\b0\i0\ul0\strike0 lebih\f0\fs24\cf0\b0\i0\ul0\strike0 besar\f0\fs24\cf0\b0\
i0\ul0\strike0 kemungkinan\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\
cf0\b0\i0\ul0\strike0 diduga\f0\fs24\cf0\b0\i0\ul0\strike0 bila\f0\fs24\cf0\b0
\i0\ul0\strike0 terdapat\f0\fs24\cf0\b0\i0\ul0\strike0 gejala\f0\fs24\cf0\b0\i
0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 tanda\par\pard\plain\sl-336\pa
r\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 tekanan\f0\fs24\cf0\b0\
i0\ul0\strike0 intrakranial\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\
i0\ul0\strike0 meninggi.\f0\fs24\cf0\b0\i0\ul0\strike0 Tindakan\f0\fs24\cf0\b0
\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0
\strike0 membantu\f0\fs24\cf0\b0\i0\ul0\strike0 dalam\par\pard\plain\sl-336\pa
r\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 menegakkan\f0\fs24\cf0\
b0\i0\ul0\strike0 diagnosis\f0\fs24\cf0\b0\i0\ul0\strike0 ialah\f0\fs24\cf0\b0
\i0\ul0\strike0 transluminasi\f0\fs24\cf0\b0\i0\ul0\strike0 kepala,\f0\fs24\cf

0\b0\i0\ul0\strike0 ultrasonogafi\f0\fs24\cf0\b0\i0\ul0\strike0 kepala\f0\fs24


\cf0\b0\i0\ul0\strike0 bila\f0\fs24\cf0\b0\i0\ul0\strike0 ubun-\par\pard\plain
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\i0\ul0\strike0 menutup,\f0\fs24\cf0\b0\i0\ul0\strike0 foto\f0\fs24\cf0\b0\i0\
ul0\strike0 Rontgen\f0\fs24\cf0\b0\i0\ul0\strike0 kepala\f0\fs24\cf0\b0\i0\ul0
\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 tomografi\f0\fs24\cf0\b0\i0\ul0\str
ike0 komputer\f0\fs24\cf0\b0\i0\ul0\strike0 (CT\f0\fs24\cf0\b0\i0\ul0\strike0
Scan).\par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0
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strike0 menentukan\f0\fs24\cf0\b0\i0\ul0\strike0 lokalisasi\f0\fs24\cf0\b0\i0\
ul0\strike0 penyumbatan\f0\fs24\cf0\b0\i0\ul0\strike0 ialah\f0\fs24\cf0\b0\i0\
ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 menyuntikkan\par\pard\plain\s
l-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-382\par\pard
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xn12243\pghsxn15840\sected\cols1\colno1\colw12240\pard\plain\sl-200\par\pard\pla
in\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\
pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-350\par\pard\plain\li2
269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 zat\f0\fs24\cf0\b0\i0\ul0\strike0 warn
a\f0\fs24\cf0\b0\i0\ul0\strike0 PSP\f0\fs24\cf0\b0\i0\ul0\strike0 ke\f0\fs24\c
f0\b0\i0\ul0\strike0 dalam\f0\fs24\cf0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0
\b0\i0\ul0\strike0 lateralis\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\
i0\ul0\strike0 menampung\f0\fs24\cf0\b0\i0\ul0\strike0 pengeluarannya\f0\fs24\
cf0\b0\i0\ul0\strike0 dari\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f
0\fs24\cf0\b0\i0\ul0\strike0 fungsi\f0\fs24\cf0\b0\i0\ul0\strike0 lumbal\f0\fs2
4\cf0\b0\i0\ul0\strike0 untuk\f0\fs24\cf0\b0\i0\ul0\strike0 mengetahui\f0\fs24
\cf0\b0\i0\ul0\strike0 penyumbatan\f0\fs24\cf0\b0\i0\ul0\strike0 ruang\f0\fs24
\cf0\b0\i0\ul0\strike0 subaraknoid.\f0\fs24\cf0\b0\i0\ul0\strike0 Sebelum\par\
pard\plain\sl-329\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 mel
akukan\f0\fs24\cf0\b0\i0\ul0\strike0 uji\f0\fs24\cf0\b0\i0\ul0\strike0 PSP\f0\
fs24\cf0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0\b0\i0\ul0\strike0 ini,\f0\fs2
4\cf0\b0\i0\ul0\strike0 dilakukan\f0\fs24\cf0\b0\i0\ul0\strike0 dahulu\f0\fs24
\cf0\b0\i0\ul0\strike0 uji\f0\fs24\cf0\b0\i0\ul0\strike0 PSP\f0\fs24\cf0\b0\i0
\ul0\strike0 ginjal\f0\fs24\cf0\b0\i0\ul0\strike0 untuk\f0\fs24\cf0\b0\i0\ul0\
strike0 menentukan\par\pard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\c
f0\b0\i0\ul0\strike0 fungsi\f0\fs24\cf0\b0\i0\ul0\strike0 ginjal.\f0\fs24\cf0\b
0\i0\ul0\strike0 Ventrikulografi\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\c
f0\b0\i0\ul0\strike0 dilakukan\f0\fs24\cf0\b0\i0\ul0\strike0 untuk\f0\fs24\cf0
\b0\i0\ul0\strike0 melengkapi\f0\fs24\cf0\b0\i0\ul0\strike0 pemeriksaan.\par\p
ard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Namu
n\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 adanya\f0
\fs24\cf0\b0\i0\ul0\strike0 pemeriksaan\f0\fs24\cf0\b0\i0\ul0\strike0 CT\f0\fs
24\cf0\b0\i0\ul0\strike0 Scan\f0\fs24\cf0\b0\i0\ul0\strike0 kepala,\f0\fs24\cf
0\b0\i0\ul0\strike0 uji\f0\fs24\cf0\b0\i0\ul0\strike0 PSP\f0\fs24\cf0\b0\i0\ul
0\strike0 ini\f0\fs24\cf0\b0\i0\ul0\strike0 tidak\f0\fs24\cf0\b0\i0\ul0\strike
0 dikerjakan\par\pard\plain\sl-276\par\pard\plain\li2269\sl-277\f0\fs24\cf0\b0\
i0\ul0\strike0 lagi.\f0\fs16\cf0\b0\i0\ul0\strike0 2\par\pard\plain\sl-343\par\p
ard\plain\li2269\sl-217\f0\fs24\cf0\b\i0\ul0\strike0 b.\f0\fs24\cf0\b\i0\ul0\str
ike0 Pengobatan\par\pard\plain\sl-321\par\pard\plain\li2993\sl-217\f0\fs24\cf0\
b0\i0\ul0\strike0 Penanganan\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24
\cf0\b0\i0\ul0\strike0 telah\f0\fs24\cf0\b0\i0\ul0\strike0 semakin\f0\fs24\cf0
\b0\i0\ul0\strike0 baik\f0\fs24\cf0\b0\i0\ul0\strike0 dalam\f0\fs24\cf0\b0\i0\
ul0\strike0 tahun-tahun\f0\fs24\cf0\b0\i0\ul0\strike0 terakhir\f0\fs24\cf0\b0\
i0\ul0\strike0 ini,\par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\
cf0\b0\i0\ul0\strike0 tetapi\f0\fs24\cf0\b0\i0\ul0\strike0 terus\f0\fs24\cf0\b0
\i0\ul0\strike0 menghadapi\f0\fs24\cf0\b0\i0\ul0\strike0 banyak\f0\fs24\cf0\b0
\i0\ul0\strike0 persoalan.\f0\fs24\cf0\b0\i0\ul0\strike0 Idealnya\f0\fs24\cf0\
b0\i0\ul0\strike0 bertujuan\f0\fs24\cf0\b0\i0\ul0\strike0 memulihkan\par\pard\
plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 keseimba

ngan\f0\fs24\cf0\b0\i0\ul0\strike0 antara\f0\fs24\cf0\b0\i0\ul0\strike0 produk


si\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 resorpsi\f0
\fs24\cf0\b0\i0\ul0\strike0 CSF.\f0\fs24\cf0\b0\i0\ul0\strike0 Beberapa\f0\fs2
4\cf0\b0\i0\ul0\strike0 cara\f0\fs24\cf0\b0\i0\ul0\strike0 dalam\f0\fs24\cf0\b
0\i0\ul0\strike0 pengobatan\par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\
f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 yaitu:
\par\sect\sected\sbknone\cols2\colno1\colw2670\colsr10\colno2\colw9560\pard\plai
n\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 1.\par\pard\
plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\p
ar\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\
sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\par
d\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200
\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plai
n\sl-200\par\pard\plain\sl-395\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul
0\strike0 2.\par\pard\column\plain\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\
b0\i0\ul0\strike0 Terapi\f0\fs24\cf0\b0\i0\ul0\strike0 Medikamentosa\par\pard\p
lain\sl-336\par\pard\plain\li411\sl-217\f0\fs24\cf0\b0\i\ul0\strike0 Hydrocephal
us\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 progresi
vitas\f0\fs24\cf0\b0\i0\ul0\strike0 rendah\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f
0\fs24\cf0\b0\i0\ul0\strike0 tanpa\f0\fs24\cf0\b0\i0\ul0\strike0 obstruksi\f0\
fs24\cf0\b0\i0\ul0\strike0 pada\par\pard\plain\sl-329\par\pard\plain\li57\sl-21
7\f0\fs24\cf0\b0\i0\ul0\strike0 umumnya\f0\fs24\cf0\b0\i0\ul0\strike0 tidak\f0\
fs24\cf0\b0\i0\ul0\strike0 memerlukan\f0\fs24\cf0\b0\i0\ul0\strike0 tindakan\f
0\fs24\cf0\b0\i0\ul0\strike0 operasi.\f0\fs24\cf0\b0\i0\ul0\strike0 Dapat\f0\f
s24\cf0\b0\i0\ul0\strike0 diberi\f0\fs24\cf0\b0\i0\ul0\strike0 asetazolamid\f0
\fs24\cf0\b0\i0\ul0\strike0 dengan\par\pard\plain\sl-336\par\pard\plain\li57\sl
-217\f0\fs24\cf0\b0\i0\ul0\strike0 dosis\f0\fs24\cf0\b0\i0\ul0\strike0 25-50\f0
\fs24\cf0\b0\i0\ul0\strike0 mg/kg\f0\fs24\cf0\b0\i0\ul0\strike0 BB.\f0\fs24\cf
0\b0\i0\ul0\strike0 Asetazolamid\f0\fs24\cf0\b0\i0\ul0\strike0 dalam\f0\fs24\c
f0\b0\i0\ul0\strike0 dosis\f0\fs24\cf0\b0\i0\ul0\strike0 40-75\f0\fs24\cf0\b0\
i0\ul0\strike0 mg/kg\f0\fs24\cf0\b0\i0\ul0\strike0 24\f0\fs24\cf0\b0\i0\ul0\st
rike0 jam\par\pard\plain\sl-336\par\pard\plain\li57\sl-217\f0\fs24\cf0\b0\i0\ul
0\strike0 mengurangi\f0\fs24\cf0\b0\i0\ul0\strike0 sekitar\f0\fs24\cf0\b0\i0\ul
0\strike0 sepertiga\f0\fs24\cf0\b0\i0\ul0\strike0 produksi\f0\fs24\cf0\b0\i0\u
l0\strike0 CSF,\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike
0 terkadang\f0\fs24\cf0\b0\i0\ul0\strike0 efektif\f0\fs24\cf0\b0\i0\ul0\strike
0 pada\par\pard\plain\sl-336\par\pard\plain\li57\sl-217\f0\fs24\cf0\b0\i\ul0\st
rike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 ringan\f0\fs24\cf0\b0\i0\ul0\
strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 berkembang\f0\fs24\cf0\b0\i0\ul0\st
rike0 lambat.\f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\fs24\cf0\b0\i0\ul0\strike0
keadaan\f0\fs24\cf0\b0\i0\ul0\strike0 akut\f0\fs24\cf0\b0\i0\ul0\strike0 dap
at\par\pard\plain\sl-336\par\pard\plain\li57\sl-217\f0\fs24\cf0\b0\i0\ul0\strike
0 diberikan\f0\fs24\cf0\b0\i0\ul0\strike0 manitol.\f0\fs24\cf0\b0\i0\ul0\strike
0 Diuretika\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 k
ortikosteroid\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0\strike0
diberikan,\f0\fs24\cf0\b0\i0\ul0\strike0 meskipun\par\pard\plain\sl-269\par\p
ard\plain\li57\sl-277\f0\fs24\cf0\b0\i0\ul0\strike0 hasilnya\f0\fs24\cf0\b0\i0\u
l0\strike0 kurang\f0\fs24\cf0\b0\i0\ul0\strike0 memuaskan.\f0\fs16\cf0\b0\i0\u
l0\strike0 8\par\pard\plain\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i0\u
l0\strike0 Operasi\par\pard\plain\sl-336\par\pard\plain\li411\sl-217\f0\fs24\cf0
\b0\i0\ul0\strike0 Operasi\f0\fs24\cf0\b0\i0\ul0\strike0 berupa\f0\fs24\cf0\b0\
i0\ul0\strike0 upaya\f0\fs24\cf0\b0\i0\ul0\strike0 menghubungkan\f0\fs24\cf0\b
0\i0\ul0\strike0 ventrikulus\f0\fs24\cf0\b0\i0\ul0\strike0 otak\f0\fs24\cf0\b0
\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 rongga\par\pard\plain\sl336\par\pard\plain\li56\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 peritoneal,\f0\fs24
\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 disebut\f0\fs24\cf0\
b0\i0\ul0\strike0 ventriculo-peritoneal\f0\fs24\cf0\b0\i0\ul0\strike0 shunt.\f
0\fs24\cf0\b0\i0\ul0\strike0 Tindakan\f0\fs24\cf0\b0\i0\ul0\strike0 ini\f0\fs2
4\cf0\b0\i0\ul0\strike0 pada\par\pard\plain\sl-336\par\pard\plain\li56\sl-217\f
0\fs24\cf0\b0\i0\ul0\strike0 umumnya\f0\fs24\cf0\b0\i0\ul0\strike0 ditujukan\f0

\fs24\cf0\b0\i0\ul0\strike0 untuk\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f


0\fs24\cf0\b0\i0\ul0\strike0 non-komunikans\f0\fs24\cf0\b0\i0\ul0\strike0 dan\
f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\par\pard\plain\sl-200\par\pard\plain
\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-382\par\pard\plain\li5495\sl-278
\f1\fs20\cf0\b\i0\ul0\strike0 Universitas\f1\fs20\cf0\b\i0\ul0\strike0 Sumatera
\f1\fs20\cf0\b\i0\ul0\strike0 Utara\sect\sectd\sbkpage\pgwsxn12243\pghsxn15840\
sected\cols1\colno1\colw12240\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\p
lain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\pa
r\pard\plain\sl-200\par\pard\plain\sl-350\par\pard\plain\li2752\sl-217\f0\fs24\c
f0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 progresif.\f0\fs24\cf0\
b0\i0\ul0\strike0 Setiap\f0\fs24\cf0\b0\i0\ul0\strike0 tindakan\f0\fs24\cf0\b0
\i0\ul0\strike0 pemirauan\f0\fs24\cf0\b0\i0\ul0\strike0 (shunting)\f0\fs24\cf0
\b0\i0\ul0\strike0 memerlukan\f0\fs24\cf0\b0\i0\ul0\strike0 pemantauan\par\par
d\plain\sl-275\par\pard\plain\li2752\sl-277\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f
0\fs24\cf0\b0\i0\ul0\strike0 berkesinambungan\f0\fs24\cf0\b0\i0\ul0\strike0 ol
eh\f0\fs24\cf0\b0\i0\ul0\strike0 dokter\f0\fs24\cf0\b0\i0\ul0\strike0 spesiali
s\f0\fs24\cf0\b0\i0\ul0\strike0 bedah\f0\fs24\cf0\b0\i0\ul0\strike0 saraf.\f0\
fs16\cf0\b0\i0\ul0\strike0 8\par\pard\plain\sl-329\par\pard\plain\li3163\sl-217\
f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\fs24\cf0\b0\i\ul0\strike0 Hydrocephalus\f
0\fs24\cf0\b0\i\ul0\strike0 Obstruktif\f0\fs24\cf0\b0\i0\ul0\strike0 ,\f0\fs24\
cf0\b0\i0\ul0\strike0 tempat\f0\fs24\cf0\b0\i0\ul0\strike0 obstruksi\f0\fs24\c
f0\b0\i0\ul0\strike0 terkadang\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0
\b0\i0\ul0\strike0 dipintas\par\sect\sected\sbknone\cols3\colno1\colw3850\colsr
10\colno2\colw5570\colsr10\colno3\colw2800\pard\plain\sl-336\par\pard\plain\li27
52\sl-217\f0\fs24\charscalex99\cf0\b0\i0\ul0\strike0 (bypass).\par\pard\column\p
lain\sl-336\par\pard\plain\li0\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\fs24
\cf0\b0\i0\ul0\strike0 operasi\f0\fs24\cf0\b0\i0\ul0\strike0 Torkildsen\f0\fs2
4\cf0\b0\i0\ul0\strike0 dibuat\f0\fs24\cf0\b0\i0\ul0\strike0 pintas\f0\fs24\cf
0\b0\i0\ul0\strike0 stenosis\par\pard\column\plain\sl-336\par\pard\plain\li0\sl
-217\f0\fs24\cf0\b0\i0\ul0\strike0 akuaduktus\par\sect\sected\sbknone\cols1\coln
o1\colw12240\pard\plain\sl-336\par\pard\plain\li2752\sl-217\f0\fs24\cf0\b0\i0\ul
0\strike0 menggunakan\f0\fs24\cf0\b0\i0\ul0\strike0 tabung\f0\fs24\cf0\b0\i0\ul
0\strike0 plastik\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\str
ike0 menghubungkan\f0\fs24\cf0\b0\i0\ul0\strike0 tabung\f0\fs24\cf0\b0\i0\ul0\
strike0 plastik\f0\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\sl-336\par\p
ard\plain\li2752\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 menghubungkan\f0\fs24\cf0\
b0\i0\ul0\strike0 1\f0\fs24\cf0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0\b0\i0\
ul0\strike0 lateralis\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\u
l0\strike0 sistem\f0\fs24\cf0\b0\i0\ul0\strike0 magna\f0\fs24\cf0\b0\i0\ul0\st
rike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 ruang\par\pard\plain\sl-336\par\pard\p
lain\li2752\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 subaraknoid\f0\fs24\cf0\b0\i0\u
l0\strike0 medula\f0\fs24\cf0\b0\i0\ul0\strike0 spinalis;\f0\fs24\cf0\b0\i0\ul
0\strike0 operasi\f0\fs24\cf0\b0\i0\ul0\strike0 tidak\f0\fs24\cf0\b0\i0\ul0\st
rike0 berhasil\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike
0 bayi\f0\fs24\cf0\b0\i0\ul0\strike0 karena\f0\fs24\cf0\b0\i0\ul0\strike0 rua
ngan-\par\pard\plain\sl-268\par\pard\plain\li2752\sl-277\f0\fs24\cf0\b0\i0\ul0\s
trike0 ruangan\f0\fs24\cf0\b0\i0\ul0\strike0 ini\f0\fs24\cf0\b0\i0\ul0\strike0
belum\f0\fs24\cf0\b0\i0\ul0\strike0 berkembang\f0\fs24\cf0\b0\i0\ul0\strike0
dengan\f0\fs24\cf0\b0\i0\ul0\strike0 baik.\f0\fs16\cf0\b0\i0\ul0\strike0 6\par\
pard\plain\sl-343\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b\i0\ul0\strike0 2.7.
3.\f0\fs24\cf0\b\i0\ul0\strike0 Pencegahan\f0\fs24\cf0\b\i0\ul0\strike0 Tersie
r\par\pard\plain\sl-329\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0\i0\ul0\strik
e0 Pencegahan\f0\fs24\cf0\b0\i0\ul0\strike0 tersier\f0\fs24\cf0\b0\i0\ul0\strik
e0 adalah\f0\fs24\cf0\b0\i0\ul0\strike0 upaya\f0\fs24\cf0\b0\i0\ul0\strike0 p
encegahan\f0\fs24\cf0\b0\i0\ul0\strike0 progresi\f0\fs24\cf0\b0\i0\ul0\strike0
penyakit\f0\fs24\cf0\b0\i0\ul0\strike0 ke\f0\fs24\cf0\b0\i0\ul0\strike0 arah\
par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0
berbagai\f0\fs24\cf0\b0\i0\ul0\strike0 akibat\f0\fs24\cf0\b0\i0\ul0\strike0 p
enyakit\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 lebih
\f0\fs24\cf0\b0\i0\ul0\strike0 buruk,\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\

fs24\cf0\b0\i0\ul0\strike0 tujuan\f0\fs24\cf0\b0\i0\ul0\strike0 memperbaiki\f0


\fs24\cf0\b0\i0\ul0\strike0 kualitas\f0\fs24\cf0\b0\i0\ul0\strike0 hidup\par\p
ard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 pasi
en.\f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\fs24\cf0\b0\i0\ul0\strike0 penderita
\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus\f0\fs24\cf0\b0\i0\ul0\strike0 penc
egahan\f0\fs24\cf0\b0\i0\ul0\strike0 tersier\f0\fs24\cf0\b0\i0\ul0\strike0 yan
g\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0\strike0 dilakukan\
f0\fs24\cf0\b0\i0\ul0\strike0 yaitu\par\pard\plain\sl-336\par\pard\plain\li2270
\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0\fs24\cf0\b0\i0\ul0\strike0 peme
liharaan\f0\fs24\cf0\b0\i0\ul0\strike0 luka\f0\fs24\cf0\b0\i0\ul0\strike0 kuli
t\f0\fs24\cf0\b0\i0\ul0\strike0 terhadap\f0\fs24\cf0\b0\i0\ul0\strike0 kontami
nasi\f0\fs24\cf0\b0\i0\ul0\strike0 infeksi\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f
0\fs24\cf0\b0\i0\ul0\strike0 pemantauan\par\pard\plain\sl-329\par\pard\plain\li
2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 kelancaran\f0\fs24\cf0\b0\i0\ul0\strik
e0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 fungsi\f0\fs24\cf0\b0\i0\ul0\strike0 ala
t\f0\fs24\cf0\b0\i\ul0\strike0 shunt\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs2
4\cf0\b0\i0\ul0\strike0 dipasang.\f0\fs24\cf0\b0\i0\ul0\strike0 Tindakan\f0\fs
24\cf0\b0\i0\ul0\strike0 ini\f0\fs24\cf0\b0\i0\ul0\strike0 dilakukan\f0\fs24\c
f0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i0\ul0\strike0 periode\par\pard\plain
\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 pasca\f0\fs24
\cf0\b0\i0\ul0\strike0 operasi.\f0\fs24\cf0\b0\i0\ul0\strike0 Hal\f0\fs24\cf0\
b0\i0\ul0\strike0 ini\f0\fs24\cf0\b0\i0\ul0\strike0 dilakukan\f0\fs24\cf0\b0\i
0\ul0\strike0 untuk\f0\fs24\cf0\b0\i0\ul0\strike0 mencegah\f0\fs24\cf0\b0\i0\u
l0\strike0 terjadinya\f0\fs24\cf0\b0\i0\ul0\strike0 komplikasi\f0\fs24\cf0\b0\
i\ul0\strike0 shunt\f0\fs24\cf0\b0\i0\ul0\strike0 seperti\par\pard\plain\sl-33
6\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 infeksi,\f0\fs24\cf
0\b0\i0\ul0\strike0 kegagalan\f0\fs24\cf0\b0\i0\ul0\strike0 mekanis,\f0\fs24\c
f0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\i0\ul0\strike0 kegagalan\f0\fs24\cf0\b
0\i0\ul0\strike0 fungsional\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\
i0\ul0\strike0 disebabkan\f0\fs24\cf0\b0\i0\ul0\strike0 oleh\f0\fs24\cf0\b0\i0
\ul0\strike0 jumlah\par\pard\plain\sl-275\par\pard\plain\li2270\sl-277\f0\fs24\
cf0\b0\i0\ul0\strike0 aliran\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\
i0\ul0\strike0 tidak\f0\fs24\cf0\b0\i0\ul0\strike0 adekuat.\f0\fs16\cf0\b0\i0\
ul0\strike0 25\par\pard\plain\sl-336\par\pard\plain\li2993\sl-217\f0\fs24\cf0\b0
\i0\ul0\strike0 Infeksi\f0\fs24\cf0\b0\i0\ul0\strike0 pada\f0\fs24\cf0\b0\i\ul0
\strike0 shunt\f0\fs24\cf0\b0\i0\ul0\strike0 meningkatkan\f0\fs24\cf0\b0\i0\ul
0\strike0 resiko\f0\fs24\cf0\b0\i0\ul0\strike0 akan\f0\fs24\cf0\b0\i0\ul0\stri
ke0 kerusakan\f0\fs24\cf0\b0\i0\ul0\strike0 intelektual,\f0\fs24\cf0\b0\i0\ul0
\strike0 lokulasi\par\pard\plain\sl-329\par\pard\plain\li2269\sl-217\f0\fs24\cf
0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0\b0\i0\ul0\strike0 dan\f0\fs24\cf0\b0\
i0\ul0\strike0 bahkan\f0\fs24\cf0\b0\i0\ul0\strike0 kematian.\f0\fs24\cf0\b0\i
0\ul0\strike0 Kegagalan\f0\fs24\cf0\b0\i0\ul0\strike0 mekanis\f0\fs24\cf0\b0\i
0\ul0\strike0 mencakup\f0\fs24\cf0\b0\i0\ul0\strike0 komplikasi-\par\pard\plai
n\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 komplikasi\f
0\fs24\cf0\b0\i0\ul0\strike0 seperti:\f0\fs24\cf0\b0\i0\ul0\strike0 oklusi\f0\
fs24\cf0\b0\i0\ul0\strike0 aliran\f0\fs24\cf0\b0\i0\ul0\strike0 di\f0\fs24\cf0
\b0\i0\ul0\strike0 dalam\f0\fs24\cf0\b0\i\ul0\strike0 shunt\f0\fs24\cf0\b0\i0\
ul0\strike0 (proksimal,\f0\fs24\cf0\b0\i0\ul0\strike0 katup\f0\fs24\cf0\b0\i0\
ul0\strike0 atau\f0\fs24\cf0\b0\i0\ul0\strike0 bagian\f0\fs24\cf0\b0\i0\ul0\st
rike0 distal),\par\pard\plain\sl-336\par\pard\plain\li2270\sl-217\f0\fs24\cf0\b
0\i0\ul0\strike0 diskoneksi\f0\fs24\cf0\b0\i0\ul0\strike0 atau\f0\fs24\cf0\b0\i
0\ul0\strike0 putusnya\f0\fs24\cf0\b0\i\ul0\strike0 shunt\f0\fs24\cf0\b0\i0\ul
0\strike0 ,\f0\fs24\cf0\b0\i0\ul0\strike0 migrasi\f0\fs24\cf0\b0\i0\ul0\strike0
dari\f0\fs24\cf0\b0\i0\ul0\strike0 tempat\f0\fs24\cf0\b0\i0\ul0\strike0 semu
la,\f0\fs24\cf0\b0\i0\ul0\strike0 tempat\f0\fs24\cf0\b0\i0\ul0\strike0 pemasan
gan\f0\fs24\cf0\b0\i0\ul0\strike0 yang\par\pard\plain\sl-336\par\pard\plain\li2
270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 tidak\f0\fs24\cf0\b0\i0\ul0\strike0 te
pat.\f0\fs24\cf0\b0\i0\ul0\strike0 Kegagalan\f0\fs24\cf0\b0\i0\ul0\strike0 fun
gsional\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0\strike0 beru
pa\f0\fs24\cf0\b0\i0\ul0\strike0 drainase\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f

0\fs24\cf0\b0\i0\ul0\strike0 berlebihan\f0\fs24\cf0\b0\i0\ul0\strike0 atau\f0\


fs24\cf0\b0\i0\ul0\strike0 malah\par\pard\plain\sl-336\par\pard\plain\li2270\sl
-217\f0\fs24\cf0\b0\i0\ul0\strike0 kurang\f0\fs24\cf0\b0\i0\ul0\strike0 lancarn
ya\f0\fs24\cf0\b0\i0\ul0\strike0 drainase.\f0\fs24\cf0\b0\i0\ul0\strike0 Drain
ase\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 terlalu\f
0\fs24\cf0\b0\i0\ul0\strike0 banyak\f0\fs24\cf0\b0\i0\ul0\strike0 dapat\f0\fs2
4\cf0\b0\i0\ul0\strike0 menimbulkan\par\pard\plain\sl-200\par\pard\plain\sl-200
\par\pard\plain\sl-200\par\pard\plain\sl-382\par\pard\plain\li8191\sl-278\f1\fs2
0\cf0\b\i0\ul0\strike0 Universitas\f1\fs20\cf0\b\i0\ul0\strike0 Sumatera\f1\fs2
0\cf0\b\i0\ul0\strike0 Utara\sect\sectd\sbkpage\pgwsxn12243\pghsxn15840\pard\pl
ain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par
\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl
-350\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 komplikasi\f0\fs
24\cf0\b0\i0\ul0\strike0 lanjut\f0\fs24\cf0\b0\i0\ul0\strike0 seperti\f0\fs24\
cf0\b0\i0\ul0\strike0 terjadinya\f0\fs24\cf0\b0\i0\ul0\strike0 efusi\f0\fs24\c
f0\b0\i0\ul0\strike0 subdural,\f0\fs24\cf0\b0\i0\ul0\strike0 kraniosinostosis,
\f0\fs24\cf0\b0\i0\ul0\strike0 lokulasi\par\pard\plain\sl-275\par\pard\plain\li
2269\sl-277\f0\fs24\cf0\b0\i0\ul0\strike0 ventrikel,\f0\fs24\cf0\b0\i0\ul0\strik
e0 hipotensi\f0\fs24\cf0\b0\i0\ul0\strike0 ortostatik.\f0\fs16\cf0\b0\i0\ul0\s
trike0 15\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\
pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\p
lain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\pa
r\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\s
l-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard
\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\
par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain
\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pa
rd\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-20
0\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\pla
in\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\
pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\p
lain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\pa
r\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\s
l-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard\plain\sl-200\par\pard
\plain\sl-373\par\pard\plain\li8191\sl-278\f1\fs20\cf0\b\i0\ul0\strike0 Universi
tas\f1\fs20\cf0\b\i0\ul0\strike0 Sumatera\f1\fs20\cf0\b\i0\ul0\strike0 Utara}