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0\b0\i\ul0\strike0 Hydrocephalus\f0\fs24\cf0\b0\i\ul0\strike0 Obstruktif\f0\fs
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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\
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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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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
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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
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li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 diantara\f0\fs24\cf0\b0\i0\ul0\strik
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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
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strike0 mencapai\f0\fs24\cf0\b0\i0\ul0\strike0 80\f0\fs24\cf0\b0\i0\ul0\strike
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an\f0\fs24\cf0\b0\i0\ul0\strike0 biasanya\f0\fs24\cf0\b0\i0\ul0\strike0 antara
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f0\b0\i0\ul0\strike0 dapat\f0\fs24\cf0\b0\i0\ul0\strike0 mencapai\f0\fs24\cf0\b
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strike0 Presentasi\f0\fs24\cf0\b0\i0\ul0\strike0 sungsang\f0\fs24\cf0\b0\i0\ul
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trike0 sepertiga\f0\fs24\cf0\b0\i0\ul0\strike0 kasus.\f0\fs24\cf0\b0\i0\ul0\st
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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
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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
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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
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trike0 bawaan.\f0\fs24\cf0\b0\i0\ul0\strike0 Dipuncak\f0\fs24\cf0\b0\i0\ul0\st
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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
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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
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in\li2270\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 bawaan\f0\fs24\cf0\b0\i0\ul0\stri
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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\
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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
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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
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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
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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
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colno1\colw3150\colsr10\colno2\colw1330\colsr10\colno3\colw690\colsr10\colno4\co
lw730\colsr10\colno5\colw1510\colsr10\colno6\colw970\colsr10\colno7\colw1170\col
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f0\fs24\cf0\b0\i0\ul0\strike0 perdarahan\par\pard\column\plain\sl-336\par\pard\p
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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
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7\f0\fs24\cf0\b0\i0\ul0\strike0 Masalah\f0\fs24\cf0\b0\i0\ul0\strike0 dengan\f0
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b0\i0\ul0\strike0 tumor\f0\fs24\cf0\b0\i0\ul0\strike0 sumsum\f0\fs24\cf0\b0\i0
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ke0 Pada\f0\fs24\cf0\b0\i0\ul0\strike0 anak\f0\fs24\cf0\b0\i0\ul0\strike0 yan
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/\f0\fs24\cf0\b0\i0\ul0\strike0 akuaduktus\f0\fs24\cf0\b0\i0\ul0\strike0 sylv

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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
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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
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n\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 mempunyai\f0
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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
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\f0\fs24\cf0\b0\i0\ul0\strike0 c.\f0\fs24\cf0\b0\i0\ul0\strike0 Meningitis\f0\f
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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
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\f0\fs24\cf0\b0\i0\ul0\strike0 Pada\f0\fs24\cf0\b0\i\ul0\strike0 hydrocephalus,
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sl-329\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 yang\f0\fs24\c
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cf0\b0\i0\ul0\strike0 diduga\f0\fs24\cf0\b0\i0\ul0\strike0 bila\f0\fs24\cf0\b0
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0\b0\i0\ul0\strike0 ultrasonogafi\f0\fs24\cf0\b0\i0\ul0\strike0 kepala\f0\fs24

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pard\plain\sl-329\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 mel
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fs24\cf0\b0\i0\ul0\strike0 ventrikel\f0\fs24\cf0\b0\i0\ul0\strike0 ini,\f0\fs2
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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
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ard\plain\sl-336\par\pard\plain\li2269\sl-217\f0\fs24\cf0\b0\i0\ul0\strike0 Namu
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\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
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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
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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:
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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
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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
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\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
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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
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strike0 yang\f0\fs24\cf0\b0\i0\ul0\strike0 berkembang\f0\fs24\cf0\b0\i0\ul0\st
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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
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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}