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Keluhan vertigo dalam kasus pendarahan subdural spontan dengan terapi konservatif: sebuah laporan kasus

Abstract

Introduction: Vertigo is an atypical symptom of SDH so that it is sometimes missed for further examination. Given the relatively high mortality of spontaneous SDH, an accurate diagnosis is necessary so that appropriate therapy can be given. This case report presents an elderly man who came with complaints of vertigo.

Case Presentation: A 50-year-old male patient who complained of spinning dizziness and imbalance when walking since three weeks of SMRS. Complaints are felt to come and go, get worse when walking and decrease when you are resting. The results of the physical examination found bilateral SDH in the CT-Scan examination. The patient denied any history of trauma or taking blood thinners so it was considered a spontaneous SDH. Subsequently, the patient was admitted to the hospital for further management. Ten days later there was clinical improvement and the patient continued polyclinical treatment.

Conclusion: Based on this case report, vertigo is one of the non-typical clinical manifestations of SDH that can occur spontaneously.

 

Latar Belakang: Vertigo merupakan gejala atipikal dari SDH sehingga kadang luput untuk dilakukan pemeriksaan lanjutan. Mengingat mortalitas SDH spontan cukup tinggi, diagnosis yang akurat diperlukan agar terapi yang seusai dapat diberikan. Laporan kasus ini menampilkan seorang laki-laki lansia yang datang dengan keluhan vertigo.

Presentasi kasus: Pasien laki-laki berusia 50 tahun yang mengeluh pusing berputar dan ketidakseimbangan ketika berjalan sejak tiga minggu SMRS. Keluhan dirasakan hilang timbul, memberat saat berjalan dan berkurang saat tengah beristirahat. Pada hasil pemeriksaan fisik ditemukan Ditemukan SDH bilateral dalam pemeriksaan CT-Scan. Pasien menyangkal riwayat trauma atau minum obat pengencer darah sehingga dianggap sebagai SDH spontan. Selanjutnya pasien dirawat di Rumah Sakit untuk tatalaksana lebih lanjut. Sepuluh hari kemudian terdapat perbaikan klinis dan pasien melanjutkan perawatan secara poliklinis.

Simpulan: Berdasarkan pada laporan kasus ini, vertigo adalah salah satu menampilkan manifestasi klinis yang tidak khas SDH dapat terjadi secara spontan.

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How to Cite

Melati, I. G. A. P. S., & Sumada, I. K. . (2023). Keluhan vertigo dalam kasus pendarahan subdural spontan dengan terapi konservatif: sebuah laporan kasus. Intisari Sains Medis, 14(3), 961–965. https://doi.org/10.15562/ism.v14i3.1789

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I Gusti Ayu Prita Sari Melati
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I Ketut Sumada
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