HEMIPLEGIA DEXTRA WITH APHASIA BROCKA CAUSED BY SUSPECTED HEMORRHAGIC STROKE

Rahmatika Lestari

Abstract


Stroke is vascular disease which causes fokal and global brain dysfunction for 24 hours or more and lead to death. Number of stroke patients in Indonesia up to 24% at the year of 2013 followed by the increasing of risk factor towards stroke. Case. Mr. S, Man, 70 years old, farmer, come with his weakness on right arm and leg since three days ago, speech and swallow disorders. The patient had a history with high blood pressure since seven years ago which was uncontrolled and take the medicine irregularly. Physical examination found blood pressure is 170/110 mmHg, examination N.VII face inspection while silent is asymmetric and while closing eyes is symmetric, motoric examination on muscle strength is zero (0), hypertonus and hypereflect on right arm and leg. Laboratory result, leukocyte: 11.200 /ul, urea: 71 mg/dl, and creatinine: 1,3 mg/dl. Management, nasogastric installation, catheter placement, monitoring of fluid balance, Ceftriaxone 1 gram/12 hours IV, Furosemide 40 mg/days IV. Working diagnosis: hemiplegia dextra with aphasia Brocka caused by suspected hemorrhagic stroke. Conclusion. Stroke has bad prognosis which causes irreversible brain damage and mortality.

Keywords: hemiplegia, hemorrhagic stroke, stroke.

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