Comparison Between NIHSS Score on Admission in Defining The Location of Infarct in Acute Ischemic Stroke Patients

SEKAR SAFITRI, dr. Abdul Ghofir, Sp.S(K), M.Sc;Dr. dr. Ahmad Asmedi, Sp.S(K), M.Kes

2019 | Skripsi | S1 KEDOKTERAN

Stroke, terlepas dari semua perbaikan diagnostik dan manajemen, masih dianggap sebagai penyakit dengan beban yang tinggi di seluruh dunia. Stroke secara signifikan telah meningkatkan Disability Adjusted Life Years (DALY) dan kematian dibandingkan dengan semua penyakit sejak 2 dekade terakhir, terutama di Indonesia, di mana stroke disebut sebagai penyebab tertinggi kedua disabilitas dan mortalitas. Stroke memiliki berbagai macam manifestasi klinis dan tingkat keparahan, dan seluruh aspek sangat penting untuk dideteksi dan ditangani sedini mungkin untuk mengurangi kemungkinan defisit neurologis yang permanen. NIHSS telah banyak digunakan sebagai alat pengukuran untuk keluaran fungsional. Oleh karena itu, penting untuk memahami sistem penilaian NIHSS dan lokasi infark, karena mungkin dapat mengurangi urgensi kebutuhan MRI dan CT-Scan.

Stroke, despite all the diagnostic and management improvements, is still considered a high burden disease worldwide. Stroke has been actively increasing Disability Adjusted Life Years (DALY) and deaths compared to all diseases since the last 2 decades, especially in Indonesia, where it is named as the second highest cause of disability and mortality combined. Stroke may be present with varying degree of fatality and symptoms, and all is equally crucial to be detected and treated as early as possible to decrease the probability of permanent neurological deficits. NIHSS has been widely used as an assessment tool for functional outcome, and its possible function to differentiate the location of lesion is still scarcely known. Therefore, it is important to understand the NIHSS scoring system and the location of infarction, because it may able to reduce the urgency of going through MRI and CT-Scan.

Kata Kunci : National Institute of Health Stroke Scale (NIHSS), Ischemic Stroke, Location of Infarct, Stroke Iskemik, Lokasi Infark