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Successful Management of Vascular Cognitive Impairment In Ischemic Stroke with Haemodillution : A Case Report

I Gusti Agung Gede Ariswanda, Tommy Sarongku, Anak Agung Bagus Ngurah Nuartha, Ida Bagus Kusuma Putra, I Putu Eka Widyadharma.

Abstract
Stroke is a neurovascular disorder with focal or global deficit neurology. Cognitive Impartment is non motoric symptoms and rare manifestation during in acute phase stroke.
Report : We report patient with Ischemic stroke with family’s complain of sudden onset recent memory loss, confusing and headache. The Mini Mental State Examination (MMSE) showed moderate cognitive impairment. Computed tomography scan (CT-scan) of his brain showed tempooparietal’s infark. Patient wih high level haematocrit. He was treated with aspilets and haemodilution. The patient was symptomatically better after 6 hours.
Conclusion : Stroke ischemic acute with high haematocrite, with isovolemic haemodilution blood-HES exchanged therapy gives good outcome in cognitive function.

Key words: Cognitive impairment, acute phase stroke, haemodilution



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