19 pemeriksaan dan pengukuran syaraf krnial dan syaraf tepi

7/27/2019 19 Pemeriksaan Dan Pengukuran Syaraf Krnial Dan Syaraf Tepi

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PEMERIKSAAN DANPEMERIKSAAN DANPENGUKURAN SYARAFPENGUKURAN SYARAF

KRNIAL DAN SYARAF TEPIKRNIAL DAN SYARAF TEPI

NAWANGSASI TAKARININAWANGSASI TAKARINI


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12 SYARAF CRANIAL12 SYARAF CRANIAL

I - Olfactory

II - Optic

III - Oculomotor

IV - Trochlear

V - TrigemialVI - A!"uce#

VII - Facial

VIII - Au"itory

I$ - %lo##opharygeal

$ - Vagu#

$I - Acce##ory$II - &ypogla##al


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Cranial Nerve MnemonicCranial Nerve MnemonicA commonly used mnemonic for identifying and remembering the cranial nerves is:A commonly used mnemonic for identifying and remembering the cranial nerves is:On Old Olympus Towering Tops, Finn And German Viewed Some ops! The details ofOn Old Olympus Towering Tops, Finn And German Viewed Some ops! The details ofthe cranial nerves are as follows!the cranial nerves are as follows!

CN1 Olfactory: You have one nose, h!ch !s here CN 1 res!"es# Its funct!on contr!$utes toCN1 Olfactory: You have one nose, h!ch !s here CN 1 res!"es# Its funct!on contr!$utes tothe sense of s%ell#the sense of s%ell#

CN II O&t!c: You have to eyes, here you !ll f!n" CN II# 'unct!on of th!s cran!al nerve !sCN II O&t!c: You have to eyes, here you !ll f!n" CN II# 'unct!on of th!s cran!al nerve !sv!tal to v!s!on an" v!sual f!el"s, an", !n con(unct!on !th CN III, &u&!llary react!on#v!tal to v!s!on an" v!sual f!el"s, an", !n con(unct!on !th CN III, &u&!llary react!on#

CN III Occulo%otor: CN III, the eye )occulo*+ %ove%ent )%otor+ nerve ors !th CN III, I-CN III Occulo%otor: CN III, the eye )occulo*+ %ove%ent )%otor+ nerve ors !th CN III, I-an" -I )a$"ucens, h!ch hel&s the eye$all a$"uct or %ove+# The act!ons of these CNs arean" -I )a$"ucens, h!ch hel&s the eye$all a$"uct or %ove+# The act!ons of these CNs arelar.ely res&ons!$le for the %ove%ent of the eye$all an" eyel!"#lar.ely res&ons!$le for the %ove%ent of the eye$all an" eyel!"#

CN I- TrochlearCN I- Trochlear

CN - Tr!.e%!nal: Three )tr!+ ty&es of sensat!on te%&erature, &a!n an" tact!le co%e fro%CN - Tr!.e%!nal: Three )tr!+ ty&es of sensat!on te%&erature, &a!n an" tact!le co%e fro%th!s three )tr!+*$ranche" nerve that covers three )tr!+ terr!tor!es of the face# 'or nor%al cornealth!s three )tr!+*$ranche" nerve that covers three )tr!+ terr!tor!es of the face# 'or nor%al cornealrefle/es to $e &resent, the afferent l!%$ of the f!rst "!v!s!on of CN - an" the effect l!%$ of CNrefle/es to $e &resent, the afferent l!%$ of the f!rst "!v!s!on of CN - an" the effect l!%$ of CN-II nee" to $e !ntact#-II nee" to $e !ntact#

CN -I A$"ucensCN -I A$"ucens CN -II 'ac!al: 0ysfunct!on of th!s nerve .!ves the character!st!c f!n"!n.s of ell2s &alsy )fac!alCN -II 'ac!al: 0ysfunct!on of th!s nerve .!ves the character!st!c f!n"!n.s of ell2s &alsy )fac!al

asy%%etry, "roo& of %outh, a$sent nasola$!al fol", !%&a!re" eyel!" %ove%ent+#asy%%etry, "roo& of %outh, a$sent nasola$!al fol", !%&a!re" eyel!" %ove%ent+# CN -III Au"!tory or vest!$ulocochlear: When th!s "oes not funct!on &ro&erly, hear!n.CN -III Au"!tory or vest!$ulocochlear: When th!s "oes not funct!on &ro&erly, hear!n.

)au"!tory+ or $alance !s !%&a!re" )vest!$ulocochlear+# The R!nne test !s &art of the evaluat!on of)au"!tory+ or $alance !s !%&a!re" )vest!$ulocochlear+# The R!nne test !s &art of the evaluat!on ofth!s cran!al nerve#th!s cran!al nerve#

CN I3 Glosso&haryn.eal: The na%e of th!s CN &rov!"es a clue that !ts funct!on affects theCN I3 Glosso&haryn.eal: The na%e of th!s CN &rov!"es a clue that !ts funct!on affects theton.ue ).losso+ an" throat )&haryn/+# Alon. !th CN 3, the funct!on of th!s nerve !s cr!t!cal toton.ue ).losso+ an" throat )&haryn/+# Alon. !th CN 3, the funct!on of th!s nerve !s cr!t!cal tosallo!n., &alate elevat!on an" .ustat!on#sallo!n., &alate elevat!on an" .ustat!on#

CN 3 -a.usCN 3 -a.us CN 3I Accessory or s&!nal root of the accessory: 'unct!on of th!s CN can $e teste" $yCN 3I Accessory or s&!nal root of the accessory: 'unct!on of th!s CN can $e teste" $y

evaluat!n. shoul"er shru. an" lateral nec rotat!on#evaluat!n. shoul"er shru. an" lateral nec rotat!on# CN 3II 4y&o.lossal* 'unct!on of th!s CN !s teste" $y not!n. %ove%ent an" &rotrus!on of theCN 3II 4y&o.lossal* 'unct!on of th!s CN !s teste" $y not!n. %ove%ent an" &rotrus!on of the

ton.ue#ton.ue#


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Common peripheral nerves !erri!ories o" innerva!ionCommon peripheral nerves !erri!ories o" innerva!ion

an# clinical correla!es$an# clinical correla!es$

Peripheral Nerve Sensor% Innerva!ion Mo!or Innerva!ionCon!ri&'!in(

Spinal NerveRoo!s

Clinical

Ra"ial Ner'e

(ac) of thum!* i"e+*mi""le* a" , rigfiger !ac) offorearm

.ri#t e+te#io a"a!"uctio ofthum! i palmerplae

C/* 0* At ri#) for compre##io at

humeru#* )o a#3Satur"ay Night 4al#y3

5lar Ner'e

4almar a" "or#ala#pect# of pi)y a"

, of rig figer

A!"uctio of figer#6itri#ic

mu#cle# ofha"7

C0* a" T1

At ri#) for i8ury ith el!ofracture9 Ca gettra#iet #ymptom#

he i#i"e of el!o i##truc) 63fuy !oe3"i#tri!utio7

:e"ia Ner'e

4almar a#pect of thethum!* i"e+*mi""le a" , rigfiger palm !elothe#e figer#9

A!"uctio of thum!perpe"icular topalm 6thearmu#cle#79

C* T1Compre##io at carpal tuel

cau#e# carpal tuel#y"rome

Lateral Cutaeou#Ner'e of Thigh

Lateral a#pect thighL1* 2

Ca !ecome compre##e" io!e#e patiet#* cau#igum!e## o'er it#"i#tri!utio

4eroealLateral leg* top of foot ;or#ifle+io of foot

6ti!iali# ateriormu#cle7

L


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C1

C2

C3

C4

C5

C6

C7

C8

TH1

TH2

TH3

TH4

TH5

TH6

TH7

TH8

TH9

TH10

TH11

TH12

L1

L2

L3

L4

L5

S1

S2

S3

S4

S5

C1-C5

Upper Extremity

Lower Extremity

PERIPHERAL SYMPATHETIC

INNERVATION

SEGMENT

19 pemeriksaan dan pengukuran syaraf krnial dan syaraf tepi

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