Download - NEUROPATI
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NEUROPATI
Endang Mutiawati
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• ANATOMI- Sel neuron- Akson- Dendrit- sel schwan
• Nervus kranialis I-XII• Nervus spinalis :– Servikalis– Torakalis– Lumbalis– Sakralis(pleksus brachialis, pleksus
lumbalis, pleksus sakralis
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Neuropati
• Gangguan saraf tepi (motorik, sensorik & otonom)
• Bentuk2 neuropati :– Mononeuropati– Mononeuritis multipel– Radikuloneuropati– Poliradikulitis– Pleksitis– polineuritis
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Mononeuropati• Yg terkena hanya 1 saraf
tepi• Penyebab– Trauma– Diabetes melitus– Poliarteritis nodusa
Mononeuritis multipel• Yg terkena bbrp saraf tepi• Penybb sama dgn mono
neuropati
Radikulopati Yg terkena radik spinalis Pnybb :◦ HNP◦ tumor
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Poliradikulopati• Yg terkena : bbrp radik
n. spinalis• Pnybb : – Pasca infeksi– Pasca vaksinasi
Pleksitis• Inflamasi pleksus• Pl. brakhialis, lumbalis &
sakralis
Polineuritis- Simetris neuropati- Pnybb :
- DM, alkoholik,
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Patologi
• Perubahan pd akson– Degenerasi akson (wallerian degenerasi)– Distrofi akson
• Perubahan pd mielin– segmental demielinisasi
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Motorik• Lemah lumpuh• Atrofi• Fasikulasi• Refleks menurun (-)
Sensorik• Disestesia• Parastesia
Otonom• Keringan (-)• Ggn VU• Konstipasi• impotensia
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Jenis neuropati (lokasi)
• Neuropati nn. Krianialis• Neuropati pleksus servikalis• Neuropati pleksus lumbalis• Neuropati pleksus sakralis• Neuropati herediter
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Neuropati nn. Kranialis
• III, IV, VI• V (neuralgia trigeminal = Tic Douloreux)• VII (Bell’s Palsy), hemifasial spasme• VIII• IX (glossopharingeal neuralgia), • X (superior laryngeal neuralgia), • XI,• XII
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Neuropati pleksus servikalis
• Neuralgia oksipitalis• Lesi n. phrenikus
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Neuropati pleksus brakhialis• Birth injuries brachial plexus ( erb paralisis, klumpke
paralisis)• Trumatic injury• Brachial neuritis• Neoplastic involvement• Radiation damage• Individual neuropatic – Long thoracic n., suprascapula n., musculocutaneous
nerve, axillary n., radial n., posterior interosseus n., ulnar nerve, medianus n, Carpal tunnel synd. causalgia
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Pleksus lumbalis
• Iliohypogastric nerve• Ilioinguinal nerve• Genitofemoral nerve• Lateral kutaneus nerve• Obturator nerve• Femoral nerve
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Pleksus sakralis
• Superior gluteal nerve• Inferior gluteal nerve• Posterior cutaneus nerve• Pudendal nerve• Sciatic nerve• Peronel nerve (deep & superfisial)• Tibial nerve• Plantar & interdigital nerve
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Hereditary Neuropathies
• Peroneal muscular atrophy• Chronic intersititial hypertropic neuropathy• other
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Inflammatory neuropathies
• Herpes zoster• Diphtheria• Infectious mononucleosis• Postinfections polyneuritis (SGB)• Chronic inflammatory polyradiculopathy
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Neuropati lainnya
• Neuropathies in vascular disease• Toxic neuropathy• Paraneoplastic neuropathies– Carsinomatous peripheral neuropathy– Critical illness polyneuropathies
• Nutrisional neuropathies– Beriberi (thiamin) neuropathy– Neuralgia in pregnancy