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PEMERIKSAAN NEUROLOGI
Dr. Suherman, Sp.S
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PEMERIKSAAN NEUROLOGI
SALAH SATU TAHAPAN ATAU LANGKAH MENUJU DIAGNOSA
ANAMNESA
PEM. NEUROLOGI
DIAGNOSA SEMENTARA
PEM. TAMBAHAN :
LAB, LP, EEG, EMG,
RADIOLOGI, BIOPSI
DIAGNOSA PASTI
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ANAMNESA / ALLOANAMNESA
• AMAT MEMBANTU MENEGAKKAN DIAGNOSA• MISALNYA EPILEPSI, EEG SEBAGAI ALAT BANTU
JADI ANAMNESA HARUSLAH :
- JELAS / BENAR
- TERARAH
- TERPERINCI
- TARIK KESIMPULAN
- TIDAK PERLU SEMUA CERITA OS DITULIS DI LAPORAN
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PEMERIKSAAN NEUROLOGIS
• SENSORIUM• KRANIUM• PERANGSANGAN MENINGEAL• PENINGGIAN TEKANAN INTRAKRANIAL• SARAF KRANIAL• SISTEM MOTORIK• GERAKAN SPONTAN ABNORMAL• SISTEM SENSIBILITAS
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PEMERIKSAAN NEUROLOGIS
• REFLEKS• KORDINASI• VEGETATIF• VERTEBRA• TANDA PERANGSANGAN RADIKULER• GEJALA SEREBELLAR• GEJALA EKSTRAPIRAMIDAL• FUNGSI LUHUR
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SENSORIUM
1. KOMPOS MENTIS
2. APATIS
3. SOMNOLEN
4. SOPOR
5. KOMA
INGAT : SKALA KOMA GLASGOW
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KRANIUM
1. BENTUK KEPALA
2. FONTANELA
3. PALPASI
4. PERKUSI
5. AUSKULTASI
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PERANGSANGAN MENINGEAL
1. KAKU KUDUK
2. TANDA KERNIG
3. TANDA LASEQUE
4. TANDA BRUDZINSKI I
5. TANDA BRUDZINSKI II
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PENINGGIAN TEKANAN INTRAKRANIAL
1. MUNTAH
2. SAKIT KEPALA
3. KEJANG
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SARAF KRANIAL
N I PERIKSA KANAN & KIRI
- NORMOSMIA
- ANOSMIA
- PAROSMIA
- HIPOSMIA
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SARAF KRANIAL
N II- VISUS
- LAPANGAN PANDANG: NORMAL MENYEMPIT
- HEMIANOPSIA- SKOTOMA- FUNDUS OKULI :
WARNA BATAS ARTERI VENA
EKSKAVASIO
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SARAF KRANIAL
N III, IV, VI
- GERAKAN BOLA MATA- NISTAGMUS- PUPIL
- LEBAR- BENTUK- RC LANGSUNG / TIDAK LANGSUNG
- RIMA PALPEBRA- PTOSIS- LAGOPTHALMOS
- DEVIASI KONYUGAE- FENOMENA DOLL’S EYE- STRABISMUS
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SARAF KRANIALN VMOTORIK- MEMBUKA DAN MENUTUP MULUT- PALPASI OTOT MASSETER DAN TEMPORALIS- KEKUATAN GIGITAN
SENSORIK- KULIT- SELAPUT LENDIR- REFLEKS KORNEA
- LANGSUNG - TIDAK LANGSUNG- REFLEKS MASSETER- REFLEKS BERSIN
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SARAF KRANIALN VIIMOTORIK
- MIMIK- KERUT KENING- MENUTUP MATA- MENIUP SEKUATNYA- MEMPERLIHATKAN GIGI- TERTAWA
SENSORIK- PENGECAPAN 2/3 DEPAN LIDAH- PRODUKSI KELENJAR LUDAH- PRODUKSI KELENJAR AIR MATA- HYPERAKUSIS
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SARAF KRANIAL
N VIIIAUDITORIUS
- PENDENGARAN- RINNE TEST- WEBER TEST- SCHWABACH TEST
VESTIBULARIS- NISTAGMUS- REAKSI KALORI- VERTIGO- TINITUS
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SARAF KRANIALN IX, X
- PALATUM MOLLE- UVULA- DISFAGIA- DISARTRIA- DISFONI- REFLEKS MUNTAH- PENGECAPAN 1/3 BELAKANG LIDAH
N XI- MENGANGKAT BAHU- FUNGSI M. STERNOKLEIDOMASTOIDEUS
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SARAF KRANIAL
N XIILIDAH
- TREMOR- ATROPI- FASIKULASI
UJUNG LIDAH WAKTU ISTIRAHATUJUNG LIDAH WAKTU DIJULURKAN
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SISTEM MOTORIK
• TROFI:
- EUTROFI
- ATROFI
- DISTROFI
- HIPERTROFI• TONUS OTOT
- NORMOTONUS
- HIPOTONUS
- HIPERTONUS
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SISTEM MOTORIK
• KEKUATAN OTOT
TENAGA DIBERI NILAI: 5, 4, 3, 2, 1, 0
5 = NORMAL
• SIKAP • LENGGANG / GAIT
- WEDDLING GAIT
- HEMIPLEGIK GAIT
- SCISSORS GAIT
- STEPPAGE GAIT
- MARCE A PETIT PAS
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GERAKAN SPONTAN ABNORMAL
• TREMOR• KHOREA• BALLISMUS• MIOKLONUS• ATETOSIS• DISTONIA• SPASMUS• TIC
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SISTEM SENSIBILITAS
• EXTEROSEPTIK• PROPRIOSEPTIK• FUNGSI KORTIKAL UNTUK
SENSIBILITAS
a. STEREOGNOSIS
b. PENGENALAN DUA TITIK
c. GRAFASTESIA
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REFLEKS
• REFLEKS FISIOLOGIS- BISEPS / TRICEPS- RADIOPERIOST- APR / KPR- STRUMPLE
• REFLEKS PATOLOGIS- BABINSKI - HOFFMAN TROMNER - CHADDOCK - KLONUS LUTUT- SCHAEFER - KLONUS KAKI- OPEN HEIM - REFLEKS PRIMITIF- GORDON - GONDA
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KOORDINASIKERJA SAMA OTOT UNTUK MENCAPAI TUJUAN
PERGERAKAN.BILA TERGANGGU ATAXIAGERAKAN YANG BAIK HARUS ADA :1. PLANNING GERAKAN
(TR PYR DIKONTROL TR EXPYR)2. INFORMASI FEEDBACK VIA :
- RADIX POST - MATA- FUNIKULUS DORSALIS - VESTIBULUM
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KOORDINASI
PADA PASIEN YANG DIPERIKSA
- LENGGANG
- BICARA
- MENULIS
- MIMIK
- TEST TELUNJUK-TELUNJUK
- TEST ROMBERG
- DIADOKOKINESIA
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VEGETATIF
• VASOMOTORIK• SUDOMOTORIK• PILO EREKTOR• MIKSI • DEFEKASI• POTENSI DAN LIBIDO
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VERTEBRA
• BENTUK
- NORMAL
- SCOLIOSIS
- HIPERLORDOSIS
• PERGERAKAN
- LEHER
- PINGGANG
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TANDA PERANGSANGAN RADIKULER
• LASEQUE
• CROSS LASEQUE
• LHERMITTE TEST
• NAFZIGER TEST
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GEJALA SEREBELLAR• ATAXIA• DISARTRIA• TREMOR• NISTAGMUS• FENOMENA REBOUND• VERTIGO
• TREMOR• RIGIDITAS• BRADIKINESIA
GEJALA EKSTRAPIRAMIDAL
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FUNGSI LUHUR• KESADARAN KWALITATIF• INGATAN
- BARU - LAMA
• ORIENTASI- DIRI- TEMPAT- SITUASI- WAKTU
• INTELIGENSIA- NORMAL - TERGANGGU
• DAYA PERTIMBANGAN- BAIK- KURANG
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FUNGSI LUHUR
• REAKSI EMOSI- NORMAL- TERGANGGU
• AFASIA- EKSPRESIF- RESEPTIF