Tugas Neuro - Diagnosis Topis Batang Otak
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![Page 1: Tugas Neuro - Diagnosis Topis Batang Otak](https://reader030.fdokumen.com/reader030/viewer/2022012305/55cf9041550346703ba460e6/html5/thumbnails/1.jpg)
DIAGNOSIS TOPIS BATANG OTAK
SMF NEUROLOGI
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Diagnosis topis yaitu diagnosis berdasarkan gejala dan tanda yang diperoleh dihubungkan dengan lokalisasi lesi di susunan saraf
Contoh : (lesi di) hemisfer serebri sinistra / dekstra (lesi di) batang otak (pons / medulla
oblongata /mesensefalon) (lesi di) medulla spinalis, nervi spinalis, dll.
DIAGNOSIS TOPIS
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Mesencepalon
Pons
Medula oblinga
ta
PERMUKAAN VENTRAL BATANG OTAK
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Mengandung banyak jaras serabut, termasuk semua jaras asenden dan desenden
Beberapa jaras menyilang di garis tengah batang otak
Mengandung banyak nuklei (nukleus NIII-NXII; nukleus ruber dan substansia nigra mesensefalon, nuklei pontis, dan nuklei olivarius medula yang berperan dalam regulasi motorik; dan nuklei lamina quadregemina mesensefali yang merupakan stasiun relay pada jaras visual dan auditorik
Batang Otak
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MEDULLA OBLONGATANukleus nervus kranialis IX, X, XI, XII PONSNukleus nervus kranialis V, VI, VII, VIII MESENSEFALON Nukleus nervus kranialis III dan IV
BATANG OTAK
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Tanda umum : hemiparese / plegia Lokalisasi tergantung dari :
- Nervus Cranialis apa yang terlibat - Atau adanya tanda lain yang menyertai
sehingga kumpulan tanda-tanda yang ditemukan tergabung dalam apa yang disebut sindrom batang otak.
LESI BATANG OTAK
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Medulla oblongata
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1. Sind Lateralis (Wallenberg Syndrome)
Penyebab tersering : trombosis pada PICA (Posterior Inferior Cerebellaris Artery)
- parese N IX, X homolateral- vertigo (gangguan vestibuler)- ataksia homolateral- hemihipestesia alternans
MEDULLA OBLONGATA
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-Horner syndrome yang tidak lengkap di sisi homolateral
Miosis : timbul karena lemahnya m. dilatator pupillae
Ptosis : timbul karena lemahnya m. tarsalis sup
Enoftalmus : timbul karena lemahnya m. orbitalis
Anhidrosis pada wajah ipsilateral
CONT….
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2. Sindrom Retro Olivar : - parese NIX, X, XI, XII
- hemihipestesi kontralateral
3. Sindrom Pra Olivar :
- hemi plegia kontralateral - parese N XII homo / ipsilateral - hemihipestesia kontralateral
CONT…
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SINDROM WALLENBERG
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Pons
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1. Sindrom Millard Gubler - parese N VI dan VII homolateral - hemiparese / plegia kontralateral
2. Sindrom Raymond – Cestan - ataksia serebellar homolateral - hemihipestesia kontralateral - gangguan rasa sikap kontralateral - deviation conyugee pontis
PONS
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3. Sindrom Foville (lesi di paramedian PONS)
- hemiparese / plegia kontralateral - deviation conyaguee pontini - hemihipestesia kontralateral
CONT…
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SINDROM MILLARD GUBLER
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Mesensefalon
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1. Sindrom WEBER disebut pula hemiparese / plegia alternans okulomotori - hemiparese / plegia kontralateral - parese N III homolateral Penyebab tersering : strok, hematoma Epidural
2. Sindrom BENEDIKT - parese N III homolateral - hemimovement disorder kontralateral (hemichorea, hemiatetosis,atau hemiparkinson)
MESENSEFALON
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3. Sindrom CLAUDE - parese N III homolateral - hemiataksia kontralateral - hemihipestesia kontralateral
CONT…
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WEBER SYNDORME
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BENEDIKT SYNDORME
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THANK YOU