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Neurologi Klinis Dasarklinic

This document provides an overview of neurology basics including the nervous system, modalities studied in neurology, the motor and sensory systems, the pyramidal and extrapyramidal systems, the autonomic nervous system, and types of diagnoses. It discusses the motor neuron, upper and lower motor neurons, lesions of the UMN and LMN, the pyramidal tract, spasticity vs rigidity, and the three types of diagnoses: clinical, topical, and etiological.

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379 views19 pages

Neurologi Klinis Dasarklinic

This document provides an overview of neurology basics including the nervous system, modalities studied in neurology, the motor and sensory systems, the pyramidal and extrapyramidal systems, the autonomic nervous system, and types of diagnoses. It discusses the motor neuron, upper and lower motor neurons, lesions of the UMN and LMN, the pyramidal tract, spasticity vs rigidity, and the three types of diagnoses: clinical, topical, and etiological.

Uploaded by

kloter1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NEUROLOGI

KLINIS
DASAR
dr. Maria Belladonna,
Sp.S, MSi.Med

Bagian / SMF Neurologi


FK Undip / RSUP dr. Kariadi
Semarang
2013

Apa sih yang dipelajari di


Neurologi ?
Sistem saraf :
1. Sistem saraf pusat
- Otak
- Medulla spinalis
2.Sistem saraf tepi
- Nn. Cranialis (12 pasang)
- Nn. Spinalis (31 pasang : 8-12-5-5-1)

Modalitas dalam
neurologi:
1.

Sistem Motorik

2.

Sistem Sensorik

3.

Sistem Vegetatif / otonom

4.

Fungsi luhur

SISTEM MOTORIK

MOTOR NEURON
a type of cell in the nervous system that directly or
indirectly controls the contraction / relaxation of
muscles movement.
Upper motor neurons (UMN) :
motor neurons that originate in the motor region of the
cerebral cortex or the brain stem and carry motor
information down to the final common pathway
any motor neurons that are not directly responsible for
stimulating the target muscle.

SISTEM MOTORIK
Lower

motor neurons (LMN) :

motor neurons connecting the brainstem and


spinal cord to muscle fibers, bringing the nerve
impulses from the upper motor neurons out to the
muscles.
A lower motor neuron's axon terminates on an
effector (muscle).

Lesi

UMN : Klinis : Spastik Tanda-tandanya :

1.
2.
3.
4.
Lesi

1.
2.
3.
4.

LMN : Klinis : Flaksid Tanda-tandanya :

TRAKTUS PIRAMIDAL

PIRAMIDAL vs EKSTRAPIRAMIDAL
Sistem

piramidal
Spastisitas

Clasp knife phenomen

Sistem

ekstrapiramidal
Rigiditas

Cog wheel rigidity


Lead pipe rigidity

Sistem sensorik/sensibilitas
Eksteroseptif
Interoseptif
Proprioseptif

Sistem vegetatif / otonom


Miksi
Defekasi
Berkeringat
Simpatis
Parasimpatis

Harus Bisa Melakukan :


Anamnesis
Pemeriksaan

Fisik
Diagnosis kerja/ diagnosis sementara /
Working Diagnosis
Initial plan

DIAGNOSIS KLINIS

DIAGNOSIS TOPIS

DIAGNOSIS ETIOLOGIS
V
I
T
A
M
I
N

:
:
:
:
:
:
:

Vaskuler
Infeksi / inflamasi
Trauma
Autoimun
Metabolik / Medication
Idiopatik / Iatrogenik
Neoplasma

C : Congenital
+
D : Degenerasi

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