Download - 02 Parkinson’s Disease
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Pembimbing:
dr. Tutik Ermawati, Sp.S, M.Si.Med
Oleh:
Andika PratPratiwi G4A01404
Anni!aa Auli"aa G4A0140#4
$i!ka Praktika % G4A01#0&4
'ndri Pu!pa!ari G4A01#1()
PARKINSONS DISEASE
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A*ST+A
1-0 th "llParkin!n/! i!ea!e P2 diperkenalkan leh 3ame! Parkin!n P 5 pen"akit neurdegenerati6
i!6ung!i7hilangn"a neurn "g memprduk!i dpamin di takgangguan mtrik 8gangguan nn mtrik
P : 12 Parkin!n primer idipatik2, (2 parkin!n !ekunder, &2 !indrm parkin!n
P peringkat kedua pen".degenerati6 !etelah Al9heimer Angka keadian P akan melebihi pen".kanker pd tahun (040
;!ia ~ risiko PD
Tria! parkin!n : re!ting tremr, rigidita!, bradikine!ia < : anamne!i!, P$, pemerik!aan penunang
Manaemen tatalak!ana : nn 6armaklgi!, 6armaklgi!, perati6
Mdalita! terapi untuk men"embuhkan P belum diketahui
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OVERVIEW OF PARKINSONS
DISEASE
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PATOPHYSIOLOGY OF MOTOR
SYMPTOM IN PARKINSONS
DISEASE
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IMPORTANT QUESTION IN
ANAMNESIS TO DIAGNOSE
MOTOR SYMPTOMS INPARKINSONS DISEASE
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Kuesioner Screening
The Michael J. Fox Foundation for Parkinsons Research
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CLINICAL DIAGNOSIS CRITERIA
OF PARKINSONS DISEASE
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A=AM=ES'S
Cardinal sign:
Tremr bia!a mun>ul awal2,
+igidita!,
*radikine!ia,
Postural and gait impairment rnlgi! dari gealan"a : unilateral bilateral
Prgre!i6ita!
*er!i6at genetik : keluhan !erupa di keluargan"a
Elimina!i : riw. pen"akit lain, trauma, in6ek!i, kn!um!i bat
tertentu
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GE3A?A A= TA=A
GE3A?A MOTO+'
1. +e!ting tremr
. gerakan ritmik in@lunter
!aat !antai
. pill rolling type
. tremor moements
. tremr p!tural
. Selain di tangan uga
di tungkai bawah, rahang dan lidah
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(. +igidita! :
. cog!heel phenomenon
. Froments maneuer
. &. *radikine!ia, penampakan klini!:
. hypomimia
. hypophonia
. micrographia
". Postural and gait impairment
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e>ema!an
Serangan panik
Gangguan md
alu!ina!i
'lu!i eru!akan kgniti6
Sembelit
i!6ung!i !ek!ual
eringat berlebihan
Sialrrhea
'n!mnia
ip!mia "aitu, hilangn"a
indera pen>iuman2 Pare!te!ia "aitu, ke!emutan2
+a!a !akit
elelahan
GE3A?A =O= MOTO+'
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OTHER MODALITIES TO
DIAGNOSE PARKINSONS
DISEASE
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membantu menegakkan diagn!i! parkin!n, akan tetapi han"adipa!arkan di Erpa dilakukan dengan !"arat pa!ien haru! terdiagn!i! klini! pa!tiParkinson #isease
SPEBTaT!>an2
menunukkan abnrmal pada pa!ien parkin!natr6imulti!i!tem,proggressie supranuclear palsy, degenera!ikrtikba!ali!, atau$e!y %ody inklu!i !itpla!mik
e!in6ilik2 penelitian Ga"ed et al(01#2 mendapatkan ha!il >t !>anabnrmal pada () pa!ien (C2 dari #D pa!ien dengandiagn!i! klini! pa!ti parkin!n
a!il !>an dapat dikategrikan menadi 0 nrmal2, 1mild2, ( mderate2, & marked2, dan 4 ab!ent2 "angdiambil dari bagian uung >audatu! dan putamen.
BT S>an
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MANAGEMENT OF MOTOR
SYMPTOMS IN PARKINSONS
DISEASE
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Terapi Farmakologi
Obat pengganti dpamine ?e@dpa,Barbidpa2
Agni! pamin
Antiklinergik
Penghambat Mnamin
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Terapi Pembedahan
Memperbaiki7mengembalikan !eperti !emula pr!e! patlgi! "angmenda!ari neurre!tra!i2.
3arang dilakukan dan ma!ih kntr@er!ial untuk dilakukan.
3eni! pembedahan "aitu terapi abla!i le!i di tak, #eep %rain(timulation *S2, dan tran!planta!i.
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THANK YOU