sgl neuro ical (neurologi&headache).pptx

8/18/2019 SGL NEURO ical (neurologi&headache).pptx

1/25

SMALL GROUP LEARNING (SGL)FAKULTAS KEDOKTEAN UMI

BAGIAN NEUROLOGI

NYERI KEPALA PRIMER (KOMPETENSI 4A)

1. NEURALGIA TRIGEMINAL

2. CLUSTER HEADACHE

3. TENSION HEADACHE4. MIGREN

Rachmat Faisal Syams


2/25

“Innallaha Wamalaika! Waahla""ama#aiWala$%i &aannamlaa Fi '!h$i &a Wa

&aalh!a La!%all!na AlaM!alliminna"i Kha*$+

“S*"!n,,!hna Allah-.a$a malaika

Na-.*n%!%!k lan,i %an /!mi "am.ai-"*m! %i "a$an,na %an ikan %i la!an.!n !$! m*n%0akan k*/aikan !n!k

0$an, an, m*n,a1a$kan k*/aikan2ilm!

k*.a%a man!"ia+

S.i$i .*n!n! ilm!


3/25

ANATOMI KEPALA


4/25

NYERIKEPALA

S!"a#ia$ %&a$# '!&$ah m!$#alami $y!&i (!'ala)C!'hal#ia* s!'a$+a$# hi,'$ya "ah(a$"!"a#ai '!$!litia$ m!$#ata(a$ "ah-a /0-a$ita ,a$ 0 '&ia ,is!l&h ,$ia '!&$ah

m!$,!&ita $y!&i (!'ala.Ny!&i (!'ala a,alah &asa $y!&i ,is!l&h ,a!&ah(!'ala ,!$#a$ "atas "a-ah ,a&i ,a# sam'ai(! "!la(a$# (!'ala.

Ny!&i (!'ala '&im!& a,alah $y!&i (!'ala ya$#ta$'a ,is!&ta (!lai$a$ st&(t&ala$at%mi.M!$&t (lasi(asi IHS )i$t!&$ati%$al H!a,ach!S%ci!ty* ,ia$ta&a$ya $!&al#ia t&i#!mi$al

clst!& h!a,ach!t!$si%$ h!a,ach! ,a$mi#&!$.


5/25

S!ca&a mm 'at%si%l%#i $y!&i (!'ala

(a&!$a &a$#sa$#a$ ,i,a!&ah (!'ala ya$#'!(a t!&ha,a' $y!&i s!'!&ti ,i ,a!&ah!(st&a(&a$ial )%t%t%(si'italt!m'%&al5&%$tal(lit (!'alaa&t!&i

a&t!&i s"(tis ,a$ '!&i%stim* S!,a$#(a$,a!&ah i$t&a(&a$ial )m!$i$#!s t!&tama,&a "asalis*

6at%si%l%#i $y!&i (!'ala '&im!& s!ma$ya

ham'i& mi&i' yait t!&+a,i$ya #a$##a$ ,i,a!&ah !(st&a(&a$ial "!&'a 7as%,ilatasi'!m"lh ,a&ah. A,a'$ s!,i(it '!&"!,aa$a(a$ (ita lihat l!"ih +ah "!&i(t$ya.


6/25

C!5al#ia perangsangan th,

struktur 2 ,i ,a!&ah (!'ala ,a$t!$#(( y# peka thd nyeri

8 st&(t& '!(a $y!&i !9t&a c&a$im :

(lit (!'ala '!&i%st!m

a&t!&i2 )a. 5&%$talis a.t!m'%&alis

a.%cci'italis*;

sa&a5 2 )$.5&%$talis $.t!m'%&alis$.%cci'italis

may%& < mi$%&*

%t%t2 )m.5&%$talis m.t!m'%&alis


7/25


8/25

8 st&(t& ya$# ti,a( '!(a $y!&i :

tla$# (!'ala 'a&!$chym %ta( !'!$,ym

7!$t&i(!l 'l!9s ch%&%i,!s s!"a#ia$ "!sa&

,&amat!& ,a$ 'iamat!& ya$# m!li'ti

(%$7!(sitas %ta(

8 $y!&i (!'ala ,'t ,itim"l(a$ %l!h '!&a$#sa$#a$ata i&itasi ,a&i st&(t& y# '!(a $y!&i.

6!&a$#sa$#a$ ts" ,a'at "!&'a :

i$?amasi )'!&a$#sa$#a$ %l!h '&%s!s &a,a$#*

t&a(si )'&%s!s i$t&ac&a$im ya$# !9'a$si*

,ilatasi )'!$y!"a" $y!&i (!'ala '&im!&*

,a$ (%m'&!si )tm%& 5&a(t&*


9/25

REGIO NYERI KEPALA


10/25

TIPE NYERI KEPALA


11/25

3ONTO& SOAL UKDI2UKMPPD(n*$i k*.ala .$im*$)

1. S!%&a$# '!&!m'a$ m& / tah$ ,ia$ta& %l!h(!laa$ya (! UGD &mah sa(it ,!$#a$ (!lha$$y!&i (!'ala s!"!lah ya$# ,i&asa(a$ s!+a( 1

mi$## ya$# lal. Ny!&i (!'ala ,i&asa(a$ t!&s

m!$!&sm!$s( ta+am ,is!(ita& '!li'is ,a$ "%lamata. @!lha$ ,is!&tai mata m!&ah "!&ai& ,a$hi,$# "!&ai& 'a,a salah sat sisi ya$# sa(it.

A'a(ah ,ia#$%sis ya$# 'ali$# m$#(i$

A. Clst!& h!a,ach!

B. N!&al#ia t&i#!mi$al

C. T!$si%$ h!,ach!

D. Mi#&!$ ,!$#a$ a&a

E. Mi#&!$ ta$'a a&a


12/25

2. S!%&a$# '!&!m'a$ 2/ tah$ ,ata$# ,!$#a$

(!lha$ $y!&i (!'ala s!"!lah (a$a$. Ny!&i,i&asa(a$ "!&,!$yt. 6asi!$ m!$ya$#(ala,a$ya #!+ala "!&'ta& "!&($a$#($a$#tam'a( "aya$#a$#a&i saat $y!&i (!'ala.6asi!$ "!(!&+a s!"a#ai s!%&a$# sal!s.

Dia#$%sis ya$# t!'at a,alah

A. Clst!& h!a,ach!

B. N!&al#ia t&i#!mi$al

C. T!$si%$ h!,ach!

D. Mi#&!$ ,!$#a$ a&a

E. Mi#&!$ ta$'a a&a


13/25

3. Ny. Lita 3 tah$ ,ata$# ,!$#a$ (!lha$&aha$# "a-ah (i&i t!&asa $y!&i saat ma(a$

ma'$ ,!$#a$ '!&a"aa$. Ny!&i t!&asas!'!&ti ,its(. @!lha$ i$i s,ah,i&asa(a$$ya s!lama ti#a tah$. 6asi!$ s,ah,i'!&i(sa ,%(t!& #i#i ,a$ ti,a( a,a (!lai$a$.

Ri-ayat sa(it caca& ,isa$#(al. 6a,a'!m!&i(saa$ MRI +#a ti,a( ,it!m(a$(!lai$a$. Dia#$%sis ya$# 'ali$# t!'at a,alah

A. Clst!& h!a,ach!

B. Mi#&ai$!

C. T!$si%$ h!a,ach!

D. T&i#!mi$al N!&al#ia

E. Si$sitis


14/25

3ONTO& SOAL UKDI2UKMPPD(n*$i k*.ala "*k!n%*$)

1. S!%&a$# 'asi!$ la(ila(i "!&sia 2 tah$,ata$# ,!$#a$ '!$&$a$ (!sa,a&a$ (a&!$am!$#alami (!c!la(aa$ lal li$tas. S!t!lah

,ila((a$ '!m!&i(saa$ ctsca$ ,a$,i,a'at(a$ l!si hi'!&,!$s "!&"!$t( "la$sa"it. Dia#$%sis ya$# 'ali$# m$#(i$ a,alah

A. 6!&,a&aha$ !'i,&al h!mat%m

B. 6!&,a&aha$ s",&al h!mat%m

C. 6!&,a&aha$ s"a&ach$%i,

D. 6!&,a&aha$ i$t&ac!&!"&al

E. 6!&,a&aha$ i$t&a7!$t&i(l!&


15/25

PRST

P 5 '&%7%(!, a'a y#

'&%7%(asi

5 ality Si5at hila$#

tim"l

R 5 &!#i%$ l%(asi

S 5 s!7!&ity Ti'!

M$!m%$ics 5%& 6ai$Ass!ssm!$t


16/25

KLASIFIKASI NYERI KEPALAKETERANGAN TENSION

&EADA3&E3LUSTER&EADA3&E

MIGREN NEURALGIATRIGEMINAL

PENGERTIAN Ny!&i (!'ala ya$#t!&+a,i ,i %t%t%t%t(!'alal!h!&


17/25

PEM6FISIK 7T8 ),"$*'!&hati(a$(hss

TDT!(a$a$B%la mata.7N*!$0l0,i)*@!'alal!h!&m%t%&i(&!?!(ss!$s%&i(.7DaaIn,a-$t(m!$yi$#(i&(a$

tm%& ,ll

7T8 ),"$*'!&hati(a$(hss TDT!(a$a$B%la mata.

7N*!$0l0,i)*@!'alal!h!&m%t%&i(&!?!(ss!$s%&i(.

7T8 ),"$*'!&hati(a$(hss TD.7N*!$0l0,i)*@!'alal!h!&m%t%&i(&!?!(ss!$s%&i(.

7T8 ),"$*'!&hati(a$(hss TDT!(a$a$B%la mata.

7N*!$0l0,i)*@!'alal!h!&m%t%&i(&!?!(ss!$s%&i(.

PEM6PENUN'ANG

)* CtSca$Tc, CtSca$Tc, CtSca$Tc,

TERAPI -E,(asi-A$al#!ti( Nsai,-

Amit&i'tili$)+i(a '!&l*

-E,(asi-A$al#!ti( Nsai,-Amit&i'tili$)+i(a '!&l*

Hi$,a&istimlsA$al#!ti(

s'!si( $%$s'!si(E,(asi

A$ti (%$7lsi)m!$&$(a$hi'!&a(ti7itas

$(l!s $.7*

KRITERIARU'UK

@!lha$ti,a(m!m"ai(

s!t!lah t!&a'i

@!lha$ti,a(m!m"ai(

s!t!lah t!&a'i

@!lha$ti,a(m!m"ai(

s!t!lah t!&a'i

@!lha$ti,a(m!m"ai(

s!t!lah t!&a'i


18/25

TIPE NYERI KEPALA


19/25

1. Ny!&i (!'ala m!&'a(a$ (!lha$ ya$# s!&i$#

,i+m'ai ,alam '&a(t!( s!ha&iha&i s!(ali'$ ,!mi(ia$ +a&a$# ya$# ,is!"a"(a$ %l!h (!lai$a$ st&(t&al %ta(. Bilaa$am$!sis


20/25

INTERME99O6!m!&i(saa$ Fisi( N!&%l%#i s!ca&a mm :

I6 KEADAAN UMUM (K!aliai:)

A6 KESADARAN yait m!&'a(a$ sat (!a,aa$ ya$#m!$c!&mi$(a$ '!$#i$t!#&asia$ im'ls a5!&!$ ,a$ !5!&!$.

1. As'!( 'si(iat&i( : "!&h"$#a$ ,!$#a$ '!&"aha$ (!sa,a&a$

2. As'!( $!&%l%#i : "!&h"$#a$ ,!$#a$ '!$&$a$ (!sa,a&a$1. Komposmentis : @!sa,a&a$ $%&mal

2. Somnolen : M!$#a$t( Mata tam'a( c!$,!&$# m!$t'Masih ,a'at ,i"a$#$(a$ ,!$#a$ '!&i$tah Masih ,a'atm!$+a-a" '!&ta$yaa$ m!s(i'$ s!,i(it "i$#$#.

3. Stupor atau sopor: L!"ih &!$,ah ,a&i s%m$%l!$ Matat!&tt' D!$#a$ &a$ #sa$# $y!&i ata sa&a (!&as "a& mam!m"(a.

4. Semi koma: Mata t!ta' t!&tt' Ha$ya m!$#!&a$# ta$'aa&ti

5. Koma: 6!$&$a$ (!sa,a&a$ 'ali$# &!$,ah.


21/25

I6 KEADAAN UMUM (K!aniai:)

I6 R*ak"i m*m/!ka maa (E)

4 "(a mata s'%$ta$

3 "(a mata "ila ,i 'a$##il ),!$#a$ &a$#sa$# sa&a*

2 "(a mata "ila ,i&a$#sa$# $y!&i

1 ti,a( "(a mata ,!$#a$ &a$#sa$#a$ a'a'$

II6 R*ak"i /i


22/25

II6 PEMERIKSAAN K&USUS

A6 MENINGEAL SIGN (Ra$#sa$# s!la't %ta(*

Saat t!&,a'at '!&a,a$#a$ 'a,a s!la't %ta( )m!$i$#itis*ata t!&,a'at "!$,a asi$# ),a&ah 'a,a '!&,a&aha$ s"a&ah$%i,* ma(a a(a$ t!&+a,i i&itasi m!$i$#!al ,a$m!$im"l(a$ &a$#sa$# s!la't %ta(. Ma$i5!stasis"y!(ti5 ,a&i (!a,aa$ i$i a,alah "!&'a sa(it (!'ala

(,( t!&asa (a( 5%t%5%"ia ,a$ hi'!&a(sis.

=6 KAKU KUDUK

3a$a> Ta$#a$ '!m!&i(sa ,it!m'at(a$ ,i"a-ah (!'ala'asi!$ ya$# s!,a$# "!&"a&i$# (!m,ia$ (!'ala ,it!((a$)?!(si* ,a$ ,isaha(a$ a#a& ,a# m!$ca'ai ,a,a. S!lama'!$!((a$ ,i'!&hati(a$ a,a$ya taha$a$. Bila t!&,a'at(a( (,( (ita ,a'at(a$ taha$a$ ,a$ ,a# ti,a( ,a'atm!$ca'ai ,a,a. @a( (,( ,a'at "!&si5at &i$#a$ ata"!&at. 6a,a 'asi!$ ,!$#a$ '!$&$a$ (!sa,a&a$ ma(a'!m!&i(saa$ s!"ai($ya ,ila((a$ saat !(s'i&asi.


23/25

?6 KERNIG

6a,a '!m!&i(saa$ i$i 'asi!$ ya$# s!,a$# "!&"a&i$# ,i?!(si(a$ 'aha$ya 'a,a'!&s!$,ia$ 'a$##l sam'ai m!m"at s,t ,!&a+at. S!t!lah it t$#(ai "a-ah,i!(st!$si(a$ 'a,a '!&s!$,ia$ ltt sam'ai m!m"!$t( s,t l!"ih ,a&i 13/ ,!&a+at

t!&ha,a' 'aha. Bila t!&a,a'at taha$a$ ,a$ &asa $y!&i s!"!lm ata (&a$# ,a&i s,t13/ ,!&a+at ma(a ,i(ata(a$ (!&$i# si#$ '%siti5.

@6 BRUD9INSKY = ta$,a l!h!& '!m!&i(saa$ i$i ,a'at ,ila((a$ "!&samaa$ ,!$#a$'!m!&i(saa$ (a( (,(

CARA : Ta$#a$ ,it!m'at(a$ ,i"a-ah (!'ala 'asi!$ y# s!,a$# "!&"a&i$# (!m,ia$t!(((a$ (!'ala s!+ah m$#(i$ sam'ai ,a# m!$ca'ai ,a,a

Ta$#a$ ya$# sat SEBAI@NA ,it!m'at(a$ ,i ,a,a '9 t( m!$c!#ah ,ia$#(at$ya "a,a$

+i(a ?!(si (!,a (a(i

Lihat a,a (!lm'ha$< t,( (a&!$a a(a$ ,a'at m!m"!&i(a$ #!+ala 'als

46 BRUD9INSKY ? ta$,a t$#(ai (%$t&a lat!&al

6asi!$ "a&i$# t!l!$ta$# (!m,ia$ t$#(ai y# a(a$ ,i&a$#sa$# ,i?!(si(a$ ', s!$,i lttt$#(ai atas ,i?!(si(a$ ', s!$,i 'a$##l.

: G!&a(a$ &!?!(t%&i( "!&'a ?!(si t$#(ai (%$t&alat!&al ', s!$,i ltt 'a$##l

6 LASEGUE

6ais!$ "!&"a&i$# !(st!$si(a$ (!,a (a(i (!m,ia$ Fl!(si(a$ s!$,i 'a$##l salah sat(a(i ,a$ (a(i lai$ t!ta' !(st!$si N : m!$ca'ai ,!&a+a, s"lm tim"l &asa sa(it ', %&ta ha$ya ,!&a+at

6, 69 &a$#sa$#a$ s!la't %ta( iscial#ia i&itasi 'l!9s lm"%sa(&al )HN6 lm"alis*


24/25

B6 NER8US 3RANIALIS

(Ol:a

a


25/25

TERIMAKASI&

sgl neuro ical (neurologi&headache).pptx

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