sign & symptoms in neurological disease nyr.ppt

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    SIGN AND SYMPTOMS IN

    NEUROLOGICAL DISEASES

    Dr Nelly Y Rumpaisum G Sp S 

    Department of Neurology

    Medical Faculty Padjadjaran University

    Hasan Sadikin Hospital Bandung

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    Due to location

      Hemisphere

    entral Nerves System

      Medulla

    spinalis

    ere!ralere!ellum

    Brain section

    ervical

    "horacal#um!osacral

      Nucleus

    Peripheral nerves system   $anglion

      Nerve root

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     Paralytic % damage

    Due to pathophysiology

     &nitative ' distur!ance of transmision

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    Cardinal symtoms

    $eneral cere!ral disorders

    High intracranial pressure

    &nto(ication

    Meta!olic disorders

    Focal cere!ral disorders

    Distur!ances of )*)S %

    !rain stem

    onsciousness

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    Cardinal symtoms

    Meningeal irritation + , &nfection

    , Haemorrhage

    , *adi( irritation

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    Motor dysfunction + , central

    ere!ral + hemiparese- hemiplegy

    , .ascular , &nfection

    , S/#

    , Degenerative process

    Medullar + segmental paralytic

    , Upper motor % central

    Hypertonic % spastic

    Hyperrefle(ia

    Pathological refle(

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    , Perifer 

    ranial nerve

    Segmental + , Myotomal

    , *adiculopathy

    , Neuropathy

    , #o0er motor +

    Hypotonic % flacid

    Hypo % arefle(ia

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    Sensoric dys!unction "

    1(teroceptive

    Pain

    "emperature

    "ouch

    Proprioceptive

    .i!ration

    Deep pain

    Position

    ere!ral

    ortical

    "halamic

    Medullar 

    *adicular 

    /rganic

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    Autonomic "

    Symphatic

    Parasymphatic

    *egulation of !lood pressure-respiration- micturation- !o0el

    ha!it- s0eating

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    E#uili$rium "

    entral +

    ere!ellum

    Posterior medulla spinalis

    Peripheral +

    .esti!ular 

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    %i&'er Cortical Dys!unction "

    Co&niti(e dys!unction 

    Neuro!ehaviour 

    Memory

    &mmediate

    *ecent

    #ong term memory

    #anguage

    .er!al

    Non ver!al

    Dysle(ia

    Dysgraphia

    /rientation

    "ime

    Place

    Person

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    Pra(is

    alculation

    &nsight

    1(ecutive function

    .isuospatial

    1motion

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    %i&'er Cortical Dys!unction "

    Degenerative  Dementia

    .ascular  Stroke

    S/#  &ntracranial tumor 

    Neurotransmitter Psychiatric disorder 

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    Symtoms "

    Memory pro!lem

    1(ecutive dysfunction

    #anguage dysfunction- aphasia Disorientation

    Disinhi!ition

    Behaviour distur!ances

    Dispra(ia

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      HATUR NUHUN