Sign & Symptoms in Neurological Disease

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SIGN AND SYMPTOMS IN NEUROLOGICAL DISEASES Yustiani Dikot Department of Neurology Medical Faculty Padjadjaran University Hasan Sadikin Hospital Bandung

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Sign & Symptoms in Neurological Disease

Transcript of Sign & Symptoms in Neurological Disease

  • SIGN AND SYMPTOMS IN NEUROLOGICAL DISEASESYustiani DikotDepartment of NeurologyMedical Faculty Padjadjaran UniversityHasan Sadikin Hospital Bandung

  • Due to location HemisphereCentral Nerves System Medulla spinalisCerebralCerebellumBrain sectionCervicalThoracalLumbosacral NucleusPeripheral nerves system Ganglion Nerve root

  • Paralytic / damageDue to pathophysiology Initative disturbance of transmision

  • Cardinal symptomsGeneral cerebral disordersHigh intracranial pressureIntoxicationMetabolic disordersFocal cerebral disordersDisturbances of ARAS / brain stemConsciousness

  • Cardinal symptomsMeningeal irritation : - Infection- Haemorrhage- Radix irritation

  • Motor dysfunction : - centralCerebral : hemiparese, hemiplegy- Vascular- Infection- SOL- Degenerative processMedullar : segmental paralyticUpper motor / centralHypertonic / spasticHyperreflexiaPathological reflex

  • - PeriferCranial nerveSegmental :- Myotomal- Radiculopathy- NeuropathyLower motor :Hypotonic / flacidHypo / areflexia

  • Sensoric dysfunction : ExteroceptivePainTemperatureTouchProprioceptiveVibrationDeep painPositionCerebralCorticalThalamicMedullarRadicularOrganic

  • Autonomic :SymphaticParasymphaticRegulation of blood pressure, respiration, micturation, bowel habit, sweating

  • Equilibrium :Central :CerebellumPosterior medulla spinalisPeripheral :Vestibular

  • Higher Cortical Dysfunction :Cognitive dysfunction NeurobehaviourMemoryImmediateRecentLong term memoryLanguageVerbalNon verbalDyslexiaDysgraphiaOrientationTimePlacePerson

  • PraxisCalculationInsightExecutive functionVisuospatialEmotion

  • Higher Cortical Dysfunction :Degenerative DementiaVascular StrokeSOL Intracranial tumorNeurotransmitter Psychiatric disorder

  • Symptoms :Memory problemExecutive dysfunctionLanguage dysfunction, aphasiaDisorientationDisinhibitionBehaviour disturbancesDispraxia