Sign & Symptoms in Neurological Disease
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Transcript of Sign & Symptoms in Neurological Disease
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SIGN AND SYMPTOMS IN NEUROLOGICAL DISEASESYustiani DikotDepartment of NeurologyMedical Faculty Padjadjaran UniversityHasan Sadikin Hospital Bandung
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Due to location HemisphereCentral Nerves System Medulla spinalisCerebralCerebellumBrain sectionCervicalThoracalLumbosacral NucleusPeripheral nerves system Ganglion Nerve root
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Paralytic / damageDue to pathophysiology Initative disturbance of transmision
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Cardinal symptomsGeneral cerebral disordersHigh intracranial pressureIntoxicationMetabolic disordersFocal cerebral disordersDisturbances of ARAS / brain stemConsciousness
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Cardinal symptomsMeningeal irritation : - Infection- Haemorrhage- Radix irritation
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Motor dysfunction : - centralCerebral : hemiparese, hemiplegy- Vascular- Infection- SOL- Degenerative processMedullar : segmental paralyticUpper motor / centralHypertonic / spasticHyperreflexiaPathological reflex
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- PeriferCranial nerveSegmental :- Myotomal- Radiculopathy- NeuropathyLower motor :Hypotonic / flacidHypo / areflexia
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Sensoric dysfunction : ExteroceptivePainTemperatureTouchProprioceptiveVibrationDeep painPositionCerebralCorticalThalamicMedullarRadicularOrganic
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Autonomic :SymphaticParasymphaticRegulation of blood pressure, respiration, micturation, bowel habit, sweating
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Equilibrium :Central :CerebellumPosterior medulla spinalisPeripheral :Vestibular
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Higher Cortical Dysfunction :Cognitive dysfunction NeurobehaviourMemoryImmediateRecentLong term memoryLanguageVerbalNon verbalDyslexiaDysgraphiaOrientationTimePlacePerson
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PraxisCalculationInsightExecutive functionVisuospatialEmotion
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Higher Cortical Dysfunction :Degenerative DementiaVascular StrokeSOL Intracranial tumorNeurotransmitter Psychiatric disorder
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Symptoms :Memory problemExecutive dysfunctionLanguage dysfunction, aphasiaDisorientationDisinhibitionBehaviour disturbancesDispraxia