anwar wardy w.

06

(DASAR-DASAR DIAGNOSIS
TOPIS NEUROLOGI)

Anwar Wardy W
J akarta, 24 Mei 2006
anwar wardy w.06
Neuro-Ophthalmology
Eye Neurologic Exam
Oculocephalic Reflex
Nystagmus

Face Exam
Cranial Nerve Exam
Palpebral fissures equal
Facial symmetry
Tongue midline with no fasciculations
Jaw symmetric

anwar wardy w.06


Cranial Nerve I
Cranial Nerve II
Cranial Nerve III
Cranial Nerve IV
Cranial Nerve V
Cranial Nerve VI
Cranial Nerve VII
Cranial Nerve VIII
Cranial Nerve IX
Cranial Nerve X
Cranial Nerve XI
Cranial Nerve XII

anwar wardy w.06
Refered Pain (Angina Pectoris)
anwar wardy w.06
Oropharynx Exam
Gag Reflex
Swallow reflex
Regurgitation (nasal or liquid)
Larynx and Language
Voice quality
Speech Exam
Dysarthria (explosive or nasal)
Aphasia (writing)

anwar wardy w.06
Sensory
Two Point Discrimination
Sharp and dull discrimination
Proprioception (finger up or down?)
Stereography
Motor Exam
Motor Strength
Tone (flaccid, rigid, or cogwheel)
Atrophy
Fasciculations
Muscle tenderness
Tremor

anwar wardy w.06



Agnosia
Diabetic Neuropathy Testing
Two Point Discrimination
anwar wardy w.06
:

Movement Disorder
Reflex Exam
Tetany
Acute Motor Weakness Causes
Hemiplegia
Left Hemiplegia
Right Hemiplegia

anwar wardy w.06
Weakness
Increased tone (spasticity)
Atrophy of disuse only
Increased deep tendon reflexes.
Extensor plantar response (Babinski)
anwar wardy w.06
Sign of LMN Lession
Weakness
Decreased tone (flaccidity)
Atrophy
Fasciculations
Decreased to absent deep tendon
reflexes

anwar wardy w.06

Deep Tendon Reflexes
Primitive Reflexes
Babinski Reflex
Grasp Reflex
Suck Reflex
Glabellar Reflex
Hoffman Reflex

anwar wardy w.06
Reflex Tendon
anwar wardy w.06
Walking on base of foot
Tandem walking
Overall coordination

anwar wardy w.06
:

Aphasia
Apraxia
Executive Function Disturbance
Higher Integrative Functions
Memory Evaluation
Mental Status Exam
anwar wardy w.06
Afasia;
anwar wardy w.06
Cognitive Examination

Mini-Mental State Exam
Mental Status Consolidated Screening
Time and Change Test
Clock Drawing Test
Neuropsychiatric Inventory Questionnaire
Confusion Assessment Method

anwar wardy w.06
Cerebrovascular Accident
NIH Stroke Scale
Los Angeles Prehospital Stroke Screen
Dysphagia Evaluation
Neuro-Otolaryngology
Cavernous Sinus
Dysphagia
Gag Reflex
Dysarthria

anwar wardy w.06

Meningeal Irritation
Opisthotonos
anwar wardy w.06
Level of Consciousness
Level of Consciousness
Coma Exam
Glasgow Coma Scale
Decorticate posturing
anwar wardy w.06
Bells
Bell's Palsy
Facial Nerve Paralysis
Causes
Infectious Disease
Herpes Ophthalmicus
Ramsey Hunt Syndrome
Assorted Pages in
Cranial Nerve
Progressive Bulbar
Paralysis
Trigeminal Neuralgia

anwar wardy w.06
Evaluasi otak sekarang dan akan
datang!
Berbagai generasi alat bantu untuk
mengevaluasi Otak; secara fungsional;
(maupun Struktur/Anatomi)
a. EEG.
b. A.Scan & B Scan
C. CT.Scan.
d. MRI (Magnetic Resonance Imaging)
e. PET Scan (Positron Emission TomoG)
f. MEG (MagnetoEncephaloGrams)
g.TCD (TransCranial Doppler)
h. Evoked Potensial EEG Brain Mapping.

anwar wardy w.06
Other-line in
Examination
Neurologic Exam
Oculovestibular
Testing
Cerebral Spinal
Fluid: (gbr Tap
Spinal)
Neurovascular
Anatomy
Headache

anwar wardy w.06
EEG
anwar wardy w.06
Philosophical Approach EEG.EP-
Brain Mapping
1. Analisa Spektrum Pewarnaan Otak, selama
potensial otak yang ditimbulkan dapat dilihat dan
dicatat/data sesuai fungsi otak saat itu.
2. Peta (maps) dari potensial yang ditimbulkan (EP)
dan EEG secara bersama (akurat) diinterpretasi
sesuai poligrafik data EEGdata yang dihasilkan
mulai dari data Normal sd Abnormal (data
deteksi awal)
3. Data awal (raw data) dan peta adalah ilustrasi
primer sebagai hasil analisa Brain Neurologist
atau Physiologist .

anwar wardy w.06
Clinical Aspects
Drug Abuse.
Encephalitis
Myocardial Infarc
Severe headaches
Cancer
Abnormal Audition
Mental Retard

Genetic Abnormal
Clinnical Depresion
Hypertension
Severe Head Injury
Coma
Stroke
Abn.Pulmonary Fuction
Abn.Hepatic Fucntion
Abn.Vision.
Kelainan Pembelajaran.
Psychiatric
Schizoprenia
Alkohols
Meningitis
Epilepsy

anwar wardy w.06

Brain Mapping;
Brain mapping is a technique to display EEG data. A circle
represents the head. Each electrode is projected to a position
on the circle depending on the co-ordinates of the electrode.
The EEG data at each electrode is evaluated and an
interpolation is used to gain a value for every point on the
circle;
anwar wardy w.06
Problem:
Pemetaan Otak adalah suatu jalan/cara
untuk mengkhayalkan distribusi
potensial/tenaga didalam otak melalui 4 EEG
jalur (alpha, beta, theta, delta wave),
electrode diatas tengkorak. Bagaimana
mungkin peta individu diuji melawan aspek
pemikiran orang yang diperiksa. Umur yang
didasarkan pada, Pola rekaman dan
penemuan klinis EEG individu data mungkin
adalah digolongkan kelompok data.
Dibanding EEG individu, peta otak mungkin
akan diuji melawan terhadap peta otak
kelompok spesifik; untuk dibandingkan.
anwar wardy w.06
CVD; topis GPDO
anwar wardy w.06
Profile Illness
Relentlessly Progressive:
-Neoplastic disease
-Degerative disease.
Stepwise:
-Vascular disorders
-Collagen disorders
-Immunological disorders.
Sudden Onset: Infection and Vascular disease.
Intermittent, relapsing: Demyelinating
and vascular disease.
anwar wardy w.06
Wassalamualaikum Wr, Wbr.
FKK-UMJ