Fkl Stroke Trisakti 2012-Final

8/16/2019 Fkl Stroke Trisakti 2012-Final

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UNGSI KORTIKAL

LUHUR

(Higher Cortical

unctions)

Sidiarto Kusuo!utro

"agian Neurologi

K Trisa#ti

$a#arta

$a#arta% &' $ULI '&'


2/99

UNGSI

KORTIKAL

LUHUR

HISTORI


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UNGSI KORTIKAL LUHUR

HIGHR CORTICAL UNCTIONS

"RAIN "HA*IOR

RLATIONSHI+

"HA*IORAL NUROLOG,

NURO"HA*IOR


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- ".C HRO+HILUS

&/0& "ROCA

&/12 3RNICK

&405 GSCH3IN6

&4/& S+RR,


5/99


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Phrenology

Gall&14

OTAK TERBAGI

DALAM"AGIAN7"AGIAN

INTLKTUAL

S+SI IK


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FRANZ JOSEPH GALL

1758 - 1828


8/99

PAUL BROCA

1824 - 1880


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CARL WERNICKE 1848 - 1904


10/99

Roger 3olcott S!err8

PEMENANG

HADIAH NOBEL

1981SPLIT BRAIN

SPESIALISASI

HEMISFER


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UNGSI KORTIKAL

LUHUR

*ALUASI A3AL

(SCRNING TST)


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NUROLOG,

• L9NTR NUROLOG,

9otoric

Sensor8

:

HIGHR NUROLOG,

Attention

Language

9eor8

*isuos!atial

;ecuti


14/99

'. Status +si#i#usCara >er!i#ir

+erasaan hati Ting#ah la#u

Ingatan

Kecerdasan


15/99

Ste!s in the iniu

screening

9ental Status ;aination

Awa!"!## $!%!! &' awa(!"!##

$!%!! &' a))!")*&"

La"%+a%! Na,*"% )& &"'&")a)*&" Ca)!%&. w&/ *#)

W*)*"% )& &,,a"/

L!a"*"% O*!")a)*&" )& )*,! a"/ a!

*#+a)*a A3**). )& &.

#a!# )!!-/*,!"#*&"a


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? "eha


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+ediatric >eha


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6asar +ende#atan

us

'. Lateral

sindroa heis=er #iri dan #anan


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DEPAN BELAKANG

LONGI;U$INAL


20/99

KIRI KANAN

LA;ERAL


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UNGSI

KORTIKAL

LUHUR

*ALUASI


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Status 9ental

&. Attention

'. Language

-. 9eor8

2. *isuos!atial

5. ;ecuti


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Neuro>eha


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UNGSI

KORTIKAL

LUHUR

A+LIKASI +A6A

STROK


26/99

UNGSI KORTIKAL

LUHUR

A+LIKASI +A6A STROK

:

TRAU9A KA+ITIS

:

69NSIA

:+IL+SI

:

RA6ANG OTAK 6S".


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UNGSI KORTIKAL

LUHUR

A+LIKASI +A6A STROK

TS +SIKO9TRIK

STRU" B "LACK


28/99

STROK

SR"RAL

C.*.6

KANAN 7 KIRI


29/99

KIRI KANAN

LA;ERAL


30/99


31/99

DEPAN BELAKANG


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STROK KIRI 7 STROK KANA

Hei!aresis Kanan 7 Hei!aresis Ki


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S."/&,!# &' !') a"/ *%) !,*#!!#

Left hemisphere Right hemisphere


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STROK

SR"RAL

H9IS R KIRI


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36/99

SIN6RO9

H9IS R KIRI


37/99

Arteria sere>ri edia heis=er #iri


38/99

In=ar#

daerah =rontal

In=erior #iri

Klinis

hei!aresis

de#stra

D

A=asia "roca

--<


39/99

S."/&,!# &' !') a"/ *%) !,*#!!#

Left hemisphere Right hemisphere


40/99

SIN6RO9

H9IS R KIRI


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DEPAN BELAKANG

+ROSS +9"LA$ARAN @ 6ARI "LAKANG K 6+AN

P*"#* #)*,+a#* /a* 3!a(a"% (! /!a"

P!"%!)*a" (! )+)+a"

TUTURAN

+NGRTIAN


42/99

SIN6RO9 H9IS R KIRI

A ASIA

A+RAKSIA

ALKSIA

AGRA IA

SIN6RO9A GRST9ANN @

KON US KIRI7KANAN

AKALKULIA

AGNOSIA $ARI

AGRA IA


43/99

A ASIA

GANGGUAN 9O6ALITAS

"AHASA @

&. "ICARA S+ONTAN

'. +NGRTIAN "AHASA

-. +NA9AAN

2. +NGULANGAN

5. 99"ACA

0. 9NULIS


44/99

A ASIA

GANGGUAN 9O6ALITAS

"AHASA @

&. "ICARA S+ONTAN (TUTURAN)

'. +NGRTIAN "AHASA

-. +NA9AAN

2. +NGULANGAN

5. 99"ACA

0. 9NULIS


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TUTURAN +NGRTIAN


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A ASIA

GANGGUAN 9O6ALITAS

"AHASA @

&. "ICARA S+ONTAN

'. +NGRTIAN "AHASA

-. +NA9AAN

2. +NGULANGAN

5. 99"ACA

0. 9NULIS


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& 2 '

&."ICARA S+ONTAN 2. +NGULANGAN '. +NGRTIAN


48/99

A ASIA

GANGGUAN 9O6ALITAS

"AHASA @

&. "ICARA S+ONTAN

'. +NGRTIAN "AHASA

-. +NA9AAN

2. +NGULANGAN

5. 99"ACA

0. 9NULIS


49/99


50/99

A ASIA

GANGGUAN 9O6ALITAS

"AHASA @

&. "ICARA S+ONTAN

'. +NGRTIAN "AHASA

-. +NA9AAN(ANO9IA)

2. +NGULANGAN

5. 99"ACA

0. 9NULIS


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ANO9IA (+NA9AAN)


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A ASIA

GANGGUAN 9O6ALITAS

"AHASA @

&. "ICARA S+ONTAN

'. +NGRTIAN "AHASA

-. +NA9AAN

2. +NGULANGAN

5. 99"ACA (ALKSIA)

0. 9NULIS


53/99

ALKSIA (99"ACA)

+T @ ALKSIA 6NGAN AGRAFIA

O @ ALKSIA TAN+A AGRAFIA


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B&a Aa#*a :

nonfluent, anterior,

expressive

Inferior frontal

gyrus

W!"*(! Aa#*afluent, posterior,

receptive

Superior temporal

gyrus


55/99


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CARL WERNICKE 1848 - 1904


57/99

Ka#*'*(a#* A'a#*a

K*#"!6 1975

B&a = )!!%a'*(6 "&"'+!")!"%!)*a" 3a*(6

,!,3aa 3a*(

W!"*(! = '+!")6

#!,+a 3++(

G&3a = )!!%a'*(6 ,+)*#,!

#!,+a 3++(

K&"/+(#* = '+!") > (!#aaa"

!"%+a"%a" 3++(

#*#a".a 3a*(

A"&,*( = '+!") > !"a*a"

(a)a !"a,aa" 3++(

#*#a".a 3a*(

Klasifikasi Cummings 1!


58/99

Klasifikasi Cummings, 1!


59/99

S!ontaneous s!eech

eilit8

'. Co!rehension o= s!o#en language

-. 3ord7=inding di==icult82. ;cessi


60/99

Cookie theft, "#$% 1!&

"#$% 1!&


61/99

"#$%, 1!&

"#$% 1!&


62/99

"#$%, 1!&


63/99


64/99

Pa/a +a"% /a+ )!,a) (!:a )!/aa) #!&a"%

*3+ /a" /+a &a"% +)a /a" &a"% +)*?

S!&a"% a"a( a(* ,!"%a,3* ,a(a"a" /*a)a#,!:a6 ,!"%a":a) ,!"*,3a (a(* )!*? S!&a"%

a"a( a(* )!#!3+) )!*a) a(a" :a)+?

S!&a"% *3+ #!/a"% ,!"+* **"%6 (!/+a

a"a( .% #/a"% ,!"%a,3* )!#!3+) /*a)a#3!a/a /* 3!a(a"% a"a( *3+ )!#!3+)?

;!,a) *3+ .a"% #!/a"% ,!"+* 3!/** )!,a)

:!"/!a? J!"/!a )!#!3+) /a* !,*" /aa)

/**a) /a* /aa, %a,3a +,a /a" )a,a" /a"

Jaa"?

R+a"% +*6 a*".a ,!*,a) /a" a*".a :a)+?


65/99


66/99

Pa/a wa()+ *)+ a/a #!&a"% *3+6 )*"%%a

/aa, (a,a /a" /aa, +,a )a"%%a

/a)a"% ,!,+".a* +)a .a"% !a(* /a"a/*(".a !,+a"? S!3!+,".a (a(a(

!a(*".a ,*")a )&&"% +")+( /*)++"(a"

/aa, a"%".a? N.a)a".a *3+".a a* .a"%/*)!,a) *)+ 3!)!3a"%a" (! )!,a) *)+

,!,3!#*(a" +a"%a" (" +,a ,a(a"

)!#!3+)? Ka!"a +)a !a(* *)+ ,a+,!"a+(a" 3a"%(+ *)+ a(a" :a)+ (a!"a

(!a" )!,a) ,!"a+(a" 3a"%(+ )#3?


67/99

A* :a)+K!"a a( **"%

G!a# ,*"+, (!"a( a*

K+#* :a)+

A"a( (!* a/a ,a*"@a+ a,3* :a:a"

K&( :a)+

"ROCA

K+ARAHAN &

A* : )


68/99

A* :a)+

K!"a a( **"%

G!a# ,*"+, (!"a( a*

K+#* :a)+

A"a( (!* a/a ,a*"

@a+ a,3* :a:a"

K&( :a)+

P*"#* #)*,+a#* /a* 3!a(a"% (! /!a"


69/99

DEPAN BELAKANG

+ROSS +9"LA$ARAN @ 6ARI "LAKANG K 6+AN

P*"#* #)*,+a#* /a* 3!a(a"% (! /!a"

P!"%!)*a" (! )+)+a"

TUTURAN

+NGRTIAN

' k ' t # R i % )1*+


70/99

'oken 'est, #e Ren(i, % )1*+

Ba%*a" I


71/99

Ba%*a" I

1? S!")+ #!3+a *"%(aa"

Ba%*a" II

8? S!")+ !#!%* 3*+

Ba%*a" III12? S!")+ *"%(aa" (!* ,!a

Ba%*a" I

1? S!")+ *"%(aa" ,!a /a"

/a" !#!%* (+"*"%

Ba%*a" 20? S!")+ !#!%* 3!#a *:a+ /a"

*"%(aa" (!* (+"*"%

Ba%*a" I

24? ;a+ *"%(aa" ,!a /* a)a#

!#!%* *:a+5? S!3a%a* %a")* !#!%* +)*6

#!")+ *"%(aa" 3*+

? S!a*" ,!".!")+ *"%(aa"

3*+6 #!")+ :+%a *"%(aa"

(+"*"%


72/99

enilaian 'es Keping &-

J+,a "*a* 3!"a Ga"%%+a" a'a#*a

&- . / ti0ak a0a/! . / ringan

/2 . 1* se0ang

1- . 3erat

! . 4 sangat 3erat


73/99

STROK

SR"RAL

H9IS R

KANAN


74/99




75/99

SIN6RO9

H9IS R

KANAN


76/99


77/99

Sin0roma 5emisfer Kanan

*#+&!!)+a a"/ !a)!/ /*#&/!#5emispatial neglect

$nosognosia 6 $chromatopsia

%nvironmental agnosia

7acial recognition 0efect an0 prosopagnosia

*#+&,&)& /*#)+3a"!#

Construction 0isa3ility 6 #ressing 0istur3ances

A''!)*! a"/ !,&)*&"a a)!a)*&" $proso0y6 Impaire0 affective au0itory comprehension6

#istur3ance of emotional facial recognition 6

$ltere0 emotional facial expression


78/99

Sindroa Heis=er Kanan

*isuo!erce!tual and related disorders

Heis!atial neglect

Anosognosia E Achroato!sia

nances

Construction disa>ilit8 E 6ressing distur>ances

A==ecti


79/99

SIN6RO9 H9IS R

KANAN

Gangguan Atensi dan osi @

+enga>aian

I!ersisten otori#

Anosognosia

osi datar

Gangguan *isuos!asial @

A!ra#sia #onstru#si

A!ra#sia >er!a#aian

+roso!agnosia

Ausia


80/99

A9USIA @

tida# engenal

usi#% iraa ds>.


81/99


82/99

H)9IS+ATIAL

)GL)CT


83/99

*ISUAL

SCANNING AN6 TRACKING

!!! F R ; A F G E F $ F I U I K O F I

!!! ; R A F E $ S F B G E F $ C @ N H

!!! F R G U ; F C A $ F C E O P F

!!! $ E F G B N @ U I F F E ; H N

!!! ; G U F $ S F Z D E @ O F ; F K

N*IRON9NTAL AGNOSIA


84/99

N*IRON9NTAL AGNOSIA


85/99

ACHRO9ATO+SIA

+ROSO+AGNOSIA @ TI6AK


86/99

9NGNALI 3A$AH ORANG


87/99

ACIAL RCOGNITION 6 CT

Tidak mengenal wajah

gembira,sedih,heran,marah,terkejut


88/99


89/99


90/99


91/99

C&"#)+)*&"a


92/99

C&"#)+)*&"a

A3**).

*#+&,&)& /*#)+3a"!#

#ra8ing to comman0 test


93/99

C&"#)+)*&"a


94/99

C&"#)+)*&"a

A3**).

*#+&,&)& /*#)+3a"!#

"lock 0esign


95/99

Contoh .

contoh

enyusun9

an

3alok .3alok

5asil

susunan

3alok9 3alok

yang salah

taruh

AFFCTI* AN6


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AFFCTI* AN6

9OTIONAL ALTRATIONS

?TH 9OTIONAL H9IS+HR

: gangguan e#s!resi eosi dan aah: a=e# datar

: >icara onoton

: gangguan !eahaan eleen !rosodi

!e>icaraan

: gangguan engenali !eru>ahan

e#s!resi aah


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98/99

;ERI@A KASIH

A;AS

PERHA;IAN

AN$A


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Date post:	06-Jul-2018
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Fkl Stroke Trisakti 2012-Final

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