*Fundamental of Biomedic Science VI

Stroke

Kemlompok 6

Chief complainA 59 y.o woman was admitted to ER because decrease of conscious while she had gardening*Topic discussionCase review

Past history Her son said that she complaint sudden headache and weakness of the right arm and leg 30 minutes before. Accompanied by nausea, vomiting, trouble speaking and asymetry face.*Topic discussionCase review

Physical examinationOn PE it was found that soporus, neck stiffness in the posterior neck. Vital sign showed very high BP, with increased pulse and normal respiratory rate*Topic discussionCase review

Physical examinationOn neurological examination revealed positive meningeal sign, muscle weakness sensation of right arm and leg. Also increasing physiologic reflex*Topic discussionCase review

Physical examinationCT scan showed hemorrhage on subaracnoid space ventricle space and intracerebral space, with aneurysm on aterior communicating artery*Topic discussionCase review

Diagnose Stroke *Topic discussionCase review

*Patomechanism

Mind map *Topic discussionCase review

Meninges *

Ventricle system 2 ventricles between two hemisphere3rd ventricle4th ventricle*

CSF*

Neuron and neuroglia *

Vasculature of the brain*

Cerebrum *Gray matterWhite matterOther structureHistology

Cerebrum *Gray matterWhite matterOther structureHistology

Cerebrum *Gray matterWhite matterOther structureHistology

Cerebrum *Gray matterWhite matterOther structureHistology

Cerebellum *Structure HemisphereLobes Vermis Floculonodular

Cerebellum *Permukaan Superficial foliaDeep layer arbor vitae

Cerebellum *Nuclei Dentate EmboliformGloboseFastigial

FibersIntrinsic fibersAfferent fibersEfferent fibers

Cerebellum *

Dienecephalon *ThalamusSubthalamusEpithalamus Hipothalamus

Brainstem *Medulla oblongata PonsMidbrain

Spinal cord *EnlargementCervical Lumbar Medullary coneCuada equinaTerminal filum

Spinal cord *

Somatic Sensory Pathway*Neuron : First oerder neuron Second order neuron Third order neuron Pathway : Posterior colum medial lemnicus pathwayGracile fassiculusCuneate fassiculusAnterolateral pathwayTrigeminothalmic pathway

Somatic Motor Pathway*Neuron : Upper motor neuron (UMN)Lower motor neuron (LMN)Pathway : Direct Corticospinal pathwayCorticobulbar pathwayIndirect

BHP dan IIMCBHPPenanganan faktor resiko yang dapat diubah :Pengurangan konsumsi garam (makanan asin)Penguranfan konsumsi gula (makanan manis)Fisioterapi :Speech therapy (terapi wicara)Occupational therapy yang bertujuan untuk mengembalikan fungsi kehidupan sehari-hari misalnya mandi, makan, ganti baju, dll)Pencegahan stroke ulang.IIMC

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