19 Pemeriksaan Dan Pengukuran Syaraf Krnial Dan Syaraf Tepi
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Transcript of 19 Pemeriksaan Dan Pengukuran Syaraf Krnial Dan Syaraf Tepi
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7/27/2019 19 Pemeriksaan Dan Pengukuran Syaraf Krnial Dan Syaraf Tepi
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PEMERIKSAAN DANPEMERIKSAAN DANPENGUKURAN SYARAFPENGUKURAN SYARAF
KRNIAL DAN SYARAF TEPIKRNIAL DAN SYARAF TEPI
NAWANGSASI TAKARININAWANGSASI TAKARINI
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12 SYARAF CRANIAL12 SYARAF CRANIAL
I - Olfactory
II - Optic
III - Oculomotor
IV - Trochlear
V - TrigemialVI - A!"uce#
VII - Facial
VIII - Au"itory
I$ - %lo##opharygeal
$ - Vagu#
$I - Acce##ory$II - &ypogla##al
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Cranial Nerve MnemonicCranial Nerve MnemonicA commonly used mnemonic for identifying and remembering the cranial nerves is:A commonly used mnemonic for identifying and remembering the cranial nerves is:On Old Olympus Towering Tops, Finn And German Viewed Some ops! The details ofOn Old Olympus Towering Tops, Finn And German Viewed Some ops! The details ofthe cranial nerves are as follows!the cranial nerves are as follows!
CN1 Olfactory: You have one nose, h!ch !s here CN 1 res!"es# Its funct!on contr!$utes toCN1 Olfactory: You have one nose, h!ch !s here CN 1 res!"es# Its funct!on contr!$utes tothe sense of s%ell#the sense of s%ell#
CN II O&t!c: You have to eyes, here you !ll f!n" CN II# 'unct!on of th!s cran!al nerve !sCN II O&t!c: You have to eyes, here you !ll f!n" CN II# 'unct!on of th!s cran!al nerve !sv!tal to v!s!on an" v!sual f!el"s, an", !n con(unct!on !th CN III, &u&!llary react!on#v!tal to v!s!on an" v!sual f!el"s, an", !n con(unct!on !th CN III, &u&!llary react!on#
CN III Occulo%otor: CN III, the eye )occulo*+ %ove%ent )%otor+ nerve ors !th CN III, I-CN III Occulo%otor: CN III, the eye )occulo*+ %ove%ent )%otor+ nerve ors !th CN III, I-an" -I )a$"ucens, h!ch hel&s the eye$all a$"uct or %ove+# The act!ons of these CNs arean" -I )a$"ucens, h!ch hel&s the eye$all a$"uct or %ove+# The act!ons of these CNs arelar.ely res&ons!$le for the %ove%ent of the eye$all an" eyel!"#lar.ely res&ons!$le for the %ove%ent of the eye$all an" eyel!"#
CN I- TrochlearCN I- Trochlear
CN - Tr!.e%!nal: Three )tr!+ ty&es of sensat!on te%&erature, &a!n an" tact!le co%e fro%CN - Tr!.e%!nal: Three )tr!+ ty&es of sensat!on te%&erature, &a!n an" tact!le co%e fro%th!s three )tr!+*$ranche" nerve that covers three )tr!+ terr!tor!es of the face# 'or nor%al cornealth!s three )tr!+*$ranche" nerve that covers three )tr!+ terr!tor!es of the face# 'or nor%al cornealrefle/es to $e &resent, the afferent l!%$ of the f!rst "!v!s!on of CN - an" the effect l!%$ of CNrefle/es to $e &resent, the afferent l!%$ of the f!rst "!v!s!on of CN - an" the effect l!%$ of CN-II nee" to $e !ntact#-II nee" to $e !ntact#
CN -I A$"ucensCN -I A$"ucens CN -II 'ac!al: 0ysfunct!on of th!s nerve .!ves the character!st!c f!n"!n.s of ell2s &alsy )fac!alCN -II 'ac!al: 0ysfunct!on of th!s nerve .!ves the character!st!c f!n"!n.s of ell2s &alsy )fac!al
asy%%etry, "roo& of %outh, a$sent nasola$!al fol", !%&a!re" eyel!" %ove%ent+#asy%%etry, "roo& of %outh, a$sent nasola$!al fol", !%&a!re" eyel!" %ove%ent+# CN -III Au"!tory or vest!$ulocochlear: When th!s "oes not funct!on &ro&erly, hear!n.CN -III Au"!tory or vest!$ulocochlear: When th!s "oes not funct!on &ro&erly, hear!n.
)au"!tory+ or $alance !s !%&a!re" )vest!$ulocochlear+# The R!nne test !s &art of the evaluat!on of)au"!tory+ or $alance !s !%&a!re" )vest!$ulocochlear+# The R!nne test !s &art of the evaluat!on ofth!s cran!al nerve#th!s cran!al nerve#
CN I3 Glosso&haryn.eal: The na%e of th!s CN &rov!"es a clue that !ts funct!on affects theCN I3 Glosso&haryn.eal: The na%e of th!s CN &rov!"es a clue that !ts funct!on affects theton.ue ).losso+ an" throat )&haryn/+# Alon. !th CN 3, the funct!on of th!s nerve !s cr!t!cal toton.ue ).losso+ an" throat )&haryn/+# Alon. !th CN 3, the funct!on of th!s nerve !s cr!t!cal tosallo!n., &alate elevat!on an" .ustat!on#sallo!n., &alate elevat!on an" .ustat!on#
CN 3 -a.usCN 3 -a.us CN 3I Accessory or s&!nal root of the accessory: 'unct!on of th!s CN can $e teste" $yCN 3I Accessory or s&!nal root of the accessory: 'unct!on of th!s CN can $e teste" $y
evaluat!n. shoul"er shru. an" lateral nec rotat!on#evaluat!n. shoul"er shru. an" lateral nec rotat!on# CN 3II 4y&o.lossal* 'unct!on of th!s CN !s teste" $y not!n. %ove%ent an" &rotrus!on of theCN 3II 4y&o.lossal* 'unct!on of th!s CN !s teste" $y not!n. %ove%ent an" &rotrus!on of the
ton.ue#ton.ue#
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Common peripheral nerves !erri!ories o" innerva!ionCommon peripheral nerves !erri!ories o" innerva!ion
an# clinical correla!es$an# clinical correla!es$
Peripheral Nerve Sensor% Innerva!ion Mo!or Innerva!ionCon!ri&'!in(
Spinal NerveRoo!s
Clinical
Ra"ial Ner'e
(ac) of thum!* i"e+*mi""le* a" , rigfiger !ac) offorearm
.ri#t e+te#io a"a!"uctio ofthum! i palmerplae
C/* 0* At ri#) for compre##io at
humeru#* )o a#3Satur"ay Night 4al#y3
5lar Ner'e
4almar a" "or#ala#pect# of pi)y a"
, of rig figer
A!"uctio of figer#6itri#ic
mu#cle# ofha"7
C0* a" T1
At ri#) for i8ury ith el!ofracture9 Ca gettra#iet #ymptom#
he i#i"e of el!o i##truc) 63fuy !oe3"i#tri!utio7
:e"ia Ner'e
4almar a#pect of thethum!* i"e+*mi""le a" , rigfiger palm !elothe#e figer#9
A!"uctio of thum!perpe"icular topalm 6thearmu#cle#79
C* T1Compre##io at carpal tuel
cau#e# carpal tuel#y"rome
Lateral Cutaeou#Ner'e of Thigh
Lateral a#pect thighL1* 2
Ca !ecome compre##e" io!e#e patiet#* cau#igum!e## o'er it#"i#tri!utio
4eroealLateral leg* top of foot ;or#ifle+io of foot
6ti!iali# ateriormu#cle7
L
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C1
C2
C3
C4
C5
C6
C7
C8
TH1
TH2
TH3
TH4
TH5
TH6
TH7
TH8
TH9
TH10
TH11
TH12
L1
L2
L3
L4
L5
S1
S2
S3
S4
S5
C1-C5
Upper Extremity
Lower Extremity
PERIPHERAL SYMPATHETIC
INNERVATION
SEGMENT