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    RSUD ARIFIN ACHMAD

    Fakultas Kedokteran UR  SMF/ BAGIAN SARAF

    Sekretariat : SMF Saraf – Irna Medikal Lantai 4

    Jl. Diponegoro No. 2 Telp. (0761) 7026225

    P  K A N ! A R U

    S"A"US PASIN

     N! "o## Ag$ng %!$ng&#

     N I M / N ' " 0501202

    %e!i!ing *r. Ri&i S$&in*r+ Sp.S

    I# IDN"I"AS PASIN

     N! Tn. AR 

    '!$r 55 ,-$n

    Jeni# &el!in &il&i

    Al!, Jl. S$& "r  T!pn

    Ag! I#l!

    S,,$# per&inn "in

    %e&er3n B$r$-

    Tnggl M#$& RS 14 Ag$#,$# 201

    Me*il Reor* 6 25 66

    II# ANAMNSIS   Allon!ne#i# *ri n& p#ien

    Kelu$an Uta%a

    %en$r$nn &e#*rn

    Ri&a'at Pen'akit Sekaran(

     

    1 -ri #eel$! !#$& ng#l #r8+ p#ien !engl!i pen$r$nn &e#*rn #, i#,ir-, 9 :0 !eni, &e!$*in p#ien #*r ,e,pi ,i*& *p, erir *n

    ,i*& !enger,i p g &i, ir&n+ ll$ *i  &e r$!- #&i,. engn *n

    ,$ng&i #eel- &nn le!- *n ,i*& i# *iger&&n *n *ing&,. M$n,- ,i*& 

    *+ !$l ,i*& *+ &e3ng ,i*& *+ !$*- lel- #, er3ln ,i*& * *n ,i*& 

    !$*- #e#&. Seel$!n p#ien ,i*& * !engel$-&n neri &epl.

    BAB *n BA" p#ien nor!l.

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    %#ien ,i*& #e*ng !eng&on#$!#i o,o,n+ ,i*& * !e!&n !&nn

    ng ,i*& l;i! #eel$!n.

    Ri&a'at Pen'akit Da$ulu

    •%#ien el$! pern- !en*eri, &el$-n #eper,i ini

    #eel$!n.

      Ri, -iper,en#i (

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    ) SARAF KRANIAL

    1. N# I ,*lfa-torius .

    "nn "iri "e,erngn

    D pe!$ SDN SDN S$li, *inili (SDN)

    2. N#II ,*/ti-us.

    "nn "iri "e,erngn

    D pengli-,n

    png pn*ng

    %engenln rn

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    :. N#III ,*-ulo%otorius.

    "nn "iri "e,erngn

    %,o#i#

    %$pil

      Ben,$& 

      '&$rn Ger& ol !,

    Re8le p$pil

      ng#$ng

      Ti*& lng#$ng

    ()

    B$l,

    : !!  N

    (

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    . N# 0III ,Akustikus.

    "nn "iri "e,erngn

    %en*engrn SDN SDN SDN

    4. N# I1 ,+lossofarin(eus.

    "nn "iri "e,erngn

    Ar&$# 8ring# D per#

    Re8le !$n,-

    SDN SDN

    SDN

    SDN SDN

    SDN

    SDN

    10. N# 1 ,0a(us.

    "nn "iri "e,erngn

    Ar&$# 8ring#

    D#8oni

    SDN

    SDN

    SDN

    SDN

    SDN

    11. N# 1I ,Assesorius.

    "nn "iri "e,erngn

    Mo,ori& 

    Tro8i

    SDN

    @$,ro8i

    SDN

    @$,ro8i

    SDN

    12. N# 1II ,Hi/o(lossus.

    "nn "iri "e,erngn

    Mo,ori& 

    Tro8i

    Tre!or 

    Di#r,ri

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    I0# SIS"M M*"*RIK 

    "nn "iri "e,erngn

    @,re!i,# ,#

      "e&$,n

    Di#,l

    %roi!l

      Ton$#

      Tro8i

      Ger.inol$n,er 

    SDN

    SDN

     Nor!l

    @$,ro8i

    ()

    SDN

    SDN

     Nor!l

    @$,ro8i

    ()

    "e#n SDN

    @,re!i,# -

      "e&$,n

    Di#,l

    %roi!l

      Ton$#

      Tro8i

      Ger.inol$n,er 

    SDN

    SDN

     Nor!l

    @$,ro8i

    ()

    SDN

    SDN

     Nor!l

    @$,ro8i

    ()

    "e#n SDN

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    B*n

      Tro8i

      Ger. Inol$n,er 

    @$,ro8i

     ()

    @$,ro8i

     ()

    Ti*& * &elinn

    0# SIS"M SNS*RIK 

    "nn "iri "e,erngn

    R

     Neri

    S$-$

    %ropio#ep,i8 

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    SDN

    0I# RFLKS

    "nn "iri "e,erngn

    Fi#iologi#

      Bi#ep#

      Tri#ep#

      "%R    A%R 

    (

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    e. l# ,e#,  

    8. Br$*;in#&i  /

    1# RSUM PMRIKSAAN

    "e*n $!$!

    "e#*rn  So!nolen

      Te&nn *r-  &nn  160/110!!=g+ &iri  160/110 !!=g

    F$ng#i l$-$r  A8#i glol (

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     %e!erin n$,ri#i perorl #e#$i &e$,$-n &lori p#ien

    )# K$usus

     IFD R 20 g,,/i

     A#pile, 2 > 0 !g

     In3. ?i,ioline 2 > 250 !g

     In3. %ire,! : > : gr!

    F# HASIL PMRIKSAAN PNUN3AN+ 

     Head  C"S-an ,tan((al 56 A(ustus 7854.

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    Hasil C" S-an:

     ,!p& re -ipo*en#i,# p* gin #ini#,r

    "e#n #,ro&e in8r& 

    Dara$ rutin ,56 A(ustus 7854.

      =  1:+7 gr/*l

     

    =,  5+7 E

     

    e$  1.500/!!:

     

    Tro!  :16.000/!!:

    Ki%ia dara$ ,56 A(ustus 7854.

     GDS  7 !g/*l

     ?RS  1+01 !g/*l

     B'N  1:+6 !g/*l

     're$!  24 !g/*l

     AT  16 I'/

     AST  25 I'/

    ?=  175 !g/*l

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    PM!AHASAN

    I# Definisi Stroke

    Men$r$, World Health Organization (=) #,ro&e *l- !ni8e#,#i &lini& 

    *ri gngg$n 8$ng#i #ererl+ i& 8o&l !$p$n glol+ ng erlng#$ng *engn

    ep, *n lei- *ri 2 3! ,$ er&-ir *engn &e!,in ,np *i,e!$&nn

     pen&i, #elin *rip* gngg$n #&$lr.1

    II# Klasifikasi stroke 597

    A Ber*#r&n &elinn p,ologi& p* o,& 

    1 S,ro&e =e!orgi& 

    • %er*r-n in,r#ererl

    • %er*r-n e,r#ererl (per*r-n #$r&noi*)

    2 S,ro&e non -e!orgi& (#,ro&e i#&e!i&+ in8r& o,&+ pen$!,n)

    ng *igi ,# #$,ipe 

    • Tro!o#i# #ereri

    • @!oli #ereri

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    • =ipoper8$#i #i#,e!i& 

    B Ber*#r&n penilin ,er-*p &,$ &e3*inn

    1 Transient Ischemik Attack  (TIA) ,$ #erngn #,ro&e #e!en,r+ ge3l *e8i#i,

    ne$rologi# -n erlng#$ng &$rng *ri 2 3!.

    2  Reversible Ischemic Neurological Deficits  (RIND)+ &elinnn ,$ ge3l

    ne$rologi# !eng-ilng lei- *ri 2 3! #!pi : !ingg$.

    : S,ro&e progre#i8 ,$ Stroke in volution  ([email protected]) i,$ #,ro&e ng ge3l

    &lini#n #er er,-p er&e!ng *ri ng ringn #!pi #e!&in er,.

     S,ro&e &o!pli, ,$ com!leted stroke+ i,$ #,ro&e *engn *e8i#i, ne$rologi#

    ng !ene,p *n #$*- ,i*& er&e!ng lgi.

    ? Ber*#r&n lo&#i le#i #&$ler 

    1. Si#,e! &ro,i#

     Mo,ori&  -e!ipre#e &on,rl,erl+ *i#r,ri

     Sen#ori&  -e!i-ipe#,e#i l,ernn#+ pre#,e#i

     Gngg$n i#$l  -e!inop#i -o!on! &on,rl,erl+ !$ro#i# 8$g

     Gngg$n 8$ng#i l$-$r  8#i+ gno#i

    2. Si#,e! er,ero#iler 

     Mo,ori&  -e!ipre#e l,ernn#. Di#r,ri

     Sen#ori&  -e!i-ipe#,e#i l,ernn#+ pre#,e#i

     Gngg$n lin  gngg$n &e#ei!ngn+ er,igo+ *iplopi