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Paralysis : (kelumpuhan) gangguan fungsi satu otot atau lebih yg tidak ada mobilitas atau
pergerakan, karena ada kerusakan di otak (intan), paralisis sama plegi sama.
STEP 2
1. What is the anatomy and fisiologi of the case?
2. What the relation the symptoms with using motorcyle without helmet?
3. Why the patient experiencing a weaknes of the facial on the left side, couldn’t
gargled, and found that her face was asymmetric and she was unable to tightly
close her left eye?
4. What the definition of bell’s spalsy
5. What the etiologi and risk factor of the case
6. What is the patofisiology and patogenesis from the case?
7. What is the diffrent between central nerve paralysis and perifer nerve paralysis?
8. What is DD and diagnose of the case?
9. What is physical examination and supporting examination?
10. What is the treatment, education, prognosis of the case?
STEP 3
2. What is the relation the symptoms with using motorcyle without helmet?
Bell’s palsy
3. Why the patient experiencing a weaknes of the facial on the left side, couldn’t
gargled, and found that her face was asymmetric and she was unable to tightly close
her left eye?
Bell’s spalsy
Paralisis nervus fascialis yg bersifat akut unilateral perifer dan mempengaruhi LMN dikenal
juga dgn nama paralisis fascialis idiopatik.
Etiologi:
Faktor2
Berkendaraan mlm hari tanpa pake helm, tidur di lantai, terpapar ac scr lgsg,
Cari otot2 yg berperan(central dan perifer) dan cara diagnosis central dan perifer nya.
8. What is DD and diagnose of the case?
DD : stroke lihat gejala klinisnya, dahinya bisa mengkerut lesi central. Gejala klinis: nyeri,
pegal, linu, dan tdk enak pada telinga, kelumpuhan di wajah dahi tdk bsa di kerutkan,
lagoftalmus, gg fungsi pengecap, hiperakusis, gg pada lakrimasinya. Penyakit miler viser
syndrome, trias gejalanya : optalmoplegi, ataksia, arefleksia. Akibat kerusakan
n.kranialis yg menyebabkan kelemahan otot2 mata, pd n.facialis kelemaha otot2 wajah
type perifer, infx hepes zooster pd ganglion genikulatum ruam pd wajah dan kelemahan
otot2 wajah
Pemeriksaan penunjang : ct-scan, memriksa struktur di dlm kepala ex. Otak, tulang,
sinusitis, EMG utk memastikan kerusakan saraf dan tipe keparahan
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