brown-sequard syndrome

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Brown-Sequard Syndrome

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pada setinggi lesi sisi kontralateral terdapat gangguan sensasi nyeri dan suhu juga.

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Page 1: Brown-Sequard Syndrome

Brown-Sequard Syndrome

Page 2: Brown-Sequard Syndrome

Sindrom yang disebabkan oleh hemiseksi medulla spinalis karena peluru, luka tusukan, syringomyelia, tumor medulla spinalis, atau hematomyelia.

(Clinical Neuroanatomy 26th, Waxman)

Definisi

Page 3: Brown-Sequard Syndrome

(Clinical Neuroanatomy 26th, Waxman)

Page 4: Brown-Sequard Syndrome

(Clinical Neuroanatomy 26th, Waxman)

Page 5: Brown-Sequard Syndrome

(Clinical Neuroanatomy 26th, Waxman)

Page 6: Brown-Sequard Syndrome

Gejala Klinis

Parese LMN

Parese UMN

Page 7: Brown-Sequard Syndrome

Gangguan Motorik◦ Paralisis tipe LMN ipsilateral (setinggi lesi)◦ Paralisis tipe UMN ipsilateral (di bawah lesi)

Manifestasi Klinis

Paralisis FlaccidParalisis SpastikRefleks fisiologis Refleks patologis +Clonus

Page 8: Brown-Sequard Syndrome

◦ Gangguan Sensorik

◦ Setinggi Lesi Semua kualitas sensorik terganggu ipsilateral lesi

◦ Di bawah lesi,

Manifestasi Klinis

Terganggu:• Proprioceptive (gerak+posisi

sendi, vibration /rasa getar, tekan)

• Fine touch(raba halus)• two point discrimination

Ipsilateral lesi

• Analgesia • Termanastesi

Kontralateral lesiKarena kerusakan tr. Spinothalamicus lataeral menyilang secara miring, sehingga terjadi dua atau tiga segmen di bawah tingkat lesi

Page 9: Brown-Sequard Syndrome

Gangguan Autonomik

Setinggi lesi ipsilateral

Bila mengenai jalur simpatis di cervical atau T1 medula spinalis Horner syndrome ipsilateral (ptosis, enoftalmus, miosis, anhidrosis ipsilateral

Manifestasi Klinis

Page 10: Brown-Sequard Syndrome

Diambil dari : Neuroanatomi Klinik Richard S.Snell Ed.7

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