disturbances of Cerebrospinal Fluid and Its Circulation

8/18/2019 disturbances of Cerebrospinal Fluid and Its Circulation

1/34

DISTURBANCES OF CEREBROSPINAL FLUID AND ITS

CIRCULATION (PART I)

TEXT BOOK READING VISenin, 14 Juli !14

PRESENTATOR " #$% &ARINA EL'ARIA*ODERATOR " #$% RA% D+i Pui-./u/i, *%Ke# (Neu), S0%S

PRINCIPLES OF NEUROLOG

ADA*S AND VICTOR2S

CAPTER 3!% PAGE" 5'545

1


2/34

PENDAULUAN

PATOLOGI KELAINAN KLINIK


3/34

Pelin#un6 7+-/e$ -89e/: ;/-9 #-n


4/34

4

CON2T


5/34


6/34

=

SIRKULASI

http://c/Users/ASUS/Downloads/%E2%96%B6%20Animation%20of%20CSF%20Circulation.mp4http://c/Users/ASUS/Downloads/%E2%96%B6%20Animation%20of%20CSF%20Circulation.mp4http://c/Users/ASUS/Downloads/%E2%96%B6%20Animation%20of%20CSF%20Circulation.mp4http://c/Users/ASUS/Downloads/%E2%96%B6%20Animation%20of%20CSF%20Circulation.mp4http://c/Users/ASUS/Downloads/%E2%96%B6%20Animation%20of%20CSF%20Circulation.mp4http://c/Users/ASUS/Downloads/%E2%96%B6%20Animation%20of%20CSF%20Circulation.mp4


7/34

ABSORPSI

Melalui villi arakhnoid (granulaPacchioni) pada dinding sinus sagitalissuperior

Semua unsur pokok dari cairan CSSakan tetap berada di dalam CSS”bulkflow”

P CSF -P ! "t#$%& 'hen rearranged(therefore PCSF ! P )"t#$%* since the product of "t#$% is onl+%&, mmg

>


8/34

?


9/34

VOLU*E DAN TEKANAN CSF

.ekanan normal / , mmg atau 00% mm1elebihan C23.ekanan CSF4ika vena 5ugularis

5


10/34

PENINGKATAN TIK

• $uang intrakranial mempun+aiketerbatasan ekspansi&

• Perubahan volume salah satu

komponen perubahankomponen lain denganmengubah posisi CSFmengurangi produksi 6meningkatkan absorpsi CSF

atau mengurangi volumedarah&

• 4ika tidak ada perubahanmaka ."1 naik

• CPP ! M7P-"CP "skemik

8rain 9eath 1!

DISTURBANCES OF CSF


11/34

11

CONTOH KASUS

P-.ien #en6-nB$-in Tu


12/34

1

*-..- E/$- #-n In/$-8$-ni-l

ETIOLOGI PENINGKATAN TIK


13/34

13

O./$u9.i #-$i -li$-n #-n -.;$0.i CSF

CON2T


14/34

TANDA DAN MONITORING PENINGKATAN TIK

TARGET TIK !


15/34

1


16/34

1=

IDROCEPALUS


17/34

P7.2:;


18/34

1?

71=. 97< 1$2=S

AKUT


19/34

15

INFANTILE IDROCEPALUSINFANTILE IDROCEPALUS


20/34

NOR*AL PRESSURE DROCEPALUS

• Pen+ebabn+a tidak 5elas&

• Pembesaran entrikel dengan

tekanan normal&•


21/34

1

9"7:


22/34

TREAT*ENT OF

DROCEPALUS

• .he two most commonl+ usedshunt s+stems are the

ventriculoatrial (7) andventriculoperitoneal (P)shunts&

• .he P shunt is mostcommonl+ used as it is

simpler to place e#tra tubingma+ be placed in theperitoneum and theconse?uences of infectionare less&

• Pada pasien +ang menolakuntuk shunting prosedur Spinal Puncture atau

9rainase Setiap minggu@bulan• Shunt malfunction /


23/34

• 7nak-anak A Sulit

• Peritoneal pseudoc+sts komplikasi tersering• :angguan perkembangan Cranium

• 8eberapa Penelitian 1eberhasilan proses shuntmasih sedikit&

• Solusi / Penggunaan B%% mg acetaolamide oral


24/34


25/34

TERIMA KASIH


26/34

=


27/34

>


28/34

Oe$0$;#u8/i;n ; CSF

• E8e..ie.e8$e/i;n ; CSF

@ /e 8;$;i#0leu. -. in 8-.e.; 8;$;i# 0leu.0-0ill;


29/34

Bl;89-6e ; CSF

8i$8ul-/i;n• Ti. 8;ul# e -/ -n@ leel

; /e CSF 8i$8ul-/i;n% I/8;ul# e -/ /e leel ;/e ;$-


30/34

D-n#@ H-l9e$ S@n#$;


31/34

Bl;89-6e ; CSF $e.;$0/i;n

• P;;$ $e.;$0/i;n ;CSF in/; /e

en;u. .inu.e.8-u.e# @.8-$$in6 ; /e-$-8n;i# illi -n#

i. 8;


32/34

@#$;8e0-lu. E V-8u;• @#$;8e0-lu. e'-8u;

in;le. /e 0$e.en8e ;/;;


33/34

Sun/


34/34

Sun/

disturbances of Cerebrospinal Fluid and Its Circulation

Documents

Transcript of disturbances of Cerebrospinal Fluid and Its Circulation