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REFERATPALSY NERVUS III (OKULOMOTORIUS)

Oleh:Laila Mayangsari

110201113

Pembimbing :!r" #i$a% &ali'i S"M

!r" S%an*i Sri Ag+s*ina S"M M",-s

Kepaniteraan Departemen MataRSUD Dr Drajat Prawiranegara, Serang

Maret 2016


2/18

BAB P!"DA#U$UA"

• Palsy n-r/+s ,+l'*ri+s gangg+an +ngsi'*ri, a,ia* a!anya l-si $aringan sara a!a

n-r/+s ,+l'*ri+s"• N-r/+s ,+l'*ri+s '-'-rsara4 **5**

la 'a*a an*ara lain '+s,+l+s r-,*+s s+-ririn-rir !an '-!ial '+s,+l+s li,+s in-rir'+s,+l+s l-/a*r al-ra s+-rir '+s,+l+s

siliaris '+s,+l+s s4ng*-r iris"• P-ny-a *-rs-ring is,-'ia an-+ris'a *ra+'a

,-ala !an *+'r in*ra,ranial"

$A%AR B!$AKA"&


3/18

BAB %"'AUA" PUS%AKA

• P-r$alanan

"!R(USOKU$OMO%ORUS

'i! rain s+ara%ni!

Sin+s,a/-rns+s

Ori*a

Ori*a - #i/isi s+-rir '-ngin-r/asi '"

l-/a*r al-ra !an '" r-,*+ss+-rir- #i/isi in-rir '-ngin-r/asi '"

r-,*+s in-rir '" r-,*+s '-!ial'" li,+s in-rir"

- 6aang !ari li7+s in-rir

'-ngin-r/asi '"s4n,*-r +il !an**5** siliaris"


4/18


5/18


6/18

• 1" 8-n-ral S'a*i, ('*ris)

M" R-,*+s s+-rir +n*+, -rg-ra,an 'a*a ,-a*as

M" R-,*+s '-!ial +n*+, -rg-ra,an ,- '-!ial

M" R-,*+s in-rir +n*+, -rg-ra,an 'a*a ,-a9a%

M" Oli,+s In-rir +n*+, -rg-ra,an 'a*a ,- a*as!an ,- '-!ial

M" L-/a*r al-ra +n*+, '-ngang,a* ,-la,'a*a a*as

• 2" 8-n-ral Vis-ral yai*+ s-ra+* n-r/+s

,+l'*r '-ngin-r/asi ** s4n,*-r +il yanga,an '-ng,ns*ri,si,an +il !an '+s,+l+ssiliaris yang a,an '-nga*+r a,'!asi

)*ng+i ner*+-.*l-m-t-ri*+


7/18

Pal+/ "er*+O.*l-m-ri*+


8/18

• 8angg+an +ngsi '*ri, a,ia* a!anya l-si $aringan sara a!a n-r/+s ,+l'*ri+s"

• #-9asa

Deni+i

!ti-l-gi

• !ia-*-s '-lli*+s• &i-r*-nsi• Vas,+li*is sis*-'i,

Is,-'ia

• ar*-ri ,ar*is in*-rna• Ar*-ri ,''+ni,ans

s*-rirAn-+ris'a

Tra+'a,-ala

T+'r

in*ra,ranial


9/18

• Ana,5ana, -rsia* ,ng-ni*al a*a+ '+ng,in!is-a,an l-% 'igrain *al'l-gi,'-ningi*is a*a+ as:a/ir+s"

Pat-+i-l-gi

L-si !i agian n+,l-+s *a, *-nga%asi,+laris s+ara%ni! asi,+laris !in!ing

la*-ral sin+s :a/-rns+s s+-rir ri*a

E*ilgi is,-'ia an-+ris'a *ra+'a ,-ala!an *+'r in*ra,ranial

,ng-ni*al a*a+ '+ng,in !is-a,an l-%'igrain *al'l-gi, '-ningi*is a*a+

as:a/ir+s

Palsy n-r/+s ,+l'*ri+s


10/18


11/18

• N-r/+s ,+l'*ri+s s-*-la% ,-l+ar !ari 'i!rain

!an %anya a!a sa*+ sisi 'a,a *-r$a!i Unila*-ralalsy"

-,s*ria

'a*a '-n$a!i ara% ,-l+ar !an ,-a9a%"

P*sis

#ilia

P+il !ila*asi

8angg+an a,'!asi

• N+,l-+s a!a sa*+ sisi *-r$a!i +nila*-ral TNP

P*sis arsial ,n*rala*-ral

Par-s- -l-/asi la'a*a ,n*rala*-ral

Manie+ta+i Klini+


12/18

• S-ra+* s-*-la% !ari n+,l-+s *-*ai 'asi% !i 'i!rain *-r$a!i

;-n-!i:* Syn!r'- !gn *an!a5*an!a isila*-ral


13/18

• Ana'n-sis ri9aya* -nya,i* *-r'as+, $+ga ri9aya*

,-l+%an -raa la'a ,-l+%an s+!a% *i'+l !anaa,a% +nila*-ral a*a+,a% ila*-ral"

• P-'-ri,saan 4si,

8-ra,an la 'a*a ,-l-'a%an **5** la 'a*a(*al'ar-s-?*al'l-gi) -r+a g-ra,an*-ra*as s*rais'+s nis*ag'+s"

P+il

•

P-'-ri,saan -n+n$ang F* ,rani+'

F* sin+s aranasal !an ri*a

6T rain?MRI? angigra4 ,ar*is a!a ,as+s5,as+sn-+rlgis"

iagn-+i+


14/18

• M-nga*asi a,*r -ny-a *i'+lnya alsyn-r/+s ,+l'*ri+s"

• T-rai -!a% '-ng-li'inasi !ilia "

• In!i,asi -ngli%a*an in,+lar *i!a, ,+n$+ng'-'ai, s-*-la% **5** -,s*ra,+lar +li%s-la'a*5la'a*nya sa'ai @ +lan"

• Prs-!+r yang !ig+na,an yai*+ r-s-,si !an r-s-si"• Analg-si, a!a 253 'ingg+ -r*a'a +n*+,

'-ng+rangi rasa ny-ri yang -ra*"

Penatala.+anaan


15/18

• Pas:a *ra+'a as:a in-,si as:a in


16/18

BAB SMPU$A"

• Palsy n-r/+s ,+l'*ri+s a!ala% gangg+an +ngsi '*ri,a,ia* a!anya l-si $aringan sara a!a n-r/+s,+l'*ri+s"

• P-ny-a *-rs-ring alsy yai*+ is,-'ia an-+ris'a *ra+'a,-ala !an *+'r in*ra,ranial" Pa!a ana,5ana, '+ng,in

!is-a,an l-% 'igrain *al'l-gi, '-ningi*is a*a+as:a/ir+s"

• Mani-s*asi ,linis yai*+ *sis !ilia gangg+ana,'!asi -,s*ria 'a*a '-n$a!i ara% ,-l+ar !an ,-a9a%"

•

#iagnsis !i*-ga,,an -r!asar,an g-$ala !an %asil-'-ri,saan 4si, 'a++n -n+n$ang"

• T-rai !aa* !ig+na,an +n*+, ,as+s alsy n-r/+s,+l'*ri+s"

• Prgnsis !i-ngar+%i l-% -*ilgi !an !iagnsis yang*-a*"


17/18

Datar P*+ta.a• Mar!$n M Si!%ar*a P" 2000" Sara O*a, !an Pa*lginya"

#ala' N-+rlgi Klinis #asar" a,ar*a PT" #ian Ra,ya*"

• Va+g%an an! As+ry" 2012" O*al'lgi U'+' -!" 1B" a,ar*aE86"

• #rlan! Ka'+s K-!,*-ran P-n-ri* ;+,+ K-!,*-ran E86E!isi 2@ :-*a,an II a,ar*a 1@"

• N-9'an SA Arnl! A6 Fri-!'an #I Klin- L; RiCC III F" ;6S6 N-+r5*%al'lgy" S-:*in D" San Fran:is: USA AAO 2005

200 2352"

• 6iis 8> A!-l La*i- AA ;rn A 6%ala' KV Tria*%y ; -* al";6S6 F+n!a'-n*al an! rin:il-s *%al'lgy" S-:*in 2"San Fran:is: USA AAO 2005200 @512D"

• %**??999"+*!a*-":'?:n*-n*s?*%ir!5:ranial5n-r/-5:+l'*r5n-r/-5alsy5in5a!+l*s"

• %**??-'-!i:in-"'-!s:a-":'?ar*i:l-?11G@25/-r/i-9HaD

• Ilyas S !an Y+lian*i S R" 2011" Il'+ P-nya,i* Ma*a" a,ar*aFa,+l*as K-!,*-ran Uni/-rsi*as In!n-sia"

• 6%+g% P -* al" 2012" T%ir! N-r/- Palsy An O/-r/i-9" In!ian +rnal 6lini:al Pra:*i:- 12 (22) 1B520

• Fr-*s:%-r M ;a-%r M" #++s" 200D" Ti:al #iagnsis in

http://www.uptodate.com/contents/third-cranial-nerve-oculomotor-nerve-palsy-in-adultshttp://www.uptodate.com/contents/third-cranial-nerve-oculomotor-nerve-palsy-in-adultshttp://emedicine.medscape.com/article/1198462-overview#a5http://emedicine.medscape.com/article/1198462-overview#a5http://www.uptodate.com/contents/third-cranial-nerve-oculomotor-nerve-palsy-in-adultshttp://www.uptodate.com/contents/third-cranial-nerve-oculomotor-nerve-palsy-in-adults


18/18

T-ri'a ,asi%

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REFERAT mayang.pptx