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HCF related to :
SEVERAL SYNDROMES:
- Dorsolateral:
indifferent, abulic, apathetic
- Orbitofrontal:
disinhibition :labil & irritable
- Medial:
akinesia & apathy
- Basal:
impairment of memory
Premotor area Primary motor area
B6 B4
Central sulcus
Supplementary
motor area
(medially)
Prefrontal area
B 9, 10, 11, 12
Lateral sulcus/
Sylvian fissure
Motor speech
area of Broca
B 44, 45
Phineas Gage
-Tertusuk batangan besi hingga menembus
tengkorak
- Penyembuhan fisik berlangsung sempurna
- Namus terjadi perubahan kepribadian secara
dramatis
Status Mini Mental
Orientasi
Sekarang ini (thn)(musim)(bln)(tgl)(hari) apa ? Nilai . 5
Kita dimana (negara)(propinsi)(kota)(RS)(lantai)? Nilai . 5
Registrasi
Sebutkan 3 objek : tiap objek satu detik, pts disuruh meng-
ulangi nama 3 objek tsb, nilai 1 utk tiap nama objek yg benar
ulangi lagi sp pts menyebut dgn benar, catat juml pengulang-
an. Nilai .. 3
Borderline
65-75
Abnormal
0-65
Tanggal
Jam
Tes orientasi dan amnesia Galvestone .. (2)
6. Jam berapa sekarang ? (tiap beda jam nilai kesalah-
an 1, maksimal 5) .
7. Hari apa sekarang ? (tiap beda 1 hari nilai kesalah-
an 1) ..
8. Tanggal berapa sekarang ? (tiap beda 1 nilai kesalah-
an 1) ..
9. Bulan apa sekarang ? (tiap beda 1 bulan nilai kesalah-
an 5, maksimal nilai 15) ..
10. Tahun berapa sekarang ? (tiap beda 1 tahun nilai ke-
salahan 10, maksimal nilai 30)
Skor TOAG = 100 (jumlah nilai kesalahan)
Lamanya amnesia pasca cedera ditentukan sbg periode
Dimana TOAG belum mencapai nilai 75.
2. LANGUAGE & SPEECH
LANGUAGE:
comprehension & communication of
ABSTRACT IDEAS
DYSARTHRIA
APHASIA
ALEXIA
AGNOSIA
ANOSOGNOSIA
APRAXIA
GERSTMANNS SYNDROME
?
3. CEREBRAL DOMINANCE
RIGHT:
- Interpreting 3D images & spaces
- Arithmetic & design
RELATED TO HANDEDNESS
(70% LEFT BRAIN, broader planum temporale)
4. MEMORY & LEARNING
3 TYPES OF MEMORY
1. Immediate recall (10 minutes)
- repeat, parrot-like,short series
- anatomy: auditory assc cortex
2. Short-term memory (1 hour)
- dj vu
- anatomy: deep temporal lobe
3. Long-term memory (many years)
CLASSIFICATION
* Primary Generalized Epilepsy
- absence (petit mal) sseizures
- myoclonic seizures
- atonic seizures
* Partial Epilepsy
- simple partial: - with motor sign
- with somatosensory sign
- with special sensory symptoms
- with ANS symptoms & signs
- with psychic symptoms
- complex partial: - simple partial at onset followed by
impairment of consciousness & automatisms
- Impairment of consciousness at onset:
Epilepsy3