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• WHO: extremity
weakness of fast-
onset individuals,
DIAGNOSA
often including
weakness of
• WHO: 200 Diagnosis: • There are many
respiratory muscles
30% - 60% namely AFP
and swallowing,
GBS. complications
develops to
maximum severity in • Minister of Health RI: In such as: skeletal
1-10 days Indonesia 32 diagnoses: deformity to
Poliomyelitis, death due to
• Menkes RI : all Polioencephalitis,
children aged less respiratory
Guillan-Barre Syndrome,
than 15 years with
Transverse myelitis, muscle paralysis
paralysis that is Therefore write
Flaccid muscle paralysis,
flaccid (layuh), occur referrals
Transient paralysis of a
acutely (suddenly),
limb, and mononeuritis.
not caused by forced
ruda • number of cases of Non
Polio AFP Indonesia
2017: 1409, with the
definisi number of cases in
southern Sumatra: 51
LITERATURE REVIEW…
Definition
Acute flaccid paralysis (AFP) is defined as all children
younger than 15 years with flaccid (layuh) paralysis,
occurring acutely (suddenly), not caused by forced ruda.
acute
flaccid
rapid progressive
development between 1- limp paralysis, weakness
14 days from the onset of or stiffness is not stiff, or
initial symptoms (pain, a decrease in muscle
tingling, thickness / tone.
numbness) to maximal
paralysis
Symptoms
Weak
symmetrical
proximal
muscles
Muscle
Autonomic weakness
dysfunction due to
fatigue
Symmetrical
quadriparesis
flaccid
Ophthalmop Flaccid
legia paraparesis
accompanie with sensory
d by motor level
weakness disorders
Damage
that covers
the medulla
oblongata
Physical examination
Assess
distribution and Spinal
Reflexes.
degree of tenderness.
weakness.
4/5 Able to move joints with gravitational force, able to fight with
moderate prisoners
Poliomyelitis Quadriplegia/Tetraplegia
Polioencephalitis Plegia-unspecified
Guillan-Barre Syndrome Plegia-other
Transverse myelitis Flaccid muscle paralysis
Paraplegia Transient paralysis of a limb
Diplegia Myelitis postvaccinal
Monoplegia-upper Mononeuritis upper-limb
Monoplegia-lower Mononeuritis lower-limb
Peripheral
Acute Myelopathy
neuropathy (Cord compression , Demyelinating
(Anterior horn cell disease, Muscle diseases, Ischaemic cord damage)
disorders)
Disorders of
Systemic disease neuromuscular
(Acute porphyrias, Critical illness transmission
neuropathy, Acute myopathy in ICU (Myasthenia gravis, Botulism. Insecticide
patients) (organophosphate poisoning), Tick bite
paralysis, Snake bite)
Supporting investigation
lumbar
puncture
tensilon
test /
Blood test
prostigmin
test
neuroimaging
serum
electrophy
protein
siological
electropho
test
resis
paraneopla
stic
antibody
screening
Penatalaksanaan
Special management
according to the
disease diagnosed
Report it
Supportive Symptomatic
immediately
examination
Education Physiotherapy of faecal
specimens
Differential diagnosis
Poliomielitis Guillain-bare Myastenia Gravis
Fever + + -
Swallowing disorder + + +
N III,IV,VI Disorder - + +
Respiratory Disfungtion - + +
N VII disorder - - +
Physiologic reflx - - -
There is no causal
treatment, but
poliomyelitis can be
prevented through
vaccination.
Poliomielitis
complication
comprehensive polioneuritis,
can be acute or subacute, may
occur spontaneously or after
an infection, and on
pathological examination:
there is no sign of
inflammation
Sindrom Guillain-Barre
Clinical Manifestations
Supporting Investigation:
neuroimaging, lumbar AFP management is to
puncture for, blood tests, immediately report to the
serum protein electrophoresis, Dinkes, supportive therapy,
paraneoplastic antibody symptomatic therapy for fecal
screening, electrophysiological specimens, physiotherapy and
tests, tensilon / prostigmin tar education.
tests.
BIBLIOGRAPHY
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