trauma medulla spinalis elizabeth
DESCRIPTION
ADADTRANSCRIPT
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TRAUMA MEDULLA SPINALIS
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DefinisiTrauma cedera.Medulla spinalis jaringan saraf
yg terdapat di dalam kolumna vertebralis, memanjang dari batas bawah medulla oblongata sampai vertebra lumbal 1 atau 2.
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ETIOLOGI
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KOMPLIT-INKOMPLIT
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KLASIFIKASI
CEDERA MEDULLA SPINALIS
Defisit Neurologis
Sindroma
Medulla
SpinalisLevel
Morfologi
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KLASIFIKASI-SINDROM
American Spinal Cord Injury
Association
Central Cord Syndrome
Anterior Cord
Syndrome Brown Sequard Syndrome
Cauda Equina
Syndrome
Conus MedullarisSyndrome
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KLASIFIKASI-MORFOLOGI
Mekanisme
Axial LoadingFleksi
EkstensiRotasi
Lateral BendingDistraksi
•Fraktur•Fraktur – Dislokasi•SCIWORA•Penetrasi
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KLASIFIKASI MORFOLOGIDislokasi Atlanto-Oksipital
Distraksi + Fleksi Traumatik MBO
Fraktur Atlas Fraktur Jefferson Axial Loading Putusnya ring anterior-posterior
Subluksasi Rotasi C1 Rotasi Persisten
Fraktur Aksis Tergantung arahnya Immobilisasi
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KLASIFIKASI MORFOLOGIFraktur Odontoid
◦I Ujung Odontoid◦II Dasar dens◦III Dasar dens Korpus aksis
Fraktur Elemen Posterior C2 Hangman’s Fracture Ekstensi Fraktur bilateral lateral mass/pedikel
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KLASIFIKASI-MORFOLOGIFraktur-Dislokasi C3-C7 Fleksi-
Ekstensi Fraktur Corpus, Subluksasi Processus, Fraktur Lamina, Pedikel. Lateral Mass
Fraktur Torakal T1-T10◦Kompresi Anterior Wedge◦Burst Injury◦Fraktur Chance◦Fraktur Dislokasi
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KLASIFIKASI MORFOLOGIFraktur Torakolumbal ↓ sensasi
dan motoris eks.bawahFraktur Lumbal mirip torakolumbalTrauma TembusCedera Tumpul Pembuluh Karotis
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KLASIFIKASI-LEVEL
Kompresi
Regangan
Edema Medulla
Gangguan Sirkulasi
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KLASIFIKASI-DEFISIT NEUROLOGIS
Paraplegia Inkomplit (Torakal Inkomplit)
Paraplegia Komplit (Torakal Komplit)
Tetraplegia Inkomplit (Servikal Inkomplit)
Tetraplegia Komplit (Servikal Komplit)
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LESI TRAUMATIS
Kompressi Medulla Spinalis
Perdarahan
Hemiseksi Medulla Spinalis
Sindrom Anter-Poster
Laseratio Medulla Spinalis
Kontusio Medulla Spinalis
Komosio Medulla Spinalis
Transeksi Medulla Spinalis
SYOK SPINAL-
AREFLEKSIA
↑ AKTIVITAS OTOT
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MANIFESTASI KLINISNyeri akutParaplegiaParalisis sensorikGang.Otonom↑ Keringat-Tonus↓Fungsi PernafasanGagal Nafas
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PEMERIKSAAN PENUNJANGFoto Polos AP Cervical-Odontoid
CT-ScanMRIPungsi LumbalMielografi
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PENATALAKSANAAN
PENATALAKSANAAN
IMMOBILISASI
CAIRAN IV
Obat-obatan
TRANSFER
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PRIMARY SURVEYA AirwayB BreathingC CirculationD DisabilityE Eksposure
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SECONDARY SURVEYAMPLETVHead to Toe
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INDIKASI OPERASI Reduksi terbuka dislokasi dengan atau tanpa disertai fraktur
pada daerah servikal, bilamana traksi dan manipulasi gagal. Adanya fraktur servikal dengan lesi parsial medula spinalis
dengan fragmen tulang tetap menekan permukaan anterior medula spinalis meskipun telah dilakukan traksi yang adekuat.
Trauma servikal dengan lesi parsial medula spinalis, dimana tidak tampak adanya fragmen tulang dan diduga terdapat penekanan medula spinalis oleh herniasi diskus intervertebralis. Dalam hal ini perlu dilakukan pemeriksaan mielografi dan scan tomografi untuk membuktikannya.
Fragmen yang menekan lengkung saraf. Adanya benda asing atau fragmen tulang dalam kanalis
spinalis. Lesi parsial medula spinalis yang berangsur-angsur memburuk
setelah pada mulanya dengan cara konservatif yang maksimal menunjukkan perbaikan, harus dicurigai hematoma.
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KOMPLIKASINeurogenik shockHipoksiaInstabilitas spinalIleus paralitikInfeksi saluran kemihKontrakturDekubitusKonstipasi