Anatomi Ssp

Sistem saraf pusat (SSP)OTAK & MEDULLA SPINALIS

2. SISTEM SARAF TEPI (SST)12 NERVI CRANIALES & 31 NERVI SPINALES

Sistem saraf pusat dan tepi

SSP dalam rongga tubuh dorsal

Sistem saraf pusat (SSP)OTAK & MEDULLA SPINALIS

Cranium : Calvaria & Basis cranii

Basis cranii: Fossa cranii ant., media, post.

2. MENINGES: DURAMATER, ARACHNOIDEAMATER, PIAMATER

Spatium epidural, sub dural,sub arachnoid, intracerebri

Spatium epidural, subdural, subarachnoid

Duramater: falx cerebri, falx cerebelli, tentorium cerebelli

Tentorium cerebelli

Sinus sagittalis superior, s.s. inferior, s. rectus s. transversus, s.sigmoideus

Arachnoidea mater, pia mater

3. OTAK: Cerebrum, cerebellum, batang otak

Cerebrum, cerebellum, batang otak

3.1 CEREBRUMhemisfer dextra fissura longitudinalis-hemisfer sinistra

Corpus callosum

LOBUS:l. frontalis-s.centralis- l.parietalis - s.parietooccipitalis-l.occipitalis- s.lateralis- l. temporalis

LOBUS INSULAE

Sulcus, gyrus,substantia grisea, s.alba

SUBSTANTIA GRISEA: KORTEKS

Sistem limbic

thalamus

3.2 CEREBELLUM: hemisfer dextra vermis - sinistra

Cerebellum: hemisfer dextra-vermis-h. sinistra

3.3 BATANG OTAK : MESENCEPHALON, PONS, MEDULLA OBLONGATA

4. SISTEM VENTRIKEL v.lateralis (2cornu frontalis, 2cornu temporalis, 2cornu occipitalis),1 v.tertius, 1 v. quartus

Sistem ventrikel

Perjalanan Liquor Cerebro Spinalis (LCS):ventriculus Lateralis foramen interventricularis Monroe ventriculus Tertius aquaducus cerebri Sylvius ventriculus Quartus

# foramen Magendi & Luscha ruang sub arachnoid

# canalis centralis ruang sub arachnoid

Granulationes arachnoidea

Granulationes Arachnoidea Sinus sagittalis superior aliran sistem sinus / perjalanan darah vena menuju jantung

LIQUOR CEREBRO SPINALIS tella choroidea plexus choroideus vent. Lat, Quart

Ventrikel melebar: hydrocephalus bendungan aliran LCS:- o.k obstruksi saluran sistem ventrikel (dalam/luar dinding saluran)- o.k obstruksi granulationes arachnoidea / sistem sinus

Review: Hydrocephalus pada anak < 18 -24 belum menutupnya fontanella anterior & posterior

ALIRAN DARAH VENA DALAM SISTEM SINUS:

Sinus sagittalis superior confluen sinuumsinus sagittalis inferior sinus rectus confluen sinuumsinus occipitalis confluen sinuum/ vena vertebralis

CONFLUENS SINUUM SINUS TRANSFERSUS SINUS SIGMOIDEUS BULBUS SUPERIOR VENA JUGULARIS INTERNA

EKSTRA CRANIUM:

VENA JUGULARIS INTERNA VENA BRACHIOCEPHALICA VENA CAVA SUPERIOR ATRIUM KANAN

Parameter SPACE Occupyuing Lesion (SOL) / proses desak ruang : adakah midline shift?

Struktur di linea mediana: tulang: crista galli parenkim otak: septum pellucidum

Struktur di linea mediana: fissura longitudinalis, septum pellucidum, ventrikel tertius, aquaductus mesencephalicus

DECUSSATIO PYRAMIDALIS

Sistem saraf pusat (SSP)MEDULLA SPINALIS

Medulla spinalis

SEGMEN: CERVICALIS- 8, THORACALIS-12,LUMBALIS-5,SACRALIS-5,COCCYGEUS-1

FIGURE 13-1 Gross Anatomy of the Adult Spinal Cord. (b) Inferior views of cross sections through representative segments of the spinal cord, showing the arrangement of gray matter and white matter.

L1-2: Conus medullaris

fillum terminalis

L3: cauda equina

Mielografi daerah cauda equina (caudografi)

FIGURE 13-2 The Spinal Cord and Spinal Meninges. (a) A posterior view of the spinal cord, showing the meningeal layers, superficial landmarks, and the distribution of gray matter and white matter.

FIGURE 13-2 The Spinal Cord and Spinal Meninges. (b) A sectional view through the spinal cord and meninges, showing the peripheral distribution of spinal nerves.

Fraktur kompresi vertebra e.c ARTRITIS TUBERKULOSA

FIGURE 13-5 The Sectional Organization of the Spinal Cord. (a) The left half of this sectional view shows important anatomical landmarks and the major regions of white matter in the posterior white column. The right half indicates the functional organization of the nuclei in the anterior, lateral, and posterior gray horns.

FIGURE 13-5 The Sectional Organization of the Spinal Cord. (b) A micrograph of a section through the spinal cord, showing major landmarks; compare with (a).

Tuberculosis can be either an osteomyelitis, arthritis or both. Refer to the Joint Pathology stack for a discussion of tuberculous arthritis.

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Anatomi Ssp