7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
1/29
CERVICAL ROOT SYNDROME
Oleh:
Ferry Krisnamurti, S.Ked
Pembimbing:
dr. Haidar Nasution
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
2/29
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
3/29
ANATOMI
+adis anterior danosteriorbergabung men-adisatu beras dioramen
inter!ertebral dandisebut sarafspinal.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
4/29
Distribusidermatomal
"*$"' dan T*$T#/
Lengan dantungkaitumpangtindihplexusdan fasikulus
C5-T1 dan L2-S3
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
5/29
Cervial !oots"ndrome
pen#epitanataupenekananradixservikal
nyeri leher yang
menyebar1 arasthesiadan sasme otot.
2nyeri radiuler3
Dipiu$diperberat
geraan4 osisi leher
"ontoh: Sindromradiuloati
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
6/29
5tiologi
Terbanya disebaban:Proses degenerati
Herniasi dari dis%us
inter!ertebralis
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
7/29
6e-ala
Nyeri radiulerser!ialdermatom
Sasme otot6angguan
Sensibilitas4Parasthesi
aKelemahan otot
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
8/29
Patogenesis
Disus intervertebralis
Degenerasi%andungan air
77
8elastisitas
robeananulusnukleus mendesakkeluarmenekan radix
&ipertro' sendi faetvertebraePenyemitan
analis(aringan ikat baruosteoft.
Penyemitan diameter
analis sinalis.
)uleus *ulposusAnnulus Fibrosus
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
9/29
9IA6NOSA
+)+,)S+
*,!.%S++) $ TS %&/S/S
*,!.%S++) *)/)(+)0
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
10/29
+)+,)S+
6e-ala$ge-ala
+iayat trauma
+iayat eer-aan
+iayat ebiasaan
Kelemahan+asa nyeri dan tebalNyeri au ada leher
+eerred ain
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
11/29
*,!.%S++) $ TS %&/S/S
1 Tes *rovokasi
213nyeri radiuler e arah estremitas isilateral rotasieala.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
12/29
2 Tes Distraksi %epala
213menghilangan nyeri
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
13/29
3 Tes alsava
Teanan intrateal;nyeri radiuler.
MenahannaasnyaMenge-an
213nyeri radiuler yang berangal di leher men-alar elengan.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
14/29
Tes )a4ger
Tean
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
15/29
Pemerisaan enun-ang
#. Foto Polos "er!i%al
/. "T S%an dengan myelograhy
*. M+I
'. 5M6
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
16/29
Foto olos
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
17/29
*)067+T+)
67+T
*!60!+,!&+7.L.T+S. ,D.%
6*!+S.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
18/29
67+T
Obat enghilang nyeriatau relasan otot
Fase Aut 2>$#? hari3
6olongan salisilatatau NSAI9
Analgeti golongannaroti %odein,meeridin
Ansioliti daatdiberian ada mereayang mengalamietegangan mental.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
19/29
*!60!+, !&+7.L.T+S.
,D.%8.S.6T!+*.
6%/*+S. T!+*.
6!T6T.S *!6STT.%
*S.%6L60
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
20/29
FISIOT5+API
I++ S@9 T5NS
S Trasi Beher
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
21/29
OKPASI T5+API
TeraiBatihan
Mobilisasi leher earahanterior, latihanmengangat bahu
atau enguatanotot.
Proer
(odyMe%hanism
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
22/29
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
23/29
O+TOTIS P+OST5TIK
"er!i%al "ollar
PSIKOBO6
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
24/29
6*!+S.
Komresi radis sara
Penyait medula sinalis yangberembang lambat
Melibatan tungai dan lengan
+eson dengan terai mediamentosa 77
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
25/29
5duasi
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
26/29
Diagnosis banding
1. Carpal Tunnel Syndrome,2. Thoracic outlet syndrome
a. Anterior sclanei syndrome
numbness, tingling, di lengan dan -ari$-ari tanganesemutan datang dan ergi dari tangan dan -ari tangan
setelah dudu lama.b. Petoralis minor syndrome
bundle neuromuscularantero lateral atas dan ototpectoralis minorhierabdusi humerus mengulur otote%toralis minor.
3. Claviculocostal syndromebundle neurovasculerbelaang %la!i%ula di sebelah
anterior %osta ertama
dropy postureosturnya salah, lelah, %emas, danderesi.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
27/29
%omplikasi
AtroC otot$otot leher danelemahan otot$otot leher danbahu
Ketidamamuan tangan untumelauan atiCtas.
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
28/29
D+8T+! */ST+%+5mil +. /??'. Sindroma Servial. Semarang: FK N9IP
Malanga 6. /??D. "er!i%al +adi%uloathy "lini%al Presentation.
htt:44emedi%ine.meds%ae.%om4arti%le4D'##E$%lini%alshoall=a%son +. /?#?. The Classic! The Cervical Syndrome.
htt:44.sringerlin.%om4%ontent4#r>??'>*G&?**E/?4ullte&t.html
Noer-anto M. #DDG. Nyeri Tengu. 9alam: Hardinoto S, Setiaan,Soeted-o. "yeri Pengenalan dan Tatalasana. Semarang: (adanPenerbit N9IP
Mard-ono M. dan Sidharta P. /??E. "eurologi #linis $asar. =aarta:Penerbit 9ian +ayat
Te-o (. /??D. Cervical %oot Syndrome.
htt:44bimaariote-o.ordress.%om4/??D4?)4*#4%er!i%al$root$
syndrome4Turana . #DD). Pendeatan $iagnosis dan Tatalasana Pada
%adiulopati Servial. =aarta: FK I
Turana , +asyid A, @iboo (S. &ambaran linis, radiologis dan'(& pada nyeri servial. 9eartemen Neurologi FKI 4 +S"M
7/24/2019 Ppt Case Crs Ferry Krisnamurti, s.ked
29/29
T!.,+ %+S.&