Referat Ces

7/25/2019 Referat Ces

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SINDROMA CAUDA EQUINA

OLEH:

Fisca Resita Setyawati (15710021

I Ma!e A"i!a#a Sa#!i$a (1571000%

&EM'IM'IN:

D") !") E**y E#!a#+ S) S,)S

REFERA-



Ca.!a e/.i#a *e".,a$a# $.*,.a# a$a" sa"ai#t"a!."a ,a!a ..#+ *e!.a s,i#ais)

Ca.!a e/.i#a sy#!"3*e (CES: $e".sa$a# ,!ca.!a e/.i#a ,e#ye*,ita# "a!i$ sa"a.*43sac"a *.ti,e !i4awa $3#.s *e!.a"is

ia#+#ya .#+si ,e$s.s .*4a +a#++.a##e."3*.sc.a" !a# +eaa6+eaa ."3+e#ita)

LA-AR 'ELAAN



Ca.!a e/.i#a: S.at. st".$t." ya#+ te"!i"i atas "a!i$s #e"8i

.*4ais 4a+ia# ca.!a !a# "a!i$s #e"8i sac"ais

a*4a" 2)2) 9e"te4"a ca.!a e/.i#a !a# "a!i$s sa"a s,i#a !a"i ,a#!a#+a# s.,e"i3"

ANA-OMI



ca.!a e/.i#a !a# "a!i$s sa"a s,i#a !a"i ,a#!a#+a# ,3ste"i3" !a# ate"a



1) Ce!e"a t"a.*ati$

2) He"#iasi !is$.s

;) Ste#3sis s,i#ais

<) Ne3,as*a s,i#a

5) Scwa##3*a

=) C3"!3*a

7) I#>a*asi

%) 3#!isi i#e$si !a#

?) &e#ye4a4 iat"3+e#i$)

E-IOLOI



CES y+ !ise4a$a# 3e t"a.*a :se+aa .sia)Se!a#+$a# CES y+ #3# t"a.*a : .sia <0650

ta.#a#)

HN& .*4a !ia,3"$a# ,e#ye4a4 ,ai#+ .*.*!a"i Ca.!a e/.i#a sy#!"3*e !a# !i,e"$i"a$a#

se$ita" 2@ !a"i se*.a $as.s e"#ia #.$e.s.*4a *e#+a$i4at$a# CES)

E&IDEMIOLOI



esi *e#e$a# a$a" sa"a ca.!a e/.i#a !is.#+si E,i#e."i.* &e#i#+$ata#

,e"*ea4iitas ,e*4.. !a"a ,e*4e#t.$a#e!e*a !a"i a$a" sa"a

&A-OFISIOLOI



Nye"i ,.#++.#+ 4awa (3w 4ac$ ,ai#

U#iate"a ata. 4iate"a sciatica

Sa!!e !a# ,e"i#e.* y,3estesia ata.a#estesi

a#++.a# .#+si .s.s !a# $a#!.#+ $e*i

Desit *3t3"i$ !a# se#s3"i$ e$st"e*itas

4awa

'e"$."a#+ ata. ti!a$ a!a "e>e$s t.#+$ai4awa

LINIS



A#a*#esis

6 Nye"i ,.#++.#+ 4awa

6 Nye"i t.#+$ai ata. #ye"i *e#aa" $e $a$i ya#+4e"siat a$.t ata. $"3#i$

6 ee*aa# *3t3"i$ e$st"e*itas 4awa

.#iate"a ata. 4iate"a !a#Bata. a4#3"*aitasse#s3"i$

6 Dis.#+si 43we !a# 4a!!e"

DIANOSIS



&e*e"i$saa# Fisi$:

Radik

Saraf Nyeri

Desit

sensorik Desit motorik Desit reek

L2 &aa Me!ia A#te"i3" &aa atas

ee*aa# /.a!"ice,

"i#+a# >e$si ,a#++.

a!!.$si ,aa

&e#y.s.ta# "i#+a#

s.,"a,atea

L3 &aa ate"a a#te"i3" &aa 4awa

ee*aa# /.a!"ice,

e$ste#si .t.t a!!.$si

,aa

&atea ata. s.,"a,atea

L4&aa &3ste"3ate"a

a#te"i3" ti4iaa$i *e!ia E$ste#si ,e!is !a# .t.t &atea

L5 D3"s.* ,e!is D3"s.* ,e!isD3"s3>e$si !a"i ,e!is !a#

t.*itHa*st"i#+s

S1-2 Late"a ,e!is Late"a ,e!is&a#ta" >e$si !a"i ,e!is

!a# t.*itAcies

S3-5 &e"i#e.* Sa!!e S,i#cte" '.43ca8e"#3s.s a#a



&e*e"i$saa# &e#.#a#+:

1) 63t3 ,33s

2) C- !e#+a# ata. ta#,a $3#t"as

;) MRI

<) Da"a Le#+$a,

5) &e*e"i$saa# U"3!i#a*i$



&e#ataa$sa#aa#:

1) Me!i$a*e#t3sa Agen vasodilator

Agen anti-inamasi

2) &e*4e!aa#

;) Rea4.itasi Me!i$

<) Fisi3te"a,i



HN& L.*43 sac"a

C3"!3*a

DD



&"3+#3sis:

&asie# !e#+a# iscia+ia 4iate"a !ia,3"$a# *e*ii$i,"3+#3sis ya#+ $."a#+ 4ai$ !i4a#!i#+ ya#+*e#+aa*i isia+ia .#iate"a)

&asie# !e#+a# +eaa a#estesi ,e"i#ea $3*,it$e*.#+$i#a# 4esa" a$a# *e#!e"ita ,a"aisis 4a!!e",e"*a#e#)

L.as#ya !esit se#s3"i$ ti,e sa!e ata. ,e"i#ea*e".,a$a# ,"e!i$t3" ,e"4ai$a#B,e#ye*4.a# ya#+,ai#+ ,e#ti#+) &asie# !e#+a# !esit .#iate"a

*e*ii$i ,"3+#3sis ya#+ e4i 4ai$ !a"i,a!a ,asie#!e#+a# !esit 4iate"a)

a#ita !a# ,asie# !e#+a# !is.#+si 43we *e*ii$i3.tc3*e ya#+ e4i 4.".$)



&e#ataa$sa#aa# ,asie# CES *ei,.ti ,e*4e"ia#34at 8as3!iat3" .#t.$ *e#+e#ti$a# is$e*i$ y+

!a,at *e*.#+$i#$a# ti*4.#ya #ye"i !a#,e#.".#a# $e$.ata# 3t3t y+ !i.4.#+$a#!e#+a# ca.!a e/.i#a si#!"3* !a# ,e*4e"ia#a+e# a#ti6i#>a*asi *ei,.ti ste"3i! !a# NSAID

*.#+$i# ee$ti ,! ,asie# !e#+a# ,e#ye4a4i#>a*asi se"ta .#t.$ *e#ce+a $asi$asi a"i#+a# .#a$ 3si$asi ete"3t3,i$ !a#,e"e#+$eta#

&ENU-U&



-e"i*a asi ☺ ☺ ☺

☺ ☺

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