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Vertigo etc meniere disease - Coggle Diagram
Vertigo etc meniere disease
Anatomi sistem vestibular
Perifer
Ganglia vestibularis scarpey
Utrikulus
Kanalis semisirkularis
Saccu-endolimpatikus
Sakulus
Central
Nukleus vestibularis di medulla oblongata
Cerebelum
Connecting central pathway
Fisiologi keseimbangan
Skema
Perception
Integration
Reception
3 sistem sensoris
Visual
eye
Proprioseptif
skin, muscle and joint
Vestibular
Inner ear
Definisi, Etio, FR
Def
Vertigo is a symptom, rather than a condition itself. It's the sensation that you, or the environment around you, is moving or spinning.
inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear. It can cause episodes of vertigo along with ringing in the ears (tinnitus) and hearing loss.
Etio
Vertigo is often caused by an inner ear problem.
Peripheal causes
Central causes
FR
Ménière disease is idiopathic
allergy has been implicated
Komplikasi dan prognosis
Prognosis
Early stages involve cochlear hydrops
The pattern of exacerbation and remission makes evaluation of treatment and prognosis difficult
tidak berhubungan langsung dengan kematian
Complication
menurunnya pendengaran secara progresif ataupun permanent
cedera karena jatuh
muncul rasa cemas karena gejala
Pathophysiology of vertigo etc meniere disease
Why feel pain in the head
How to diagnose ?
Anamnesis
"apakah anda terasa mau pingsan" ?
"apakah anda merasa kedua tungkai tidak stabil" ?
"apakah anda merasa gugup atau cemas" ?
"apakah ada rasa mual, muntah, keluar keringat dingin" ?
Pemeriksaan neuro-otologik
Test romberg
Test romberg dipertajam
Tes jalan tandem
test fukuda
Tes past pointing
Head thrust test
Pemeriksaan nistagmus
Keluhan gangguan keseimbangan
Vegetatif
Vertigo
Rasa melayang
Postur tidak stabil
Rasa goyang
Pusing/pening
DD of vertigo from clinical findings and physical examination
Autoimmune (ie, multiple
sclerosis)
Vestibular migraine
Labyrinthitis
Syncope
Treatment
Medikamentosa
Histamine agonists
Aminoglycosides
Steroids
Diuretics and diureticlike medications
Surgical
Vestibular nerve section
Labyrinthectomy
Endolymphatic sac decompression or shunt placement