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  • Neurologie Carte

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    Iulia Jalba
    4 vues131 pages
    Neurologie Carte

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    Neurologie Carte

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    © All Rights Reserved
    Téléchargez comme PDF ou lisez en ligne sur Scribd
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    4 vues131 pages

    Neurologie Carte

    Transféré par

    Iulia Jalba
    Neurologie Carte

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 131
    Prof dr. doe. GH. PENDEFUNDA Dy, NEMTEANU EMIL Dr, STEFANACHE FELICIA SEMIOLOGIE NEUROLOGICA semiologie analitica sindroame explorari paraciinice , if 3 J 1 ] 1 j 1 dis Coperta de Profata I 1 Semiotca nu este dec’ expunerea allel lurnizate de absense, 2 topoorelr core intr faeohnio sensovole ole medical 9 ao tie obisstve preregate de belnv”: Delia, line lu! Dejerine fore Improuna cu Choreot, bine Piore Mave, André Thomas ov conmbull Conatuires une! neuralogy borate pe conan ine simptomol elie fi lesuned onstomich foro nogitig A, Rodoviey St. Nalco, Slate Drdgde hescur B. Bogdasor av fost matt cliniien! pont 5" au fost vituos! a semiologe. rogresele explorer pareetinize mu dminue impotrin, marese roll studi cle of bole hronlur Mie" din metodele peracinice ou un aracter nwa” conn ce expsind e8 ele nu int total lpste de riscut; de. cceea cle my tabula Uitte decitotune! ind sint necesore Oe ‘ml ‘1 in foto unui coe inci! va tabu #9 olnag3 Ines met multe metodo invasive” sou col putin 3 SabilasreS ondinay ublixon for. Ete nsdn 10: ge electuere 0 ongiogrliecortiion®.ofunci ind examen! remiolgie ott erat bona ‘te revale de 0 anpiograle vetebrald sau poole Chior deo. ivestigatie mielogralies Entavindiscutail ef ou oparut metode de vesigote are. reunese © Informatio, maxim ‘bron do nachtote, cm orto caro! Cy Toor tomagraie ovals computer a din co in ce mai rdleat of acertor gporot impune clinician {nove pens Hecore eax stategio de invesigofe cave, penta © Ine femele eo, relteans nour de econo ‘Orca prones ol eicplne! neurlogice impure 0 exigent coke ‘uta in domentol semiologe. Neodeth my 0. fst necesord 0 iminare att de meicaloosS « fej Hecoral mush parte, cum 20 esti cind nofunca de -enlrpment neuropathies” peimite rza) ore cern econ a vancio nan, les v'condla neal sole proce. $n aceon locohtare semalogia Eliniedrvalzeond. cy succes cu cele rial peracjoncto metode de Sietrotiilogr. Icrareo proferorlul Gh. Pendefunda $1 @ colabarotrilar si) tSipunde neces de» Jorma un naurley cor, ond sols Bers de semialogie clin, 36 pool utiza ev dcernmint mijlasele moderne de Invesigeie poracinich. Cradincios unel hn hustle Ge Bejerine, ing. Parrot Stewart autor Jeol cela tre ep are due lo digooste:recncayeres smptomu, ocazoea lero: hole, Identicores factor! atialogie. erarea stimleass. sinful de obseratie. spl vali, voloMicaren messin semnticlve, intrpetoreo.likapatlogied 0, materiel, Tecate, Dextmetricil se tf fa"prinul rnd Ia atetunila cu more attr nae? ns tidal re, Protlnale e igen’ it gene locul covet, ofa cum reese cn poginle conse, Consaciata dlognosteuuyalologic ol strlor comotease, Adgrind Wrei Viton ntegalite-o etgarismall, autor! cor toot eter do: ‘nenllor da aroma ss8 preccups {o tot posal de valoarea tmp. ielor gereale pes deprovicu! elenc ol monte ea ‘© mentune spocialé so ewine ilustraiei deosebit de bosate bine "alaso. Muttinea.schemoler onotomice otertd preccuperes Pent expcarca rolionalé 0 Reedrui simptom. Fotograt oie coaus fer prop lusvoazs coo moi more porte @ sinptomlor descrse. Contnindstctl-nacosor do date teoreiee, lacrosse Inpune rin corocorl ef practic Inainte do olen eo este & carte Yas Eivotiind bogota exparions eles 4° didocticd 0 colsclval Iejoon, © Secotim deosebt de wile. pantry col core vor se or. Inese 0 gindirs moderna in diagnosticu novrloal: TABLA DE MATER! seer Sein a fete ae aa esti edule Serebitats suerte = ne tpbarel at Ti ciaivs evil dtitaveatule® ge, Nemteaniy Neat heal Goo‘: Raita eamerol ma : ‘Ribranie undinate Gi ogmice ale mua olor eee (i. Fin Saanache) Eagisine ae asanir aloe 3 ‘Srl ection i mae Strom Gee in ows Saha Sis iiss wees wiser: : pene pla : a ar 5 | See ete Sindreame extrapirsmnigaie : 2EXPLONARL PARACLINICE 8 NeUROLOGIE amen. alae le. Nenieany Exshenal Hdl satabaign ol, Pendatny 7 > Sion" seme restore OE aie ae fae Nermtesy evtaagratinraitepch =a ies : SEMIOLOGE ANALITICA Jn prozentarea motealulut semiologie, on considera ca ext polit 30 urmdm capholae fe ‘de ebserafe pen 0 do postbitatescittordat Ss) Inuseoscd notiunile elomentore nino. oo ge oni, nective exmina caece com" Ce'in orice ol Spesaote, foie de obser. vie neurlogies este lestun® din dou poM ‘enomnera si strea prevent ANAMNEZA, Anamnezo cuprinde toate datele objinte de lo bolnov cu pve la dotle personal, eredoce” loterale Wf socio, precum $i store. Datele personae prvote numele 4 prenumele, Vist, seaul starea eid, profesor local de mane $1 dome ‘bolnowsutt ‘ele pretint.impetan|s Seoorece ne dav reat pivieare la opartia bak Aine td In stebives dognostculeh, Tn roport cu vista bolnovi. sit tnele ec: un nguoiogie cade evempl, mop, are Spare in copilari sou odolescens gl ete excep” foncis "Ia ‘oul. “Potion {oral infantil) opare mal Trecrent lo cop, Be cid pollomielto enteroard subacta 9 co Fed "o fn lo. edu ipa vista bolnovlu, ne putem orienta gr Gun etl nal eacin neurloace asel, hemiplegia prin arerts” Wobea fomboiie cerebrals do noturscardiaes opste "el fiecvent Tne 20 $1 40 do ont hemiplegia in toa tard io d'sdbore ee hen fine ial oh hiperalicemicd este uscots. Edemele inso- iie-o dons renal a codacd Wrcomle Meciosse é Togpes Toba, Ineaine emt pel h mde fal sale cons eect of tsps trucoaselCycortorngene Tn sa Splepiek asta ‘lett bsinolprsemind&- tua aretplon feeplepies so pot ati de-asonenea unle echimnce, eit Youre saull pn dere sau cictice pe el tsclorors corpull, co urmare @ unor der surenite cu acoso oc fore. Echimoze, escort, act cy ifungarea. cose urge de singe pin ngs sou urechi pot ft seme nel com pula traumotsm crnlo-aftral an Jroetts Beane wos Hsieo neor date imporonte pty lognotc, ‘Atel, se ‘ponte obsers' © Re aasarsaiS" in pects ‘Geta oy ine So Ga {Din pares. oparatls cardio: ammorpae sin cae” etiicy de le SOUS a> pol na medicse ae tela aoe ae unl le cordulut care pot determing accident yo rote stenines, incodanant ic pt tnt edict heen * ores Teromanctr tegtae: cebu bi ates oe ‘tori in eursulunei come apoplectica prin hemerogie cerebild cu bilsterolzaree fenomeneler_neurologie, rot. in general un. pro ‘gnostic gray, find vob in-acestecazut-de o inundote venrcuata Din partes daatull_uina, se intlnepa fie da_uring A cela-meninglics 1 ateapsied a indeed sstene ‘coma opoplecticd fi come epilted enue in coma uremic: yoele 1h comets din cutsl meningitsor, hemeragi maningee, hemorogi cxrebrele cu Serpe meni ‘como. fame, oma pin-inowe teunchiol cerebral fad coroctrisc lnsgaliten_sunlt oot a9 tologia ‘evf-un sem. ia homorogle suborah- noldiona sou subduraT. Para teal etiologic of come prin modi lag in ri wndete ventrieuors, tumor! carebrle.s0. conto "t ne poste da ind fogia 3 iognosticu! topograie cle come’ nevralosce, Pot lore asociete unei_hemiplegii. ip aries couse (chon a i) es ee soma aliaplaic, bound sau in intoealia cu cupert + importante pvind etl iol leoolle_sou_compisdunl pe “pentzu_leauni pontine x04 fein coutert "gpa 8, in oterscleoan_ cerebral Ra in sindcomul de Ripertensiune invacranion® ederul e¥ rebral-din-cursulencetoinpati mmatomabees cetabral ste); hiperensive, turer eetebrol ps aren ices eee ae ree ae Inruci feta” GpepleCteG/eterminats de occidentsle vesculere + cerebrle (remorogie,ramotmen) ene cel ml Trecven innit fo sdom moi jos dasciea of | setouminate de diverse cauze ‘ hiperensunes aerld, gereieass ote Tuete, ‘Co spit de" obs Supt un afer sou erst, ‘clos iste Satna Ue pena Sum ce recedaté de -amatelcelale- bude do sedans tsa oe votbite “dees dura Odetdinsolatd-coma.-Bslannl devas ‘tonal eepiaia-aaomotensa.~ selves Per‘ inlege linea consort rin acedentvoseuler xr vbule spus eo lenuneo bamilesea” reduce pores smusultu feel wunchislel 9! menbreor do poree spar care Siar Gnd bolnvul se ois th coms series ihr devs cma cole sre pateo membrsorsSndlons fay" Ge acer ponte” ev-lesunea” heise ‘elo hptonte! muzlare @ ft do partes poral, lo fecore eur ol focs"s0pregonine ebotul Walon co cum Snow 2 fe embrs portot Mase mls ‘ie al eccenucl, mambral rete # opal Ione seca tna greaie sf mat iepode de porea potaltats. Acooss ne pecs 435 opreciem seul lciuni,Reloule-osea-lendinonse 4 eulonsie a ia montero de pees ache, ini (etesia holuel To excKafe ponte). dicot ta Soto ance = Sa eet esto Cyto secre nat eo rina, garam eee ate i ar ‘Tanda ventions Ceeonaraa de singe eamaie Taste sk cee ine Peete ‘eet tae lana pan feo: 2 fehl dials nega led, ranspuage fala sane aril "Saaa , amplae ee ilerenferea do olte come se foce Finind seama de foptul cd cq pitas asta tar Pa ame Beko the el sheeted de Snctne amatinena a inland in-genetol_mg ln, coms ne este iene profundd si este, precedats de ois 8 de o store Ffeconlond Spin deans de becasue ea Ua oanue tea bag ne al islewohdian asia-lay, Dops ints pests €D ve on, fence 1S atc pene encore ea Bo ne a ne cil te Echilbeu ste Stwrne veal cia dae) se volar rn ccunea ‘eligavtateg @ une: gripe musculre aie trnchiul tn topo eu pontlo capi In spops, Aceostorenul dino octvtate coordonaid © sistamului nerves conta inte difeite stems apart sstomal esbulor, sesibitata profund congients 1 incongtont, sstemal ‘thopigmide onal trys coipule3! membrolor unele in rapot ev oltle 7 de otomenco ‘it inctotile determinate de varaila do, presiune ele corsulus pe foi le nivel segmentelor plntore, musehir exons saeerer eh Spoor plier spciutinal eanomidel tesa til do contsl eno womingit eaniractat-mascuore ~ fAnalizorl vieual percepe madiicareo raporuly) spatial into oop or, contibuind onl Ta renfnerea ech Novlu ef supleors deisel sensbliaiprofunde fat anlizerstl TWlbvide ale echilibrl stoic so innese in lesunile eel tei ‘lemme. importonte. sistemul vestbulor cerchslos 31 senitivalce brolunds_conguants ice schibare ee (el grout si-ehior vacsatui, Doct lesinea ert ms bolnovu sa in poate vertical, de obicl cu picioorals depdvong cu tendinty_decedove de geteotl paie_cu feslneo.cind cet ole distal 91 de_poteo opis cn lecunes ose igs, Tel ‘ite se aectntuecr es, ahi inhi Tolburonle de echiibry de tip carabelor7e0 ininese in lesiun ole cerebellar fuses ore nu fe posi in foimele-ocesntust. Tn le Sialunea (ile Bosibla-co bara de austinere legit; echilind sia stool Eat press oxo cle ora ty eon exebeesae see terele. banal tinde $0 code de para lesuni le foaun! ole vermsuly cadet se face In sans onfra-postrot- Inchiderea oct formu eccontueorStulsurile de echiiors coin lebes sou in sin- romu vestbuer. Fi, Taptabes,cind tubule int occentuae, menfnorea echiibny yaa pos Dac einen perie sgr vowel (abel S16 cu picianss'e_depivtote si fs conoleaad cu psa ‘manbreleIniroore. (se sulient ca_balnavel tabgtic <2 oineasea 3 inci ac a ive de ip tabetie sei es sia. Gish awe unde ca ei ol sense {onde consents polineta a. site panudotblie, ‘eole Friedrich tleoea combipatas bes. Telbura ole sovunit vertale pot fi deieminate "de lei cia Aull ‘xeaacomidl_Is bese Parnso, "bean esr Sclopust (ontaveei) sau revopulst etnacl) deter ot Vipera Gonna ae naa aparece a {n'ccast moment. pests sursipietd eshilorut bolnaaal ste neva Slfacsefe: postin dimes tapectaa Probe. Romberg ‘Asexdm belnaral in pole verticol6 cu picicorele oprepict, cu ‘uri calcite Tote, DocS bolnowsl meine seeoss fouhe ca {chit deschig uscem la exominarea echilowlut siete In aeons poy $e echi neha robo” Rong) = In cor de lecinl ole ely SensbltOi profundo congtiente (i) tat eon vertbelers bologna poole mortne oes tit cu ech inchs proba Romberg ene posting 9° Ronbegultabaic. bolaanuloseleors si -cade trae Cidaiea ax lace iadfocsa, ice porte ru ex influent de modi de ponte sl copa a) Rombergul vestibular, opaie lent adele, bolnanl ode, 3.codé de partes leriunil (aiero-pulie). ModificSrie postiel-capu itr des in sndromu| vestbuler sind. sadereo.s@ face spre stingo clad bolnawi!-priveste insite ocd ‘oti eu 90% sprestings, bolnavul code pe apcte. In sgdiomul vere tubular conta! dea _nu esis obligoterie deportes leslunt, jor odie posite cota jaa sensuly) cde, Tn levual usaar, ta sensiblica Romberg sensibileal) Cetem bolvercler oe cio in ots ola ie ql vesibulre proba Romberg se poste trum singur pico cu och teh ‘Accosth proba. nu se vo eercato la beinovl eu Galion voter lo membre. ineroe E2ndit © echilbrull static ‘eu och desehis i epee ey ‘deficit core nu. pernite. menfirerea. Im buns boloase, inchideveo ochilor nv eecentueati tuloudrile de echilion Echilibrul dinamie (exemenul mersului) Mersul este un act comple, in elactuareo edtuie partiip® moi ‘mol factor | colea piramidal, isemul exttapiromidal, asecel vont Tula, sensi Ie io Bolnaval datoponrs ied prolundd consis. 91 Incongientsiterel ‘nia vine aeeyt Toetot due ta's tlburce do SSE A ‘eaiee e aha seer ee flee pie men ah C+ oes EE vo) fi,tznunchii din couse Ripetonie) mascclore « extensor neat athteron Uneor Stove mersl esto 6 poate Intl! un mere cout bleteral. Ia terres impesiil, olnoval find imabilat i, pot plo osc ts hpereia i eatin teas duce irate rai yee ete ite en tl ee eee nt Wa sea : stoaeltae faocs nent eet ef ina -patalsia neni scat popltew erry? macaul ete sano\ ai ef muehilor din Tajo onareaneinges gembe,piciorul cade Bolen, bolnarul tebute af lacise mehr ke Be c00ps8 $1 ecopso pe basin ponte nv sallnge old ener spotter ‘Aces tip de cu modi ors stepot se ininete In + poraiile_ nec idle. tulburirle de mers epar In egbturS tonus 3h micdileInveluntre, Resale bosla ‘Sts Balls tn, atte Maries pole pa decrepit. peer prank oie g fisil._cu_ posi mici, comput Ti { a By Petes tg ite ore teres See ee eget Set i epee eat geal See ae sepa tert has a ee Cages Tiss cepeeto I seen oa ee a t a Sa \ elt Ee ae eee bt rea fitobed mers este coracterisle © dinansfonare grit’ @ micorlon adieu tneazs pe sci cd et 32 conoleaaa cu pena, «meine inchiderso senior acconuind molt tulburBile, moral de | Socind import dom cersbalbf ert este cu basa de sutinese lois nodgur, met pe doul_ clea, in fg-nag- ebriog c-meNBae Petcare depsttete de core. Bolnavul esclloged, so elting cind po © Porte cind pe. alts, ttubesrs p-iocatia oviniiv’ merul_este_loginct (de ro) din_cauza, ctolilor-missu afe-locolzale 1g-real-contu-paluene si muscu ee See eet ae ee M '~ Tezivni_ cats inferesea:3 in_ecelasitimp eoles pitomidald si ie i Ee ee Se ar eee creer el amr Pech Eo cae bie sine » plmidalwnandeom. combos ab un_sindeom tobe bolo a talenears : tulburéle Motilitatea activ (voluntard) Mijcole_voluntre sist myn pe core fe execitd Indu in mad consent: ee snt basal la om pe ctivicte condijonta, itgatede anataorl motor corte! 4 sin Sepandente de clone Spreads e Ererens] motif! actve ote in vadee pe ling componenta mmollogcs (niearee oc in sine) Gependent® de. cols pe Idols 9° componert> do coordonoe bots pe Intepiaton clr Senabitigh prune, congtonteInconftente. opt oncl ol toalipla "ela de a sua ip sana moore ssooreciebiaie ~ fool oscendeala. 1 lbulal era fel ude te asite cell deere oe ots ag goal encinll noty Coen ntl aun) ene Sonne te 3 ic sears ae Celulle-nevronulyt motor cscendent i speck ‘on fiom nl eae Plea chert orpsole pos 3 fomilet seandante se ‘ellsla_neuron ioe ernie in ifunes afore PaE igri gation supe ioarl 9 ob iat por memol pe Ghnaec sewonfr ma! etal ee pin cea ed converg spre capsule intend unde olestuess fasciulupitgmidal, fy Coe ee ee cl neat cape gensehtl copa emule de text pane sev Sor mdear ent Te cove ae of Tn pune earebre excel promidal (orc epnal) cu 15 mifoch in por 15 nt hind ocapats Se tact coe nciear 3" extend ‘covepunde fsa esc pentin irk rivelul pretuberane,fascclulpiromidel este operat In pi loore find inetoat de bela pontocercbelocse. eal se v i i | SuareM preamints (aed ree teron ee eect) Pi. 21 — Seen eth wee vlunare (tem ical, Fessiulylpiremidol Incrucizt to suger} ip_casdanul lateral ol cis reel tarsal ea ‘Bia ine FEMS otelgmie q-incnies coimulut poreior ol_maduvel, Lo

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