Post Traumatic Amnesia April 2014

7/25/2019 Post Traumatic Amnesia April 2014

1/17

POST TRAUMATIC AMNESIA

I Wayan Tunjung, dr. Sp.SBAGIAN NEUROLOGIRSU KOTA MATARAM


2/17

Outline

Overview

Symptoms Assessment

Re!"ilit!tion

M!n!#ement


3/17

Post traumatic amnesia$e%& ' Ke!(!!n "in#un# (!ri su!tu )*es!(!r!n

"er*!"ut+ y!n# menyert!i tr!um! *ep!l! ,TBI-& $i(!p!t*!n p!(!./0 p!sien&

Merup!*!n %!se tr!nsisi !nt!r! il!n#*es!(!r!n (!n pemuli!n *es!(!r!n se1!r!utu&

$ur!siny! "er*orel!si "!i* (en#!n GCS (!nl!m! per!w!t!n (i RS&

Pre(i*tor out1ome Pemuli!n *o#niti%

Kem!mpu!n %un#sion!l

Kem"!li "e*er2!&


4/17

POST TRAUMATICAMNESIA

PTA Duration Severity ofInjury

3 4 5/ minutes Mil(

6 4 78 ours Mo(er!te

6 4 . (!ys Severe

6 4 8 wee*s 9ery severe

: 8 wee*s E;tremely severe


5/17

Amnesi!

Antero#r!(e

No !"ility to %orm (!y!ti#ue !n( >lu1tu!tion

PTA


7/17

PTA w!t is it li*e@ILUSTRASI KASUS'

S 8/ tn Guru

Contusi 1ere"ri multipel 7 min##u l!lu

$i *!m!r (en#!n temp!t ti(ur men#!(!p *e 2en(el!&

Sel!lu "ert!ny! )men#!p! s!y! (i sini+&

Bin#un# (im!n! (i! se*!r!n#&

$i! ti(!* t!u men#!p! (i! (i sini (!n sel!lu "erpi*ir(i! !rus pul!n# *e rum!&

Sel!lu "erteri!*


8/17

PTA ASSESSMENT

Menentu*!n (ur!si PTA

St!n(!r(ise( me!suresGOAT ,G!lveston Orient!tion !n( Amnesi!

Test-

6/ itemsOrient!tion ,person time pl!1e-

Re1!ll %or events ,!ntero#r!(e !n(retro#r!(e-

S1ore / 4 6//

Conse1utive s1ores : .3 en( o% PTA


9/17


10/17

PTA ASSESSMENT

Ke*ur!n#!n'

G!m"!r!n *u!lit!ti% ti(!* teru*ur p!(! testin#

Ti(!* (!p!t men#itun# u*tu!siSulit mem"e(!*!n (en#!n #!n##u!n memori*ronis&

Penil!i!n in%orm!l'

DPeru"!!n ny!t! *es!(!r!n (!n orient!si,Russell F Smit 656-

Memori (!ri !ri *e !ri&

Atensi y!n# m!si !(!&


11/17

PTA RECO9ERH Bert!!p

$itentu*!n (en#!n )PTA test per%orm!n1e+n!mun'

B!ny!* penil!i!n *u!lit!ti% ti(!* t!mp!*p!(! pen#u2i!n test terse"ut&

Sulit mem"e(!*!n (en#!n #!n##u!nmemori *ronis&

Urut!n t!!p pemuli!n *o#niti%'

Or!n#

Memori ,Re1o#nition memory-

Temp!t

=!*tu

>ree re1!ll 1ontinuous memory


12/17

PTA Re!"ilit!tion Ter*!(!n# (!p!t men2!(i pro"lem!ti*'

Kesulit!n mempel!2!ri %!*t! n!mun (!p!tmenerim! )pro1e(ur!l *nowle(#e+&

Pro#r!m orient!si re!lit!s "is! e%e*ti%&

Mo(!lit!s ter!pi l!in ,O11up!tion!lt;&pysiot;&- m!si e%e*ti% (!n le"iterper1!y! p!(! )pro1e(ur!l

memory+Pen(e*!t!n "el!2!r t!np! *es!l!!n&Mo(iJ*!si sesi re!"ilit!si mun#*in

(iperlu*!n&


13/17

PTA Re!"ilit!tion

Pen(e*!t!n psi*olo#i untu*pen!t!l!*s!n!!n )1!llen#in#"e!viours+

9er"!l non


14/17

PTA M!n!#ement ?!rus sel!lu (iin#!t "!w! pen(erit! PTA

memili*i *esulit!n memori (!n !tensi

Beri*!n in%orm!si (!l!m *!lim!t pen(e*(!n "erul!n#&

Sel!lu "erit!u p!sien !p! y!n# !*!n!n(! l!*u*!n (!n men#!p! itu !n(!(il!*u*!n&

?in(!ri *eleti!n y!n# "erle"i!n ,"eri*!nw!*tu istir!!t "!t!si pen#un2un#-&

Ev!lu!si *on(isi lin#*un#!n ,over or un(erstimul!te(@-


15/17

PTA M!n!#ement Antisip!si )1!llen#in# "e!viours+

$is*usi*!n *e"i!s!!n *usus (!l!m(is*usi tim&

Peri*s! p!n(u!n (!l!m #ui(elines&

Pen(e*!t!n *e !li Psi*olo#i Klini*,"!ntu!n-&

Sel!lu men1o"! men#erti (!n emp!ti

P!sien PTA memili*i *eter"!t!s!n (!l!mmen#ontrol *e"i!s!!n (!n emosi&

Sel!lu in#!t "!w! PTA "u*!n m!s!l!

pri"!(i&


16/17

PTA M!n!#ement

Minim!lis!si r!s! %rustr!si (!n r!s!2en#*el

Mey!*in*!n ul!n# "il! mun#*in (!n

seserin# mun#*in& !n#!n memint! p!sien mel!*u*!n

le"i (!ri y!n# (i! pi*ir*!n s!!t itu&

!#!l! *eten!n#!n !t!uminim!lis!si stimul!si l!in ,"il!mun#*in-&


17/17

TERIMA KASI?

Post Traumatic Amnesia April 2014

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