Tuesday, June 19, 2012

spinocerebellar degenaration




 

patient 1
mohd zamani/22/Male/malay

cc:spinocerebellar ataxia
kco spinocerebellar degenaration since 17 y/o
initially p/w sudden fall and loss of balance during school n deteriorate since then
has normal cognitive function.can do simple calculation and reading
currently p/w suddently fall / worsening gait and imbalance

o/e
has broad base gait
tend to fall to left side(he's reeling on 1 side)
has - romberg sign

on exam of upper limb
arm drift
rebound phenomenon
finger nose test
-pass pointing
-dysdiadochokinesia

on head
nystagmus
scannind/staccato speech 
titubation

on trukal
trunkal ataxia

on lower limb
heel knee -
pendular knee jerk


aetiology
  • cerebellar imnfarc/hemorrhage(acute)
  • tumor(sub acute,to weeks)
  • spinocerebellar ataxia/SCA (chronic)#AD cerebellar degenerative disease
aku tgk sabar betol adik ni,membuatkan aku terpikir andai aku dtempatnya adakah aku akan sebegitu sabar..tabah,redha barangkali?
astagfirullah
semoga allah melindungi mu adil zamani..

3 comments:

Anonymous said...

Salam..
Lama xdgr kabar..
harap2 sihat la yer..
huhuh..

pasal tajuk ko yg 1 ni..
aku mcm pernah alami..
xsure bnda ni utk jagka masa pnjang effect dia mcmne..
tp dari sego respon yg ko bagi kat ujung entry ni.. mcm sangt mengerikan..

kalau ko prasan comment aku ni..
ada masa free.. sms aku pasal bnda ni.. sbb aku antara org yg mengalami bnda ni..
sbb ko kan dokter.. mungkin dpt bntu aku..

pape pun TQ tau tau tau..

hehehhe... (n_n)

Unknown said...

ikhsan ye!san maap x on9.alright i.allh t kt meseg,tapi x pasti dapat bntu tak san,tp i.allah akn cuba sebaek habes

Anonymous said...

soalan: kira bnda ni jadi terus (sentiasa) atau kadang2 kerap terjadi pada pesakit ikut time?

ker seteruk kan strok? nauzubillah..
patut la dokter bg vitamin jer..
sbb vitamin antara ubat untuk sakit ni..(aku wat study skit pasal pnyakit ni..jd dokter kejap. hehe.. =p)

dh baca comment ni, trus msj aku pasal soalan diatas.. huhu.. TQ

(n_n)