Matakuliah Tahun : L0044/Psikologi Faal : 2009 Gangguan Perilaku akibat gangguan atau kerusakan otak Pertemuan 9 PENYEBAB KERUSAKAN OTAK • • • • • • Tumor otak. Gangguan-gangguan serebrovaskuler. Closed-head injuries. Infeksi otak. Neurotoksin. Faktor-faktor genetik. Tumor Otak • • • • • • Meningiomas. Encapsulated tumors. Benign tumors. Infiltrating tumors. Malignant tumors. Metastatic tumors. Gangguan-gangguan serebrovaskuler. • Cerebral hemorrhage. • Cerebral ischemia. From: http://images.google.co.id/imgres?imgurl=http://www.brown.edu/Courses/Digital_Path/systemic_path/neuro/N2.jpg&imgrefurl=http://www.brown.edu/Courses/Digital_Path/systemi c_path/neuro/cerebralhemo.html&usg=__n8PcX7kCJRBLWCDScp1U_ZGyRKw=&h=414&w=600&sz=59&hl=id&start=6&tbnid=nouvsWS5hEjQyM:&tbnh=93&tbnw=135&prev=/i mages%3Fq%3Dcerebral%2Bhemorrage%26gbv%3D2%26hl%3Did%26sa%3DG Closed-head injuries. • Contusions. • Contrecoup injuries. • Punch-drunk syndrome. Infeksi otak. • Infeksi Bakterial. • Infeksi Viral. From: http://images.google.co.id/imgres?imgurl=http://scienceblogs.com/whitecoatunderground/upload/2009/03/Streptococcus_pneumoniae_meningitis,_gross_p athology_33_lores.jpg&imgrefurl=http://scienceblogs.com/whitecoatunderground/2009/03/a_simple_bump_on_the_head_can.php&usg=__0bwX7Ja4myDb wtAfZAwzwxylY0=&h=1043&w=700&sz=123&hl=id&start=2&tbnid=mS5LCFG_beXvbM:&tbnh=150&tbnw=101&prev=/images%3Fq%3Dmeningitis%26gbv%3D2%2 6hl%3Did%26sa%3DG Neurotoksin. • Toxic psychosis. • Obat-obatan neurologis. Faktor-faktor genetik. • Down syndrome. • Fragile X Syndrome. • PKU. Penyakit Neuropsikologis • Epilepsi. – Partial Seizures • Simple partial seizures. • Complex partial seizures. – Generalized Seizures • • • • • Seizure grand mal. • Seizure petit mal. Penyakit Parkinson. Penyakit Huntington. Multiple Sclerosis. Penyakit Alzheimer. TUGAS MAHASISWA Buatlah dalam bentuk essai. • Gambarkan perkembangan dan pembagian struktur otak? • Hal apa saja yang dapat menyebabkan kerusakan otak? • Sebutkan beberapa contoh dari kerusakan tersebut dan apa gangguan perilaku yang ditimbulkan dari kerusakan tersebut? • Buatlah keterangan dari pertanyaan no.2 bagaimana kerusakan tersebut dapat menyebabkan perubahan2 perilaku yang terjadi pada manusia? Tugas dikumpulkan minggu berikutnya. CASE • Mr. X, 18 years-old man was admitted to a trauma center after a motorcycle accident. He presented with a right epidural hematoma and bilateral contusions in the anterior temporal lobes. He had also a scalp laceration and right maxillary and zygomatic fractures. The hematoma was surgically evacuted, and the patient was transferred to the intensive care unit. Two days later, the patient became restless and agitated. He removed the intravenous (IV) lines and monitoring devices and tried to get out of bed. He was disoriented, incoherent, and aggressive. His behavior suggested that he was experiencing frightening visual hallucinations. A coarse, rapid tremor was noted in both hands, and he was diaphoretic and mild hypertensive. He responded well to QUESTIONS • Identifikasikan masalah apa yang terjadi pada pria usia 18 tahun tersebut? • Apa masalah utama yang terjadi pada Mr. X tsb? • Hal-hal apa saja yang secara umum kemungkinan yang dapat menyebabkan delirium pada kasus di atas? References Carlson, N. R. (2007). Physiology of behavior (9th ed.). Boston: Pearson. Lesson, T. S., Leeson, C. R., Paparo, A. A. (1988). Text/atlas of histology. Philadelphia: W. B. Saunders. Pinel, J. P. J. (2006). Biopsychology (6th ed.). Boston: Pearson. Sherwood, L. (2007). Human physiology: From cells to systems. Belmont, CA: Thomson. Taugada, J. (2003). Memahami otak. Jakarta: PT Kompas Media Nusantara. Young, B., & Heath, J. W. (2005). Wheather’s Functional Histology. Churchill Livingstone. THANKS