PENGALAMAN BELAJAR LAPANGAN

EPILEPSI DAN
GLOBAL DEVELOPMENT DELAY (GDD)

Oleh :
Ni Made Widhiyanti (0702005032)
Putu Aditha Satya Putra ((0702005106)
I Ketut Adi Suryana (0702005155)

Pembimbing :
Dr. dr. I Gusti Ayu Trisna Windiani, Sp. A (K)

DALAM RANGKA MENJALANI KEPANITERAAN KLINIK MADYA

DI BAGIAN ILMU KESEHATAN ANAK RSUP SANGLAH
FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
MEI 2012
i

KATA PENGANTAR
Puji syukur penulis panjatkan kepada Tuhan Yang Maha Esa karena berkat
rahmat-Nya penulis dapat menyelesaikan laporan pengalaman belajar lapangan
(PBL) yang berjudul Epilepsi dan Global Develompent Delay tepat pada
waktunya. Penulisan tugas ini merupakan salah satu prasyarat dalam mengikuti
Kepaniteraan Klinik Madya di Bagian / SMF Ilmu Kesehatan Anak Fakultas
Kedokteran Universitas Udayana / RSUP Sanglah.
Dalam penyusunan tugas ini, banyak pihak yang telah membantu dari awal
hingga akhir, baik moral maupun material. Oleh karena itu pada kesempatan ini,
penulis ingin mengucapkan terima kasih kepada :
1. Dr. dr. I Gusti Ayu Trisna Windiani, Sp.A (K) selaku pembimbing

laporan pengalaman belajar lapangan ini atas bimbingan, saran, dan

masukan selama penyusunannya.
2. Dokter-dokter residen yang bertugas di Bagian / SMF Ilmu Kesehatan

Anak Fakultas Kedokteran Universitas Udayana / RSUP Sanglah, atas

bimbingan dan saran-sarannya.
3. Rekan-rekan dokter muda yang bertugas di Bagian / SMF Ilmu

Kesehatan Anak Fakultas Kedokteran Universitas Udayana / RSUP

Sanglah atas bantuannya dalam penyusunan laporan PBL ini.
Penulis menyadari bahwa laporan PBL ini masih jauh dari sempurna,
untuk itu saran dan kritik membangun, sangat penulis harapkan demi perbaikan
tugas serupa di waktu berikutnya. Semoga tugas ini juga dapat memberi manfaat
bagi pihak yang berkepentingan.

Denpasar, Mei 2012

Penulis

ii

DAFTAR ISI
KATA
PENGANTAR
..........................................................................................................................
..........................................................................................................................
ii
DAFTAR
ISI
..........................................................................................................................
..........................................................................................................................
iii
DAFTAR
GAMBAR
..........................................................................................................................
..........................................................................................................................
v
DAFTAR
TABEL
..........................................................................................................................
..........................................................................................................................
vi
BAB
I.
PENDAHULUAN
..........................................................................................................................
..........................................................................................................................
1
BAB
II.
TINJAUAN
PUSTAKA
..........................................................................................................................
..........................................................................................................................
4
2.1
Definisi
.................................................................................................................
.................................................................................................................
4
2.2
Epidemiologi
.................................................................................................................
.................................................................................................................
4

iii

2.3
Etiologi
.................................................................................................................
.................................................................................................................
5
.................................................................................................................
2.4
Klasifikasi
.................................................................................................................
.................................................................................................................
5
2.5
Patofisiologi
.................................................................................................................
.................................................................................................................
9
2.6
Gejala
Klinis
.................................................................................................................
.................................................................................................................
11
2.7
Diagnosis
.................................................................................................................
.................................................................................................................
13
2.8
Penatalaksanaan
.................................................................................................................
.................................................................................................................
16
2.9
Komplikasi
.................................................................................................................
.................................................................................................................
20
BAB
III
LAPORAN
KASUS
..........................................................................................................................
..........................................................................................................................
22
3.1
Identitas
Penderita
.................................................................................................................
.................................................................................................................
22
3.2

Anamnesis

iv

.................................................................................................................
.................................................................................................................
22
3.3
Pemeriksaan
Fisik
.................................................................................................................
.................................................................................................................
25
.................................................................................................................
3.4
Pemeriksaan
Penunjang
.................................................................................................................
.................................................................................................................
27
3.5
Diagnosis
.................................................................................................................
.................................................................................................................
28
3.6
Penatalaksanaan
.................................................................................................................
.................................................................................................................
28
BAB
IV
KUNJUNGAN
LAPANGAN
..........................................................................................................................
..........................................................................................................................
30
4.1
Alur
Kunjungan
Lapangan
.................................................................................................................
.................................................................................................................
30
4.2
Identifikasi
Masalah
.................................................................................................................
.................................................................................................................
30
4.3
Keadaan
Lingkungan
Rumah
.................................................................................................................
.................................................................................................................
32
4.4
Analisis
Permasalahan
.................................................................................................................
.................................................................................................................
32

4.5
KIE
.................................................................................................................
.................................................................................................................
36
4.6
Foto
Kunjungan
.................................................................................................................
.................................................................................................................
37
BAB
V
SIMPULAN
..........................................................................................................................
..........................................................................................................................
38
DAFTAR
PUSTAKA
..........................................................................................................................
..........................................................................................................................
39

vi

DAFTAR GAMBAR
No.
1

Judul

Halaman

Pathway

Patofisiologi

Epilepsi

9
2

Gambaran

Kejang

Klonik

dan

Tonik

Umum

11
3

Tata

Penatalaksanaan

dalam

menangani

Epilepsi

16
4

Denah

Rumah
32

vii

DAFTAR TABEL
No.
1

Judul

Pemilihan

Halaman
OAE

berdasarkan

Tipe

Serangan

Epilepsi

18
2

Mekanisme

Kerja

OAE

18

viii