Sindrom Lennox

{\rtf1{\fonttbl
{\f2 Times New Roman Bold Italic;}

{\f3 Times New Roman Bold;}
{\f6 Times New Roman Italic;}
{\f9 Times New Roman;}
}{\colortbl;
\red34\green31\blue31;
}\viewkind1\viewscale100\margl0\margr0\margt0\margb0\deftab80\paperw11900\paperh
16820{\shp
{\*\shpinst\shpleft0\shptop0\shpright11900\shpbottom16820\shpwr3\shpfblwtxt0\shp
z-10000\shplid0
{\sp{\sn shapeType}{\sv 75}}
{\sp{\sn fBehindDocument}{\sv 1}}
{\sp{\sn pib}{\sv {\pict\jpegblip
ffd8ffe000104a46494600010101006000600000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
838485868788898a92939495969798999aa2a3a4a5a6a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6
c7c8c9cad2d3d4d5d6d7d8d9dae1e2e3e4e5e6e7e8e9eaf1f2f3f4f5f6f7f8f9faffc4001f010003
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6c7c8c9cad2d3d4d5d6d7d8d9dae2e3e4e5e6e7e8e9ea
f2f3f4f5f6f7f8f9faffda000c03010002110311003f00fefe28a28a0028a28a0028a28a0028a28a
0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a
0028a28a0028a28a0028a28a0028a28a002bf15b43f8adff000522fda3bf685fdb63c3df017e3cfe
cb5f077e10fecc7f1f6c7e09e8367f13bf671f1b7c48f126ad243f06be187c48d7756d4bc4ba4fc7
3f01582a5aea1e3cb8b35886871a25adbc1319e4572d5fb535fca57c26f017c56fdb7ff6e5ff0082
98fec491ddf88fe1f7ec91a67edbbacfc67fdb17c63e1c967d3358f8c7e1fbbf845f02bc09f0b7f6
5bf0e789adaee0d4341d23c797bf0ebc6fe28f8d17da5443537f04e8fa4f862db53d2a3f16cbf6e4
dfe2f4f5ff002efe435d7d3b5faa3afd2ff6bfff0082cb7c72f881aa7817f617f891fb29fed63e1e
f0aebd7be1ef1c7ed193fecade35f83dfb25e89ab695335a6b1a37863e33ebbfb49f89f53f8b9af6
8d7e12d355b3f841f0ff00c71a5d9195269b5c588394fb4ec7e12ffc17eb57b78aebc41fb5dffc13
c3c1ba82da40b2693e0dfd9efe2a78ab4992eff7ed705b54f14788748d44aab3c31473c7650acd1a
073616b22c82e7f637c19e0af07fc39f0a787fc09e00f0be81e0af05784f4ab4d0fc31e12f0ae916
3a0f877c3fa3584421b2d2f47d1f4c82dac34eb1b68942436d6b045120c90b9249e9a8b7afdefcbf
cbadfaf70bf64be6937d3e5d3b77eba9fcedfc67d5bfe0e41f839a7dbf89344bbfd84bf681f0769e
91cbe25b3f827f0b3c717bf19edb4eb7843ea3a8e85f0d7e25fc53f84be13f175ec6a0c969a2693f
136cb55d55d6482c74e4b86b5b5b8efbf661f8bdff00051bfdaefc1fabf8afe0e7ede9fb17cfa878
475993c2bf12fe1cf8c3f60ff8c3e09f8b3f087c6d6be62dff00823e2afc38f117ed3f67e25f05f8
96ca682e62fb36a5662c7525b59af343d4355d3825ebfef357e55fededfb2b78e34dd72dbf6fdfd8
c74b8745fdb5be06e857377ab786748b38edf48fdb17e1069a96f79e27fd9d7e2b5ad92c72ebfa8e
a3a569c5fe1278a275bcd6fc19e30b7d321d2a482daf04da796feaefcbfcbe7df5634d3d2c97676f
4defe9d3cf47725ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb1
07fe215fc4effe8a6afbbbf67cf8e5e01fda67e087c2cf8fff000befe5d47c03f173c13a178e3c35
2dd4690ea16d65add947712e95abdb2492ad96b9a1de1b9d1b5db0f3646b0d62c2f6c99d9a0627d8
68feb77e5fe5fd5d8bfad97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff453
51ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97
f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107
fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00
a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7
afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff004535
1ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eec
fcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe2
15fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1f
d883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffa
e9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a
97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3ee
cfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4
effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd88
3ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00
ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97f
e0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00
854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff
00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff00
10afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f761
7f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17
ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8
54bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6a
fd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe
277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f76
17f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff4
7a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00
058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6af
d4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277
ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f
5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3
fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058
bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b
7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff453
51ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97
f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107
fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00
a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7
afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff004535
1ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eec
fcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe2
15fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1f
d883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffa
e9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a
97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3ee
cfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4
effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd88
3ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00
ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff0010afe277ff0045351ff0a97f
e0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff00
854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17ff0047a3fb107fe215fc4eff
00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff854bff058bffa3d1fd883ff00
10afe277ff0045351ff0a97fe0b17ff47a3fb107fe215fc4effe8a6afd4fa28b7afdeffae9f9f761
7f4fb97f5d3f3eecfcb0ff00854bff00058bff00a3d1fd883ff10afe277ff45351ff000a97fe0b17
ff0047a3fb107fe215fc4eff00e8a6afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8
54bff058bffa3d1fd883ff0010afe277ff004535713fb1cfc4cfdbf7c6ff00b62fed49f023f687f8
f1f00bc45e0ffd9522f818fa82fc27fd9db5ff00046aff0011aefe36781b50f1d59a8d6bc51f197c
6f178574ef0e41a69d2efe08744d66fb5d6ba37167a9787cdba89bf616bf2c7f64eff949affc15af
feec33ff0059ff00c4746cd7adb7f27fe4bfa6c16cfc976f34bfaff827ea7514514c414514500145
145001451450014514500145145001451450015f871ff043dd5dfc5ba57fc151fc797f0b0d63c55f
f0581fdb1c5c4d7312aea1068fa2d87c2ed3bc3ba1cf294598db683a7a9b4b3b695985b799705406
9a42dfb8f5fcf4ff00c11a3e37784746fda9bfe0ad7fb24de46fa378b4ff00c143ff006a6fda6bc0
497b03da278d7c0be2af8856bf0dbc74fe1ef93ecd7917c39f1d7832c2c35a10cbe6da5bf8d7c35b
e08e3986d5d57a3fd06b697a7ea8fe85a8a28a620a28af38f8bff167c05f023e16fc40f8cdf14b5f
b5f0bfc3bf863e13d6fc6be30d7aece63d3f43d02c66bfbc78a20449777b32442db4ed3edc3ddea5
a84f6d616714b75730c4e01f9d1ff049153e1df879fb65fc21b02d0f837e03ff00c1493f6c9f86ff
000e34a4757b0f0ef81755f1c69df1674bf0de904333ae9da2dffc4fd52c92299de5b7b88ee6dd9b
11003f57abf35ffe0943f0dbc69e0dfd91acbe247c50d06efc2bf15ff6b2f8aff18bf6c9f893e15b
c47827f0a6b9fb48f8f355f1fe87e1596ce5ff0048d3eebc33e01bcf07683a969f7416e6cb56d3ef
ede78adde336d0fe94525b2e9a2d3b0deff77df6d7ef614514531051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
451400514514005145140051451400514514005145140051451400514514005145140057e58fec9d
ff002935ff0082b5ff00dd867feb3ff88ebf53abf2c7f64eff00949aff00c15aff00eec33ff59ffc
4749ef1f5fd18d6d2f4fd51fa9d45145310514514005145140051451400514514005145140051451
40057f37dfb3efec71abfed37f0fbf6acf8a9f0b7c7b1fc10fdae3e037fc15c3fe0a21e2ff00d9ab
e37d859dc6a169a0dcafc699bc35e24f879f1234249233e2ef84bf1474bf0ec7a37c40f0bbc92a49
09b1d6ec236bad3ce9777fd20d7e39f827fe09d3fb657c1ad67e31afc03ff82975ff00c33f027c5c
f8fdf1a3f68297c15a8fec85f08fe215c685e25f8d9e3ad57c75e20b15f16f8afc553eb5ab436b79
a9fd962b9b916e26583cf5b4b6699e254f75a5f47dbbab6ed761af5b7afe5b33b7f859ff000543f0
4785fc47a47c0dff0082817863fe1867f69579e7d22187e24dd5cdb7ecdbf182f2c4ed3e25fd9fbf
68cd46dad3e1f78a343d6a16b3bdb4f09f89f59f0e7c45d12f350ff846b50d02fb52d36e6ee5fd46
d2f55d335cd3acf57d1752b0d5f49d46de3bbd3f54d2ef2df50d3afed665dd15cd9deda4935b5d5b
caa43473412bc6ea72ac4735f925e39fd83bf6f8f89de1cbef077c4aff00829af847e21784753006
a5e15f1cff00c13a3f666f167873500a1d545f687afeafa869976155dd409ed64003b81c31cfe70e
afff0006cee8dabea3a9ea8bfb517c38f0ecfaca4b1ea96be03fd893e1efc37d1ef6199e676b79f4
0f87ff0014bc33a11b5533cc90da8d385bdbc323410451c07cba577d9bf5697ebebdbd0768f7b7de
feed179f73f7e3f686fdb57f653fd94ec5ae3e3e7c76f87bf0fb55952dce93e09bbd721d5be2778a
67bc9122b1d3fc17f0b3c3e355f889e34d4efe69638ecf4df0b786756bcb8670c9098c33afe7f45f
0bbe397fc1517e20f83bc6dfb477c38f167ecf3ff04fcf865e2bb3f1a7c3ff00d987e215b4ba37c6
5fdadbc69e1ebcb6bff0878fff00698f09ac84fc3bf837e13d52d535af07fc08d5e4b8f1078c35b8
adfc41f136cacb4fb0d0b436f16fd9ff00fe089ff173f657befed7fd9eff006c7f827f0b3c443cc0
3c5de1cff82687ecc9ff0009b88a58cc525b0f1bea1ad5f78b459b46cea2c86b5f645f3662b00334
a5febeff00864eff00829aff00d25aff00f3433f67ff00fe68e8d5ee9fe1f76fafe1f9dcd16cd7ad
9ff96ff37f267ea7515f963ff0c9dff0535ffa4b5ffe6867ecff00ff00cd1d1ff0c9dff0535ffa4b
5ffe6867ecff00ff00cd1d3bbecff0ff003159775f8ff91fa9d457e58ffc3277fc14d7fe92d7ff00
9a19fb3fff00f34747fc3277fc14d7fe92d7ff009a19fb3fff00f34745df67f87f9859775f8ff91f
a9d457e58ffc3277fc14d7fe92d7ff009a19fb3fff00f34747fc3277fc14d7fe92d7ff009a19fb3f
ff00f34745df67f87f9859775f8ff91fa9d457e58ffc3277fc14d7fe92d7ff009a19fb3fff00f347
47fc3277fc14d7fe92d7ff009a19fb3fff00f34745df67f87f9859775f8ff91fa9d457e58ffc3277
fc14d7fe92d7ff009a19fb3fff00f34747fc3277fc14d7fe92d7ff009a19fb3fff00f34745df67f8
7f9859775f8ff91fa9d457e58ffc3277fc14d7fe92d7ff009a19fb3fff00f34747fc3277fc14d7fe
92d7ff009a19fb3fff00f34745df67f87f9859775f8ff91fa9d457e58ffc3277fc14d7fe92d7ff00
47fc3277fc14d7fe92d7ff009a19fb3fff00f34745df67f87f9859775f8ff91fa9d5f963fb277fca
4d7fe0ad7ff7619ffacffe23a3fe193bfe0a6bff00496bff00cd0cfd9fff00f9a3af54fd8e7f639f
893fb39fc49fda4fe31fc63fda4eeff695f89ffb4addfc249bc49e249be127857e0fdae8f6bf07fc
2bad784340b4b4d03c21ad6a9a4dcfda749d5204b8b8482c24125809241732dcc9221ab6b46acfcb
b35d1f986893d53baf3ee9f55e47df54514531051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400515f995e24ff828df8dfc3de22d7f4083fe098bff000535f12c3a1eb5
aae8f0f88fc37f0a3f679baf0eebf16997d3d947ade8175a87ed43a65fdce8baaa402fb4a9ef74dd
3eee6b19e092e6c6d2667823c5ff008799f8f3fe9157ff00054fff00c343fb377ff457517feacffa
ebfd598ede9f7afebafe7d99fa9f457e587fc3ccfc79ff0048abff0082a7ff00e1a1fd9bbffa2ba8
ff008799f8f3fe9157ff00054fff00c343fb377ff45752bfafdcff00aebf9f6616f4fbd7f5d7f3ec
cfd4fa2bf2c3fe1e67e3cffa455ffc153fff000d0fecddff00d15d47fc3ccfc79ff48abff82a7ffe
1a1fd9bbff00a2ba8bfafdcffaebf9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cff00a455ff
00c153ff00f0d0fecddffd15d47fc3ccfc79ff0048abff0082a7ff00e1a1fd9bbffa2ba8bfafdcff
00aebf9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cffa455ffc153fff000d0fecddff00d15d
47fc3ccfc79ff48abff82a7ffe1a1fd9bbff00a2ba8bfafdcffaebf9f6616f4fbd7f5d7f3eccfd4f
a2bf2c3fe1e67e3cff00a455ff00c153ff00f0d0fecddffd15d47fc3ccfc79ff0048abff0082a7ff
00e1a1fd9bbffa2ba8bfafdcff00aebf9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cffa455f
fc153fff000d0fecddff00d15d47fc3ccfc79ff48abff82a7ffe1a1fd9bbff00a2ba8bfafdcffaeb
f9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cff00a455ff00c153ff00f0d0fecddffd15d47f
c3ccfc79ff0048abff0082a7ff00e1a1fd9bbffa2ba8bfafdcff00aebf9f6616f4fbd7f5d7f3eccf
d4fa2bf2c3fe1e67e3cffa455ffc153fff000d0fecddff00d15d47fc3ccfc79ff48abff82a7ffe1a
1fd9bbff00a2ba8bfafdcffaebf9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cff00a455ff00
c153ff00f0d0fecddffd15d47fc3ccfc79ff0048abff0082a7ff00e1a1fd9bbffa2ba8bfafdcff00
aebf9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cffa455ffc153fff000d0fecddff00d15d47
fc3ccfc79ff48abff82a7ffe1a1fd9bbff00a2ba8bfafdcffaebf9f6616f4fbd7f5d7f3eccfd4fa2
bf2c3fe1e67e3cff00a455ff00c153ff00f0d0fecddffd15d47fc3ccfc79ff0048abff0082a7ff00
e1a1fd9bbffa2ba8bfafdcff00aebf9f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cffa455ffc
153fff000d0fecddff00d15d47fc3ccfc79ff48abff82a7ffe1a1fd9bbff00a2ba8bfafdcffaebf9
f6616f4fbd7f5d7f3eccfd4fa2bf2c3fe1e67e3cff00a455ff00c153ff00f0d0fecddffd15d47fc3
ccfc79ff0048abff0082a7ff00e1a1fd9bbffa2ba8bfafdcff00aebf9f6616f4fbd7f5d7f3eccfd4
fa2be52fd9a7f69ed7ff0068a9fc630eb7fb287ed5bfb330f0945a14b6d3fed2de0ff869e1583c64
75b7d5d258bc1cdf0fbe2d7c4e7be97411a546faf2eab1e8ab6e9abe906c9efccd74b67f56d31051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451401f92fe2aff82b5e87e14f147893c2efff0004f1ff00
82b47881fc37af6b1a03ebde15fd833e226bbe17d6db47d46e34e6d5fc37addbea8b06b1a0ea46d8
de68faac0ab0ea1a7cd6f7712849940c1ff87c5683ff0048daff0082c37fe2be3e24ff00f2d6bf61
a8a5af7fc3d3fe0fdfe43baedf8fa7f93fbfc8fc79ff0087c5683ff48daff82c37fe2be3e24fff00
2d68ff0087c5683ff48daff82c37fe2be3e24fff002d6bf61a8a2cfbfe1e9fe4feff0020baedf8fa
7f93fbfc8fc79ff87c5683ff0048daff0082c37fe2be3e24ff00f2d68ff87c5683ff0048daff0082
c37fe2be3e24ff00f2d6bf61a8a2cfbfe1e9fe4feff20baedf8fa7f93fbfc8fc79ff0087c5683ff4
8daff82c37fe2be3e24fff002d68ff0087c5683ff48daff82c37fe2be3e24fff002d6bf61a8a2cfb
fe1e9fe4feff0020baedf8fa7f93fbfc8fc79ff87c5683ff0048daff0082c37fe2be3e24ff00f2d6
8ff87c5683ff0048daff0082c37fe2be3e24ff00f2d6bf61a8a2cfbfe1e9fe4feff20baedf8fa7f9
3fbfc8fc79ff0087c5683ff48daff82c37fe2be3e24fff002d68ff0087c5683ff48daff82c37fe2b
e3e24fff002d6bf61a8a2cfbfe1e9fe4feff0020baedf8fa7f93fbfc8fc79ff87c5683ff0048daff
0082c37fe2be3e24ff00f2d68ff87c5683ff0048daff0082c37fe2be3e24ff00f2d6bf61a8a2cfbf
e1e9fe4feff20baedf8fa7f93fbfc8fc79ff0087c5683ff48daff82c37fe2be3e24fff002d68ff00
87c5683ff48daff82c37fe2be3e24fff002d6bf61a8a2cfbfe1e9fe4feff0020baedf8fa7f93fbfc
8fc79ff87c5683ff0048daff0082c37fe2be3e24ff00f2d68ff87c5683ff0048daff0082c37fe2be
3e24ff00f2d6bf61a8a2cfbfe1e9fe4feff20baedf8fa7f93fbfc8fc79ff0087c5683ff48daff82c
37fe2be3e24fff002d68ff0087c5683ff48daff82c37fe2be3e24fff002d6bf61a8a2cfbfe1e9fe4
feff0020baedf8fa7f93fbfc8fc79ff87c5683ff0048daff0082c37fe2be3e24ff00f2d68ff87c56
83ff0048daff0082c37fe2be3e24ff00f2d6bf61a8a2cfbfe1e9fe4feff20baedf8fa7f93fbfc8fc
79ff0087c5683ff48daff82c37fe2be3e24fff002d68ff0087c5683ff48daff82c37fe2be3e24fff
002d6bf61a8a2cfbfe1e9fe4feff0020baedf8fa7f93fbfc8fc79ff87c5683ff0048daff0082c37f
e2be3e24ff00f2d68ff87c5683ff0048daff0082c37fe2be3e24ff00f2d6bf61a8a2cfbfe1e9fe4f
eff20baedf8fa7f93fbfc8fc79ff0087c5683ff48daff82c37fe2be3e24fff002d68ff0087c5683f
f48daff82c37fe2be3e24fff002d6bf61a8a2cfbfe1e9fe4feff0020baedf8fa7f93fbfc8f9e7f66
5fda1ed7f69bf8733fc47b3f835fb437c0b860f12ea7e1a3e0afda6be126b3f05fe234afa65ae9b7
6dadc1e0fd767b8bd97c357e35216fa66b224f22f6eac75282350d66e4fd0d4514c4145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451505d5d5b595b5c5ede4f15ada5a4135d5d5ccf22c505bdb5bc6d2cf3cd2b9091c50c48d2
492390a88accc4004d004f457c0de1cf8adfb61fed0ba1693f137f67fd23f67af859f057c5b6306b
ff000cbc47f1bb4ff895f11be20fc46f05ea0827f0f78def3e1ff82b5af85fa5fc39d17c65a5cd6d
e25f0b69fa878e7c5be271e1bbad2e5f15685e15f106a3a8f86fc39b5fd81ff0523ffa2aff00b107
fe23e7c79ffe89aa3f11dbcd7f5e9fd68cfb7e8af883fb03fe0a47ff00455ff620ff00c47cf8f3ff
00d13547f607fc148ffe8abfec41ff0088f9f1e7ff00a26a97c9fe1fe7fd59f95cf9afc7fcbfab3f
2bfdbf457c41fd81ff000523ff00a2affb107fe23e7c79ff00e89aa3fb03fe0a47ff00455ff620ff
00c47cf8f3ff00d13547c9fe1fe7fd59f95cf9afc7fcbfab3f2bfdbf457c41fd81ff000523ff00a2
affb107fe23e7c79ff00e89aa3fb03fe0a47ff00455ff620ff00c47cf8f3ff00d13547c9fe1fe7fd
59f95cf9afc7fcbfab3f2bfdbf457c41fd81ff000523ff00a2affb107fe23e7c79ff00e89aa3fb03
fe0a47ff00455ff620ff00c47cf8f3ff00d13547c9fe1fe7fd59f95cf9afc7fcbfab3f2bfdbf457c
41fd81ff000523ff00a2affb107fe23e7c79ff00e89aa3fb03fe0a47ff00455ff620ff00c47cf8f3
ff00d13547c9fe1fe7fd59f95cf9afc7fcbfab3f2bfdbf457c41fd81ff000523ff00a2affb107fe2
3e7c79ff00e89aa3fb03fe0a47ff00455ff620ff00c47cf8f3ff00d13547c9fe1fe7fd59f95cf9af
c7fcbfab3f2bfdbf457c41fd81ff000523ff00a2affb107fe23e7c79ff00e89aa3fb03fe0a47ff00
455ff620ff00c47cf8f3ff00d13547c9fe1fe7fd59f95cf9afc7fcbfab3f2bfdbf457c41fd81ff00
0523ff00a2affb107fe23e7c79ff00e89aa3fb03fe0a47ff00455ff620ff00c47cf8f3ff00d13547
c9fe1fe7fd59f95cf9afc7fcbfab3f2bfdbf457c41fd81ff000523ff00a2affb107fe23e7c79ff00
e89aa3fb03fe0a47ff00455ff620ff00c47cf8f3ff00d13547c9fe1fe7fd59f95cf9afc7fcbfab3f
affb107fe23e7c79ff00e89aa3fb1bfe0a4907efbfe1647ec41aa797f37f677fc293f8f3a0fdb31f
f2c3fb67fe1a03c47fd9bbfa7dabfb0b55f2fafd8e5e947c9fe1fe7fd59f95d7cff3ff002feade97
fb7e8af9dfe07fc6ad7bc7bacf8f3e17fc4ff08699f0efe3afc2683c25a878f3c23a07892e3c63e1
1d4fc27e3f4f107fc201f12fe1f78aefb41f0aea9ad7817c6379e10f1b6836c75ff0b786b5fd1fc6
1e04f1af876f74ab8b4d1b4ef106bdf445300a28a2800a28a2800a28a2800a28a2800a28a2800a28
a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800af1
1fda65993f66ff00da09d1991d3e08fc5764752559597c07af9565604156520104104100839af6ea
f0ff00da6ffe4db7f684ff00b21ff163ff00502d7e801bfb30aaa7ecd7fb3ca22aa227c0df84ca88
a02aaaaf80b400aaaa000aaa00000000030062bdcabc3ff664ff00936dfd9eff00ec87fc27ff00d4
0b40af70a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28
a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28
a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00f883c3fc7fc14
8fe2d638f33f620fd9e3ccc71bfc9f8f3fb4ff0095bf1f7bcaf3e6f2f767679d2edc798f9fb7ebe2
0d03fe5247f15ffecc83f67cff00d5f3fb4d57dbf40deff28fe4828a28a041451450014514500145
14500145145001451450014514500145145001451450014514500145145001451450014514500145
145001451450015e1ffb4dff00c9b6fed09ff643fe2c7fea05afd7b85787fed37ff26dbfb427fd90
ff008b1ffa816bf4007ecc9ff26dbfb3dffd90ff0084ff00fa816815ee15e1ff00b327fc9b6fecf7
ff00643fe13ffea05a057b8500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
007c41a07fca48fe2bff00d9907ecf9ffabe7f69aafb7ebe20d03fe5247f15ff00ecc83f67cffd5f
3fb4d57dbf40deff0028fe4828a28a04145145001451450014514500145145001451450014514500
145145001451450014514500145145001451450014514500145145001451450015e1ff00b4dffc9b
6fed09ff00643fe2c7fea05afd7b85787fed37ff0026dbfb427fd90ff8b1ff00a816bf4007ecc9ff
0026dbfb3dff00d90ff84fff00a816815ee15e1ffb327fc9b6fecf7ff643fe13ff00ea05a057b850
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
0145145001451450014514500145145001451450014514500145145007c41a07fca48fe2bffd9907
ecf9ff00abe7f69aafb7ebe20d03fe5247f15ffecc83f67cff00d5f3fb4d57dbf40deff28fe4828a
28a04145145001451450014514500145145001451450014514500145145001451450014514500145
145001451450014514500145145001451450015e1ffb4dff00c9b6fed09ff643fe2c7fea05afd7b8
5787fed37ff26dbfb427fd90ff008b1ffa816bf4007ecc9ff26dbfb3dffd90ff0084ff00fa816815
ee15e1ff00b327fc9b6fecf7ff00643fe13ffea05a057b8500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
001451450014514500145145007c41a07fca48fe2bff00d9907ecf9ffabe7f69aafb7ebe20d03fe5
247f15ff00ecc83f67cffd5f3fb4d57dbf40deff0028fe4828a28a04145145001451450014514500
14514500145145001451450014514500145145001451450014514500145145001451450014514500
1451450015e1ff00b4dffc9b6fed09ff00643fe2c7fea05afd7b85787fed37ff0026dbfb427fd90f
f8b1ff00a816bf4007ecc9ff0026dbfb3dff00d90ff84fff00a816815ee15e1ffb327fc9b6fecf7f
f643fe13ff00ea05a057b85001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
07c41a07fca48fe2bffd9907ecf9ff00abe7f69aafb7ebe20d03fe5247f15ffecc83f67cff00d5f3
fb4d57dbf40deff28fe4828a28a04145145001451450014514500145145001451450014514500145
145001451450014514500145145001451450014514500145145001451450015e1ffb4dff00c9b6fe
d09ff643fe2c7fea05afd7b85787fed37ff26dbfb427fd90ff008b1ffa816bf4007ecc9ff26dbfb3
dffd90ff0084ff00fa816815ee15e1ff00b327fc9b6fecf7ff00643fe13ffea05a057b8500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
001451450014514500145145001451450014514500145145007c41a07fca48fe2bff00d9907ecf9f
fabe7f69aafb7ebe20d03fe5247f15ff00ecc83f67cffd5f3fb4d57dbf40deff0028fe4828a28a04
14514500145145001451450014514500145145001451450014514500145145001451450014514500
1451450014514500145145001451450015e1ff00b4dffc9b6fed09ff00643fe2c7fea05afd7b8578
7fed37ff0026dbfb427fd90ff8b1ff00a816bf4007ecc9ff0026dbfb3dff00d90ff84fff00a81681
5ee15e1ffb327fc9b6fecf7ff643fe13ff00ea05a057b85001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145007c41a07fca48fe2bffd9907ecf9ff00abe7f69aafb7ebe20d03fe52
47f15ffecc83f67cff00d5f3fb4d57dbf40deff28fe4828a28a04145145001451450014514500145
14500145145001451450014514500145145001451450014514500145145001451450014514500145
1450015e1ffb4dff00c9b6fed09ff643fe2c7fea05afd7b85787fed37ff26dbfb427fd90ff008b1f
fa816bf4007ecc9ff26dbfb3dffd90ff0084ff00fa816815ee15e1ff00b327fc9b6fecf7ff00643f
e13ffea05a057b850014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
001451450014514500145145001451450014514500145145001451450014514500145145007c41a0
7fca48fe2bff00d9907ecf9ffabe7f69aafb7ebe20d03fe5247f15ff00ecc83f67cffd5f3fb4d57d
bf40deff0028fe4828a28a0414514500145145001451450014514500145145001451450014514500
1451450014514500145145001451450014514500145145001451450015e1ff00b4dffc9b6fed09ff
00643fe2c7fea05afd7b85787fed37ff0026dbfb427fd90ff8b1ff00a816bf4007ecc9ff0026dbfb
3dff00d90ff84fff00a816815ee15e1ffb327fc9b6fecf7ff643fe13ff00ea05a057b85001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145007c41a07fca48fe2bffd9907ecf9ff00
abe7f69aafb7ebe20d03fe5247f15ffecc83f67cff00d5f3fb4d57dbf40deff28fe4828a28a04145
14500145145001451450014514500145145001451450014514500145145001451450014514500145
1450014514500145145001451450015e1ffb4dff00c9b6fed09ff643fe2c7fea05afd7b85787fed3
7ff26dbfb427fd90ff008b1ffa816bf4007ecc9ff26dbfb3dffd90ff0084ff00fa816815ee15e1ff
00b327fc9b6fecf7ff00643fe13ffea05a057b850014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
0014514500145145007c41a07fca48fe2bff00d9907ecf9ffabe7f69aafb7ebe20d03fe5247f15ff
00ecc83f67cffd5f3fb4d57dbf40deff0028fe4828a28a0414514500145145001451450014514500
14514500145145001451450014514500145145001451450014514500145145001451450014514500
15e1ff00b4dffc9b6fed09ff00643fe2c7fea05afd7b85787fed37ff0026dbfb427fd90ff8b1ff00
a816bf4007ecc9ff0026dbfb3dff00d90ff84fff00a816815ee15e1ffb327fc9b6fecf7ff643fe13
ff00ea05a057b8500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145007c41a07
fca48fe2bffd9907ecf9ff00abe7f69aafb7ebe20d03fe5247f15ffecc83f67cff00d5f3fb4d57db
f40deff28fe4828a28a0414514500145145001451450014514500145145001451450014514500145
1450014514500145145001451450014514500145145001451450015e1ffb4dff00c9b6fed09ff643
fe2c7fea05afd7b85787fed37ff26dbfb427fd90ff008b1ffa816bf4007ecc9ff26dbfb3dffd90ff
0084ff00fa816815ee15e1ff00b327fc9b6fecf7ff00643fe13ffea05a057b850014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
0014514500145145001451450014514500145145007c41a07fca48fe2bff00d9907ecf9ffabe7f69
aafb7ebe20d03fe5247f15ff00ecc83f67cffd5f3fb4d57dbf40deff0028fe4828a28a0414514500
14514500145145001451450014514500145145001451450014514500145145001451450014514500
14514500145145001451450015e1ff00b4dffc9b6fed09ff00643fe2c7fea05afd7b85787fed37ff
0026dbfb427fd90ff8b1ff00a816bf4007ecc9ff0026dbfb3dff00d90ff84fff00a816815ee15e1f
fb327fc9b6fecf7ff643fe13ff00ea05a057b8500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
014514500145145007c41a07fca48fe2bffd9907ecf9ff00abe7f69aafb7ebe20d03fe5247f15ffe
cc83f67cff00d5f3fb4d57dbf40deff28fe4828a28a0414514500145145001451450014514500145
1450014514500145145001451450014514500145145001451450014514500145145001451450015e
1ffb4dff00c9b6fed09ff643fe2c7fea05afd7b85787fed37ff26dbfb427fd90ff008b1ffa816bf4
007ecc9ff26dbfb3dffd90ff0084ff00fa816815ee15e1ff00b327fc9b6fecf7ff00643fe13ffea0
5a057b85001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
0014514500145145001451450014514500145145001451450014514500145145007c41a07fca48fe
2bff00d9907ecf9ffabe7f69aafb7ebe20d03fe5247f15ff00ecc83f67cffd5f3fb4d57dbf40deff
0028fe4828a28a041451450014514500145145001451450014514500145145001451450014514500
14514500145145001451450014514500145145001451450015e1ff00b4dffc9b6fed09ff00643fe2
c7fea05afd7b85787fed37ff0026dbfb427fd90ff8b1ff00a816bf4007ecc9ff0026dbfb3dff00d9
0ff84fff00a816815ee15e1ffb327fc9b6fecf7ff643fe13ff00ea05a057b8500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
014514500145145001451450014514500145145007c41a07fca48fe2bffd9907ecf9ff00abe7f69a
afb7ebe20d03fe5247f15ffecc83f67cff00d5f3fb4d57dbf40deff28fe4828a28a0414514500145
14500145145001451450014514500145145001451450014514500145145001451450014514500145
14500145145001451450015e1ffb4dff00c9b6fed09ff643fe2c7fea05afd7b85787fed37ff26dbf
b427fd90ff008b1ffa816bf4007ecc9ff26dbfb3dffd90ff0084ff00fa816815ee15e1ff00b327fc
9b6fecf7ff00643fe13ffea05a057b85001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145007c41a07fca48fe2bff00d9907ecf9ffabe7f69aafb7ebe20d03fe5247f15ff00ecc83f
67cffd5f3fb4d57dbf40deff0028fe4828a28a041451450014514500145145001451450014514500
14514500145145001451450014514500145145001451450014514500145145001451450015e1ff00
b4dffc9b6fed09ff00643fe2c7fea05afd7b85787fed37ff0026dbfb427fd90ff8b1ff00a816bf40
07ecc9ff0026dbfb3dff00d90ff84fff00a816815ee15e1ffb327fc9b6fecf7ff643fe13ff00ea05
a057b850014514500145145001451450014514500145145001451450014514500145145001451450
01451450014514500145145001451450014514500145145001451450014514500145145001451450
014514500145145001451450014514500145145001451450014514500145145007c41a07fca48fe2
bffd9907ecf9ff00abe7f69aafb7ebe20d03fe5247f15ffecc83f67cff00d5f3fb4d57dbf40deff2
8fe4828a28a041451450014514500145145001451450014514500145145001451450014514500145
14500145145001451450014514500145145001451450015e1ffb4dff00c9b6fed09ff643fe2c7fea
05afd7b85787fed37ff26dbfb427fd90ff008b1ffa816bf4007ecc9ff26dbfb3dffd90ff0084ff00
fa816815ee15e1ff00b327fc9b6fecf7ff00643fe13ffea05a057b85001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145001451450014514500145145001451450014514500145145
00145145001451450014514500145145007c41a07fca48fe2bff00d9907ecf9ffabe7f69aafb7ebe
20d03fe5247f15ff00ecc83f67cffd5f3fb4d57dbf40deff0028fe4828a28a041451450014514500
14514500145145001451450014514500145145001451450014514500145145001451450014514500
145145001451450015e1ff00b4dffc9b6fed09ff00643fe2c7fea05afd7b85676afa4e9bafe93aa6
85acd9c3a8e91ad69d7ba4eaba7dca96b7bed3751b696ceface75041686e6d66960954104a3b0046
73401e41fb327fc9b6fecf7ff643fe13ff00ea05a057b857e7cf82a2fdafff00666f08786be0af85
fe07f853f695f875f0eb44d37c21f0d3e24597c6dd2fe1bf8fe6f01787ed63d2fc25a27c4ef0878c
7c2336932f8bbc39a05a58687aaf8cfc33e32d56cfc7973647c553f86fc1b77aa5cf87ec7a6ff85e
ff00b67ffd1867fe6d1fc29ffe53d007dc1457c3ff00f0bdff006cff00fa30cffcda3f853ffca7a3
fe17bfed9fff004619ff009b47f0a7ff0094f401f70515f0ff00fc2f7fdb3ffe8c33ff00368fe14f
ff0029e8ff0085effb67ff00d1867fe6d1fc29ff00e53d007dc1457c3fff000bdff6cfff00a30cff
00cda3f853ff00ca7a3fe17bfed9ff00f4619ff9b47f0a7ff94f401f70515f0fff00c2f7fdb3ff00
e8c33ff368fe14ff00f29e8ff85eff00b67ffd1867fe6d1fc29ffe53d007dc1457c3ff00f0bdff00
6cff00fa30cffcda3f853ffca7a3fe17bfed9fff004619ff009b47f0a7ff0094f401f70515f0ff00
fc2f7fdb3ffe8c33ff00368fe14fff0029e8ff0085effb67ff00d1867fe6d1fc29ff00e53d007dc1
457c3fff000bdff6cfff00a30cff00cda3f853ff00ca7a3fe17bfed9ff00f4619ff9b47f0a7ff94f
401f70515f0fff00c2f7fdb3ff00e8c33ff368fe14ff00f29e8ff85eff00b67ffd1867fe6d1fc29f
fe53d007dc1457c3ff00f0bdff006cff00fa30cffcda3f853ffca7a3fe17bfed9fff004619ff009b
47f0a7ff0094f401f70515f0ff00fc2f7fdb3ffe8c33ff00368fe14fff0029e8ff0085effb67ff00
d1867fe6d1fc29ff00e53d007dc1457c3fff000bdff6cfff00a30cff00cda3f853ff00ca7a3fe17b
fed9ff00f4619ff9b47f0a7ff94f401f70515f0fff00c2f7fdb3ff00e8c33ff368fe14ff00f29e8f
f85eff00b67ffd1867fe6d1fc29ffe53d007dc1457c3ff00f0bdff006cff00fa30cffcda3f853ffc
a7a3fe17bfed9fff004619ff009b47f0a7ff0094f401f70515f0ff00fc2f7fdb3ffe8c33ff00368f
e14fff0029e8ff0085effb67ff00d1867fe6d1fc29ff00e53d007dc1457c3fff000bdff6cfff00a3
0cff00cda3f853ff00ca7a3fe17bfed9ff00f4619ff9b47f0a7ff94f401f70515f0fff00c2f7fdb3
ff00e8c33ff368fe14ff00f29e8ff85eff00b67ffd1867fe6d1fc29ffe53d007dc1457c3ff00f0bd
ff006cff00fa30cffcda3f853ffca7a3fe17bfed9fff004619ff009b47f0a7ff0094f401f70515f0
ff00fc2f7fdb3ffe8c33ff00368fe14fff0029e8ff0085effb67ff00d1867fe6d1fc29ff00e53d00
7dc1457c3fff000bdff6cfff00a30cff00cda3f853ff00ca7a3fe17bfed9ff00f4619ff9b47f0a7f
f94f401f70515f0fff00c2f7fdb3ff00e8c33ff368fe14ff00f29e8ff85eff00b67ffd1867fe6d1f
c29ffe53d007dc1457c3ff00f0bdff006cff00fa30cffcda3f853ffca7a3fe17bfed9fff004619ff
009b47f0a7ff0094f401f70515f0ff00fc2f7fdb3ffe8c33ff00368fe14fff0029e8ff0085effb67
ff00d1867fe6d1fc29ff00e53d007dc1457c3fff000bdff6cfff00a30cff00cda3f853ff00ca7a3f
e17bfed9ff00f4619ff9b47f0a7ff94f401f70515f0fff00c2f7fdb3ff00e8c33ff368fe14ff00f2
9e8ff85eff00b67ffd1867fe6d1fc29ffe53d007dc1457c3ff00f0bdff006cff00fa30cffcda3f85
3ffca7a3fe17bfed9fff004619ff009b47f0a7ff0094f401f70515f0ff00fc2f7fdb3ffe8c33ff00
368fe14fff0029e8ff0085effb67ff00d1867fe6d1fc29ff00e53d007dc1457c3fff000bdff6cfff
00a30cff00cda3f853ff00ca7a3fe17afeda4ff247fb075b4723fcb1c979fb537c318ad11db847ba
96d3c397f7715b2b10d3c96b617b709106686d2e640b0b802e81ff002923f8afff006641fb3e7fea
f9fda6abedfaf97fe057c27f1e697e38f893f1ff00e35bf85e1f8cdf16f43f0178366f0af81b51d4
b5cf05fc2ef85bf0ca7f18eade0af875a3789b58d27c3da8f8d7578bc51f123e21f8abc5be3e9fc2
fe116f116a1e24b1d1adfc3761a2784342327d4140dfe8bf04828a28a04145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
500145145001451450014514500145145007ffd9}}}}}\pard\sb0\sl-240\par\pard\ql \li854
9\sb0\sl-322\slmult0 \par\pard\ql\li8549\sb0\sl-322\slmult0 \par\pard\ql\li8549\
sb0\sl-322\slmult0 \par\pard\ql\li8549\sb0\sl-322\slmult0 \par\pard\ql\li8549\sb
26\sl-322\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf1\f2\fs28 Tinja
uan Pustaka \par\pard\ql \li3337\sb0\sl-552\slmult0 \par\pard\ql\li3337\sb0\sl-5
52\slmult0 \par\pard\ql\li3337\sb0\sl-552\slmult0 \par\pard\ql\li3337\sb0\sl-552
\slmult0 \par\pard\ql\li3337\sb31\sl-552\slmult0 \up0 \expndtw0\charscalex97 \ul
0\nosupersub\cf3\f4\fs48 Sindrom Lennox-Gastaut \par\pard\ql \li4064\sb0\sl-253\
slmult0 \par\pard\ql\li4064\sb0\sl-253\slmult0 \par\pard\ql\li4064\sb0\sl-253\sl
mult0 \par\pard\ql\li4064\sb0\sl-253\slmult0 \par\pard\ql\li4064\sb3\sl-253\slmu
lt0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs22 Teguh Wijayanto, N
urhayati Masloman \par\pard\ql \li2765\sb0\sl-207\slmult0 \par\pard\ql\li2765\sb
139\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf5\f6\fs18 Bag
ian Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Sam Ratulangi, Manado \
par\pard\qj \li2136\sb0\sl-240\slmult0 \par\pard\qj\li2136\sb0\sl-240\slmult0 \p
ar\pard\qj\li2136\ri1928\sb88\sl-240\slmult0 \up0 \expndtw0\charscalex100 \ul0\n
osupersub\cf6\f7\fs20 Abstrak\ul0\nosupersub\cf7\f8\fs20 : Sindrom Lennox-Gastau
t (SLG) merupakan salah satu sindrom epilepsi yang terdiri \up0 \expndtw0\charsc
alex105 dari kumpulan gejala berupa epilepsi yang sangat sukar diatasi dengan ob
at-obatan dan \up0 \expndtw-4\charscalex100 bermanifestasi pada usia 1-8 tahun.
Gambaran klinis kejang yang paling sering adalah bangkitan \up0 \expndtw0\charsc
alex100 kejang tonik-aksial, atonik, dan bangkitan kejang absans atipik, serta r
etardasi mental. EEG \up0 \expndtw0\charscalex100 interiktal berupa paku ombak l
ambat < 3 Hz dan EEG iktal 10-13 Hz. Kejadian sindrom ini \up0 \expndtw-3\char
scalex100 sangat kecil, yaitu 0,5/ 100.000 per tahun. Laki-laki lebih sering dij
umpai dibanding perempuan \up0 \expndtw0\charscalex102 dengan rasio 20:14. Penye
bab SLG bersifat multifaktor mencakup faktor idiopatik, genetik, \up0 \expndtw0\
charscalex100 cacat otak struktural, dan gangguan metabolisme otak. Tatalaksana
SLG meliputi pemakaian \up0 \expndtw0\charscalex105 obat antiepilepsi konvension
al maupun generasi terbaru dengan hasil yang masih belum \up0 \expndtw-3\charsca
lex100 memuaskan. Tatalaksana bedah menunjukkan manfaat yang menjanjikan. Diperl
ukan penemuan \up0 \expndtw0\charscalex102 obat yang lebih poten untuk kasus yan
g tidak memungkinkan dilakukan pembedahan. \par\pard\ql \li2136\sb9\sl-230\slmul
t0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Kata kunci\ul0\nosu
persub\cf7\f8\fs20 : SLG, EEG, obat antiepilepsi, diet ketogenik, terapi bedah \

par\pard\ql \li4678\sb0\sl-253\slmult0 \par\pard\ql\li4678\sb84\sl-253\slmult0 \
up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs22 Sindroma Lennox-Gastaut
\par\pard\ql \li4244\sb0\sl-253\slmult0 \par\pard\ql\li4244\sb89\sl-253\slmult0
\up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\fs22 Teguh Wijayanto, Nurh
ayati Masloman \par\pard\ql \li3105\sb0\sl-184\slmult0 \par\pard\ql\li3105\sb28\
sl-184\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf9\f10\fs16 Departm
ent of Child Health, Faculty of Medicine University of Sam Ratulangi, Manado \pa
r\pard\qj \li2533\sb0\sl-216\slmult0 \par\pard\qj\li2533\ri2330\sb111\sl-216\slm
ult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf10\f11\fs18 Abstract:\ul0\n
osupersub\cf5\f6\fs18 Lennox-Gastaut Syndrome (LGS) is one of epilepsy syndrome
s consisting of intractable \line \up0 \expndtw-3\charscalex100 epilepsy, manife
sting itself in children aged 1-8 years. The most common seizure types are tonic
-\line \up0 \expndtw-1\charscalex100 axial, atonic, and absence seizure, but oth
er types such as myoclonic, generalized tonic-clonic \line \up0 \expndtw-4\chars
calex100 seizure or partial seizures are frequently associated with this syndrom
e. Seizure frequency is high \line \up0 \expndtw-3\charscalex100 and status epil
epticus (SE) is frequent. The EEG usually has abnormal background activity, slow
\line \up0 \expndtw-1\charscalex100 spike wave < 3 Hz and often multifocal abno
rmality. During sleep, burst of fast rhythm (10Hz) \line \up0 \expndtw-4\charsca
lex100 appears. In general there is mental retardation. The incidence of the syn
drome is low, accounting \line \up0 \expndtw-4\charscalex100 for 1-2% of all cas
es of childhood epilepsy, and about 10% of cases start in the first 5 years of l
ife. \line \up0 \expndtw-2\charscalex100 The etiology of LGS are idiophatic, gen
etic predisposition, structural brain lesion or brain me-\line \up0 \expndtw0\ch
arscalex103 tabolism disorder. LGS affect both sexes, with a male predominance (
20/14). There are no \line \up0 \expndtw-3\charscalex100 satisfaction antiepilep
tic-drugs (AEDs) available for the treatment of LGS. Another approach to \line \
up0 \expndtw-1\charscalex100 manage LGS are ketogenic diet and surgical therapy.
The last option may give improvement of \line \up0 \expndtw-4\charscalex100 pro
gnostic, but inoperable cases need new potent AEDs discovery. In general prognos
tic value of \line \up0 \expndtw-2\charscalex100 LGS is not good. \par\pard\ql \
li2533\sb8\sl-207\slmult0 \up0 \expndtw-4\charscalex100 Keyword : LGS, EEG, AEDs
, ketogenic diet, surgical therapy. \par\pard\li925\sb0\sl-184\slmult0\par\pard\
li925\sb0\sl-184\slmult0\par\pard\li925\sb0\sl-184\slmult0\par\pard\li925\sb59\s
l-184\slmult0\fi0\tx6764 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf2\f3\fs1
6 36\tab \up0 \expndtw0\charscalex108 Maj Kedokt Indon, Volum: 55, Nomor: 1, Jan
uari 2005\par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp
z-10000\shplid1
ffd8ffe000104a46494600010101006000600000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
0028a28a0028a28a0028a28a0028a28a002be19f8f9f063f6f2f1bfc42b9d7bf67dfdb8fe19fc05f
8732695a65b5b7c3ef14fec6ba6fc6cd5adb56b689d754d55fc7575f1ebe1ecb7106a7294961d34f
87225d3950c6b7775bf7afdcd45007e587fc334ffc1583fe9297f043ff0015b5a2ff00f45951ff00
0cd3ff000560ff00a4a5fc10ff00c56d68bffd1655fa9f452b7afdeffae9f9f763bfa7dcbfae9f9f
767e587fc334ff00c1583fe9297f043ff15b5a2fff0045951ff0cd3ff0560ffa4a5fc10ffc56d68b
ff00d1655fa9f4516f5fbdff005d3f3eec2fe9f72feba7e7dd9f961ff0cd3ff0560ffa4a5fc10ffc
56d68bff00d16547fc334ffc1583fe9297f043ff0015b5a2ff00f45957ea7d145bd7ef7fd74fcfbb
0bfa7dcbfae9f9f767e587fc334ffc1583fe9297f043ff0015b5a2ff00f45951ff000cd3ff000560
ff00a4a5fc10ff00c56d68bffd1655fa9f4516f5fbdff5d3f3eec2fe9f72feba7e7dd9f961ff000c
d3ff000560ff00a4a5fc10ff00c56d68bffd16547fc334ff00c1583fe9297f043ff15b5a2fff0045
957ea7d145bd7ef7fd74fcfbb0bfa7dcbfae9f9f767e587fc334ff00c1583fe9297f043ff15b5a2f
ff0045951ff0cd3ff0560ffa4a5fc10ffc56d68bff00d1655fa9f4516f5fbdff005d3f3eec2fe9f7
2feba7e7dd9f961ff0cd3ff0560ffa4a5fc10ffc56d68bff00d16547fc334ffc1583fe9297f043ff
0015b5a2ff00f45957ea7d145bd7ef7fd74fcfbb0bfa7dcbfae9f9f767e587fc334ffc1583fe9297
f043ff0015b5a2ff00f45951ff000cd3ff000560ff00a4a5fc10ff00c56d68bffd1655fa9f4516f5
fbdff5d3f3eec2fe9f72feba7e7dd9f961ff000cd3ff000560ff00a4a5fc10ff00c56d68bffd1654
7fc334ff00c1583fe9297f043ff15b5a2fff0045957ea7d145bd7ef7fd74fcfbb0bfa7dcbfae9f9f
d3ff000560ff00a4a5fc10ff00c56d68bffd1655f667ece3e05fda2bc01e0fd674afda57f681f0a7
ed19e32bbf12dc6a1a2f8bfc21f032d7e01e9fa3f861f4bd2adadfc3771e15b4f88bf12e3d5af20d
56db56d51fc40dacd93cf06a9069c74c8d74d5bbbbfa0e8a76feaeff00afebcd8828a28a0028a28a
0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9}}}}}\pard\sb0\sl240\par\pard\ql \li8929\sb0\sl-230\slmult0 \par\pard\ql\li8929\sb0\sl-230\slmult
0 \par\pard\ql\li8929\sb0\sl-230\slmult0 \par\pard\ql\li8929\sb184\sl-230\slmult
0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf7\f8\fs20 Sindrom Lennox-Gasta
ut\par\pard\sect\sectd\sbknone\cols2\colno1\colw6088\colsr160\colno2\colw5512\co
lsr160\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\sb109\sl-230\slmult0 \up
0 \expndtw-7\charscalex100 \ul0\nosupersub\cf11\f12\fs20 Pendahuluan\par\pard\qj
\li963\ri356\sb60\sl-240\slmult0\fi398 \up0 \expndtw-4\charscalex100 \ul0\nosup
ersub\cf12\f13\fs20 Bangkitan kejang merupakan suatu masalah neurologis \up0 \ex
pndtw0\charscalex102 yang paling sering dijumpai pada anak, dan sekitar 20% \up0
\expndtw-6\charscalex100 merupakan kasus epilepsi. Dalam 5 tahun pertama kehidu
pan, \up0 \expndtw0\charscalex111 kasus baru epilepsi biasanya bermanifestasi se
bagai \up0 \expndtw-5\charscalex100 bangkitan kejang umum dan sindrom Lennox-Gas
taut (SLG) \up0 \expndtw0\charscalex105 merupakan salah satu di antaranya.\ul0\s
uper\cf13\f14\fs17 1\ul0\nosupersub\cf12\f13\fs20 Oleh karena sukar \up0 \expnd
tw-1\charscalex100 mengatasi sindrom tersebut, SLG dikelompokkan sebagai \up0 \e
xpndtw-2\charscalex100 salah satu bentuk \ul0\nosupersub\cf7\f8\fs20 intractable
epilepsy\ul0\nosupersub\cf12\f13\fs20 .\ul0\super\cf13\f14\fs17 2 \ul0\nosupers
ub\cf12\f13\fs20 SLG tercakup kira-\line \up0 \expndtw-1\charscalex100 kira pada
1-2% kasus epilepsi anak dan kurang dari 50% \up0 \expndtw-3\charscalex100 ka
sus muncul sebelum usia 2 tahun.\ul0\super\cf13\f14\fs17 1,2\par\pard\qj \li963\
ri357\sb0\sl-240\slmult0\fi398 \up0 \expndtw0\charscalex108 \ul0\nosupersub\cf12
\f13\fs20 Diagnosis dan tatalaksana SLG tidak mudah . \line \up0 \expndtw0\
charscalex101 Beaumanoir\ul0\super\cf13\f14\fs17 3\ul0\nosupersub\cf12\f13\fs20
melaporkan terjadinya kesalahan diagnosis \line \up0 \expndtw-4\charscalex100 h
ingga 37% kasus dari 103 penderita yang diduga mengidap \line \up0 \expndtw-2\ch
arscalex100 SLG setelah perawatan selama 10 tahun. Hingga sekarang \line \up0 \
expndtw-4\charscalex100 belum didapatkan obat antiepilepsi yang benar-benar efek
tif \line \up0 \expndtw-3\charscalex100 untuk mengatasi sindrom itu. Separuh pen
derita mula-mula \line \up0 \expndtw-6\charscalex100 memberi respons yang baik,
namun beberapa bulan kemudian \line \up0 \expndtw0\charscalex110 terjadi penurun
an keampuhan obat antiepilepsi yang \line \up0 \expndtw0\charscalex110 diberikan
\ul0\super\cf13\f14\fs17 1,2,4\ul0\nosupersub\cf12\f13\fs20 Prognosis SLG pada
umumnya kurang \line \up0 \expndtw-6\charscalex100 memuaskan. Intervensi bedah
merupakan salah satu alternatif \line \up0 \expndtw-1\charscalex100 yang menjanj
ikan di masa sekarang dan mendatang untuk \line \up0 \expndtw-1\charscalex100 me
ngatasi kasus yang tergolong \ul0\nosupersub\cf7\f8\fs20 intractable epilepsy\ul
0\nosupersub\cf12\f13\fs20 .\ul0\super\cf13\f14\fs17 5-7\par\pard\qj \li963\ri35
7\sb0\sl-240\slmult0\fi398 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf12\f1
3\fs20 Berdasarkan publikasi yang ada, Tissot pada tahun 1770 \line \up0 \expndt
w0\charscalex103 merupakan orang yang pertama kali dianggap berupaya \line \up0
\expndtw-4\charscalex100 mendeskripsikan suatu sindrom klinis yang mungkin adala
h \line \up0 \expndtw-6\charscalex100 Sindroma Lennox - Gastaut.\ul0\super\cf13\
f14\fs17 5\ul0\nosupersub\cf12\f13\fs20 Lennox dan Davies\ul0\super\cf13\f14\fs
17 8\ul0\nosupersub\cf12\f13\fs20 pada tahun \line \up0 \expndtw0\charscalex100
1950, serta Gibbs\ul0\super\cf13\f14\fs17 9\ul0\nosupersub\cf12\f13\fs20 pada
tahun 1971 memberi istilah SLG \line \up0 \expndtw-4\charscalex100 sebagai bentu
k lain bangkitan kejang absans. Gastaut, Rojer \line \up0 \expndtw-3\charscalex1
00 dan Soulayrol\ul0\super\cf13\f14\fs17 10\ul0\nosupersub\cf12\f13\fs20 member
inya nama epilepsi berat masa anak \line \up0 \expndtw-2\charscalex100 dengan be
rbagai bentuk tipe bangkitan kejang yang sangat \line \up0 \expndtw-4\charscalex
100 sering muncul dan gambaran EEG berupa paku ombak difus \line \up0 \expndtw-9
\charscalex94 2 Hz.\par\pard\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\sb
19\sl-230\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosupersub\cf11\f12\fs20 Ba
tasan Sindrom Lennox-Gastaut (SLG)\par\pard\qj \li963\ri358\sb60\sl-240\slmult0\
fi398 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Liga Anti Epil
epsi Internasional (LAEI) memperluas \line \up0 \expndtw-2\charscalex100 definis
i SLG dengan menambah tipe bangkitan kejang lain \line \up0 \expndtw-7\charscale
x100 berupa mioklonik. Dengan demikian SLG merupakan sindrom \line \up0 \expndtw
0\charscalex110 klinis yang bermanifestasi pada anak usia 1-8 tahun, \line \up0
\expndtw0\charscalex104 utamanya usia prasekolah. Tipe bangkitan kejang yang \li
ne \up0 \expndtw0\charscalex106 terbanyak adalah tonik-aksial, atonik dan absans
. Tipe \line \up0 \expndtw-4\charscalex100 bangkitan kejang lain adalah miokloni
k, tonik-klonik umum \line \up0 \expndtw0\charscalex104 atau parsial. Frekuensi
bangkitan kejang maupun status \line \up0 \expndtw0\charscalex109 epileptikus be
rlangsung sering . Latar belakang EEG \line \up0 \expndtw-8\charscalex100 menunj
ukkan pola abnormal berupa paku ombak lambat (POL) \line \up0 \expndtw-2\charsca
lex100 < 3 Hz dan abnormalitas yang ada kadang multifokal. Saat \line \up0 \expn
dtw0\charscalex103 tidur akan muncul letupan atau ritme yang cepat 10 Hz. \line
\up0 \expndtw-6\charscalex100 Umumnya pada SLG dijumpai retardasi mental.\ul0\su
per\cf13\f14\fs17 11\par\pard\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\s
b74\sl-230\slmult0 \up0 \expndtw-9\charscalex100 \ul0\nosupersub\cf11\f12\fs20 E
pidemiologi\par\pard\qj \li963\ri356\sb59\sl-240\slmult0\fi398 \up0 \expndtw-4\c
harscalex100 \ul0\nosupersub\cf12\f13\fs20 Kejadian SLG sangat kecil, yaitu 0,5/
100.000 pertahun \line \up0 \expndtw-4\charscalex100 pada anak kurang dari 10 ta
hun, atau kira-kira hampir 1% di \line \up0 \expndtw-3\charscalex100 antara epil
epsi anak.\ul0\super\cf13\f14\fs17 3\ul0\nosupersub\cf12\f13\fs20 Hauser memper
oleh angka sebesar 1-\line \up0 \expndtw0\charscalex103 2%. Prevalensinya berkis
ar antara 5-10%. Rasio jumlah \line \up0 \expndtw-5\charscalex100 pengidap SLG l
aki-laki terhadap perempuan adalah 20:14.\ul0\super\cf13\f14\fs17 1\par\pard\ql

\li958\sb0\sl-184\slmult0 \par\pard\ql \li958\sb0\sl-184\slmult0 \par\pard\ql \l
i958\sb0\sl-184\slmult0 \par\pard\ql \li958\sb38\sl-184\slmult0 \up0 \expndtw0\c
harscalex108 \ul0\nosupersub\cf2\f3\fs16 Maj Kedokt Indon, Volum: 55, Nomor: 1,
Januari 2005\par\pard\column \ql \li6248\sb0\sl-230\slmult0 \par\pard\ql \li20\s
b109\sl-230\slmult0 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf11\f12\fs20
Etiologi\par\pard\ql \li20\sb68\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul
0\nosupersub\cf6\f7\fs20 Faktor Genetik\par\pard\qj \li20\ri758\sb59\sl-240\slmu
lt0\fi395 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Disfungsi
imunologis dicurigai berkaitan erat dengan \line \up0 \expndtw-4\charscalex100 t
imbulnya SLG. Smeraldi \ul0\nosupersub\cf7\f8\fs20 et al\ul0\nosupersub\cf12\f13
\fs20 ,\ul0\super\cf13\f14\fs17 12\ul0\nosupersub\cf12\f13\fs20 mendapatkan pen
ingkatan \line \up0 \expndtw-1\charscalex100 frekuensi antigen HLA-7 pada 22 pen
derita SLG berbeda \line \up0 \expndtw-5\charscalex100 secara bermakna dibanding
kontrol, demikian pula orang tua \line \up0 \expndtw-2\charscalex100 mereka ter
hadap kontrol. Oleh karena peningkatan antigen \line \up0 \expndtw-5\charscalex1
00 tersebut pada penderita SLG hanya ditemukan pada proporsi \line \up0 \expndtw
0\charscalex104 45% dan patogenesisnya belum dapat dijelaskan, maka \line \up0 \
expndtw-3\charscalex100 pengaruh faktor genetik masih menjadi perdebatan.\par\pa
rd\ql \li6248\sb0\sl-230\slmult0 \par\pard\ql \li20\sb75\sl-230\slmult0 \up0 \ex
pndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Cacat Otak Struktural\par\pard
\qj \li20\ri757\sb59\sl-240\slmult0\fi395 \up0 \expndtw-4\charscalex100 \ul0\nos
upersub\cf12\f13\fs20 Gastaut dan Gastaut\ul0\super\cf13\f14\fs17 13\ul0\nosuper
sub\cf12\f13\fs20 dengan \ul0\nosupersub\cf7\f8\fs20 computerized transverse \l
ine \up0 \expndtw-4\charscalex100 axial tomography\ul0\nosupersub\cf12\f13\fs20
(CTAT) melaporkan 20% kasus, yaitu 81 \line \up0 \expndtw-3\charscalex100 dari
401 penderita epilepsi yang lolos dari pencarian faktor \line \up0 \expndtw-4\ch
arscalex100 penyebab dengan deteksi konvensional ternyata mempunyai \line \up0 \
expndtw-6\charscalex100 lesi organik. Secara keseluruhan mereka mampu menemukan
\line \up0 \expndtw-4\charscalex100 55% lesi organik penyebab epilepsi. Pada pen
elitian itu dari \line \up0 \expndtw-4\charscalex100 42 kasus SLG, 25 (60%) di a
ntaranya memiliki lesi organik \line \up0 \expndtw0\charscalex105 seperti atrofi
otak difus dan lesi fokal termasuk tumor. \line \up0 \expndtw-3\charscalex100 Y
aqub\ul0\super\cf13\f14\fs17 14\ul0\nosupersub\cf12\f13\fs20 dengan cara sama p
ada peme-riksaannya terhadap \line \up0 \expndtw-1\charscalex100 21 pengidap SLG
mendapatkan 3 (14%) anak diantaranya \line \up0 \expndtw-6\charscalex100 memili
ki atrofi korteks difus, 2 (9%) anak hemiatrofi korteks \line \up0 \expndtw-6\ch
arscalex100 dan 2 (9%) anak menderita kalsifikasi intrakranial.\par\pard\qj \li
20\ri757\sb0\sl-240\slmult0\fi395 \up0 \expndtw-8\charscalex100 Dengan memadukan
pemakaian EEG dan \ul0\nosupersub\cf7\f8\fs20 magnetic reso-\line \up0 \expndtw
-5\charscalex100 nance immaging\ul0\nosupersub\cf12\f13\fs20 (MRI), Velasco \ul
0\nosupersub\cf7\f8\fs20 et al\ul0\nosupersub\cf12\f13\fs20 ,\ul0\super\cf13\f14
\fs17 15\ul0\nosupersub\cf12\f13\fs20 memperoleh bahwa \up0 \expndtw-2\charscal
ex100 dari 7 pengidap SLG terdapat 4 (57%) diantaranya bersifat \up0 \expndtw-4\
charscalex100 simtomatik dan 3 lainnya idiopatik. Pada keempat penderita \up0 \e
xpndtw0\charscalex105 simtomatik terdeteksi 2 kasus infark serebri, 1 displasi \
up0 \expndtw-3\charscalex100 kortikal, dan 1 sisanya sklerosis tuberosum.\par\pa
rd\ql \li6248\sb0\sl-230\slmult0 \par\pard\ql \li20\sb77\sl-230\slmult0 \up0 \ex
pndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Gangguan Metabolisme Otak\par\
pard\qj \li20\ri757\sb61\sl-239\slmult0\fi395 \up0 \expndtw0\charscalex106 \ul0\
nosupersub\cf12\f13\fs20 Chugani \ul0\nosupersub\cf7\f8\fs20 et al\ul0\nosupersu
b\cf12\f13\fs20 ,\ul0\super\cf13\f14\fs17 16\ul0\nosupersub\cf12\f13\fs20 denga
n \ul0\nosupersub\cf7\f8\fs20 2-deoxy-(18F)-D glukosa \up0 \expndtw0\charscalex1
00 positron emission\ul0\nosupersub\cf12\f13\fs20 (FDG-PET) berhasil mengungkap
pola \up0 \expndtw-4\charscalex100 metabolik berdasarkan tingkat pemakaian gluk
osa oleh otak \up0 \expndtw-5\charscalex100 pada 15 pengidap SLG seperti berikut
ini:\par\pard\qj \li20\ri1015\sb1\sl-240\slmult0 \up0 \expndtw-5\charscalex100
1. Hipometabolisme fokal unilateral pada 2 (13%) anak. \line \up0 \expndtw-4\ch
arscalex100 2. Hipometabolisme difus unilateral pada 3 (20%) anak. \line \up0 \
expndtw-4\charscalex100 3. Hipometabolisme difus bilateral pada 8 (53%) anak.\p
ar\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw-4\charscalex100 4. Normal.\pa

r\pard\qj \li20\ri757\sb195\sl-240\slmult0\fi395 \up0 \expndtw-4\charscalex100 D
ihubungkan dengan hasil pemeriksaan CTAT terlihat \line \up0 \expndtw-3\charscal
ex100 bahwa terdapatnya cacat struktural otak tidak selalu diikuti \line \up0 \e
xpndtw-2\charscalex100 hipometabolisme. Dari ketigabelas anak dengan hipometa-\l
ine \up0 \expndtw0\charscalex104 bolisme otak, terdapat 5 anak tanpa lesi organi
k. Tidak \line \up0 \expndtw-3\charscalex100 ditemukan korelasi yang jelas antar
a pola metabolik di atas \line \up0 \expndtw-5\charscalex100 dengan kelainan EEG
yang biasa muncul pada SLG. Selama \line \up0 \expndtw-5\charscalex100 pelaksan
aan FDG-PET, hanya 7 anak menunjukkan kelainan \line \up0 \expndtw-9\charscalex8
8 EEG\par\pard\ql \li20\sb200\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\
nosupersub\cf11\f12\fs20 Patofisiologi\par\pard\qj \li20\ri757\sb58\sl-240\slmul
t0\fi395 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Belum terda
pat model hewan atau model patofisiologi \up0 \expndtw-7\charscalex100 untuk SLG
. Keterkaitan otak bagian depan dan usia timbulnya \up0 \expndtw0\charscalex100
penyakit dipengaruhi maturasi bagian itu. Beberapa nilai \up0 \expndtw-4\charsca
lex100 karakteristik berikut perlu untuk dipertim-bangkan:\ul0\super\cf13\f14\fs
17 4,16\par\pard\ql \li10779\sb0\sl-184\slmult0 \par\pard\ql \li10779\sb0\sl-184
\slmult0 \par\pard\ql \li4551\sb147\sl-184\slmult0 \up0 \expndtw0\charscalex110
\ul0\nosupersub\cf2\f3\fs16 37 \par\pard\sect\sectd\fs24\paperw11900\paperh16820
{\shp
z-10000\shplid2
ffd8ffe000104a46494600010101006000600000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
0028a28a0028a28a0028a28a0028a28a002bf3ff00e32fc0cff828778b7e25f89fc43f057f6fdf85
5f06fe18ea52e9ade16f86be22fd87b4bf8b3acf8621b7d1b4eb4d4e2bdf88371fb4478266f1136a
5addbea5acc32bf85f4afecfb7d461d2425d2d80bdb9fd00a2803f2c3fe19a7fe0ac1ff494bf821f
f8adad17ff00a2ca8ff8669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa295bd7ef7fd74fcfbb
1dfd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff00494bf821ff008adad17ffa2ca8ff008669ff0082b0
7fd252fe087fe2b6b45ffe8b2afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff008669ff
0082b07fd252fe087fe2b6b45ffe8b2a3fe19a7fe0ac1ff494bf821ff8adad17ff00a2cabf53e8a2
debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff494bf821ff8adad17ff00a2ca8ff8
669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecf
cb0ff8669ff82b07fd252fe087fe2b6b45ff00e8b2a3fe19a7fe0ac1ff00494bf821ff008adad17f
fa2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff00494bf821ff008a
dad17ffa2ca8ff008669ff0082b07fd252fe087fe2b6b45ffe8b2afd4fa28b7afdeffae9f9f7617f
4fb97f5d3f3eecfcb0ff008669ff0082b07fd252fe087fe2b6b45ffe8b2a3fe19a7fe0ac1ff494bf
821ff8adad17ff00a2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff4
94bf821ff8adad17ff00a2ca8ff8669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa28b7afdeff
00ae9f9f7617f4fb97f5d3f3eecfcb0ff8669ff82b07fd252fe087fe2b6b45ff00e8b2a3fe19a7fe
0ac1ff00494bf821ff008adad17ffa2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe
19a7fe0ac1ff00494bf821ff008adad17ffa2ca8ff008669ff0082b07fd252fe087fe2b6b45ffe8b
2afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff008669ff0082b07fd252fe087fe2b6b4
5ffe8b2a3fe19a7fe0ac1ff494bf821ff8adad17ff00a2cabf53e8a2debf7bfeba7e7dd85fd3ee5f
d74fcfbb3f2c3fe19a7fe0ac1ff494bf821ff8adad17ff00a2ca8ff8669ff82b07fd252fe087fe2b
6b45ff00e8b2afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8669ff82b07fd252fe0
87fe2b6b45ff00e8b2a3fe19a7fe0ac1ff00494bf821ff008adad17ffa2cabf53e8a2debf7bfeba7
e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff00494bf821ff008adad17ffa2ca8ff008669ff00
82b07fd252fe087fe2b6b45ffe8b2afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff0086
69ff0082b07fd252fe087fe2b6b45ffe8b2a3fe19a7fe0ac1ff494bf821ff8adad17ff00a2cabf53
e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff494bf821ff8adad17ff00a2ca
8ff8669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3
eecfcb0ff8669ff82b07fd252fe087fe2b6b45ff00e8b2a3fe19a7fe0ac1ff00494bf821ff008ada
d17ffa2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff00494bf821ff
008adad17ffa2ca8ff008669ff0082b07fd252fe087fe2b6b45ffe8b2afd4fa28b7afdeffae9f9f7
617f4fb97f5d3f3eecfcb0ff008669ff0082b07fd252fe087fe2b6b45ffe8b2a3fe19a7fe0ac1ff4
94bf821ff8adad17ff00a2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac
1ff494bf821ff8adad17ff00a2ca8ff8669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa28b7af
deff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8669ff82b07fd252fe087fe2b6b45ff00e8b2a3fe19
a7fe0ac1ff00494bf821ff008adad17ffa2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2
c3fe19a7fe0ac1ff00494bf821ff008adad17ffa2ca8ff008669ff0082b07fd252fe087fe2b6b45f
fe8b2afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff008669ff0082b07fd252fe087fe2
b6b45ffe8b2a3fe19a7fe0ac1ff494bf821ff8adad17ff00a2cabf53e8a2debf7bfeba7e7dd85fd3
ee5fd74fcfbb3f2c3fe19a7fe0ac1ff494bf821ff8adad17ff00a2ca8ff8669ff82b07fd252fe087
fe2b6b45ff00e8b2afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8669ff82b07fd25
2fe087fe2b6b45ff00e8b2a3fe19a7fe0ac1ff00494bf821ff008adad17ffa2cabf53e8a2debf7bf
eba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff00494bf821ff008adad17ffa2ca8ff008669
ff0082b07fd252fe087fe2b6b45ffe8b2afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff
008669ff0082b07fd252fe087fe2b6b45ffe8b2a3fe19a7fe0ac1ff494bf821ff8adad17ff00a2ca
bf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff494bf821ff8adad17ff00
a2ca8ff8669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa28b7afdeff00ae9f9f7617f4fb97f5
d3f3eecfcb0ff8669ff82b07fd252fe087fe2b6b45ff00e8b2a3fe19a7fe0ac1ff00494bf821ff00
8adad17ffa2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff00494bf8
21ff008adad17ffa2ca8ff008669ff0082b07fd252fe087fe2b6b45ffe8b2afd4fa28b7afdeffae9
f9f7617f4fb97f5d3f3eecfcb0ff008669ff0082b07fd252fe087fe2b6b45ffe8b2a3fe19a7fe0ac
1ff494bf821ff8adad17ff00a2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfbb3f2c3fe19a7f
e0ac1ff494bf821ff8adad17ff00a2ca8ff8669ff82b07fd252fe087fe2b6b45ff00e8b2afd4fa28
b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8669ff82b07fd252fe087fe2b6b45ff00e8b2a3
fe19a7fe0ac1ff00494bf821ff008adad17ffa2cabf53e8a2debf7bfeba7e7dd85fd3ee5fd74fcfb
b3f2c3fe19a7fe0ac1ff00494bf821ff008adad17ffa2ca8ff008669ff0082b07fd252fe087fe2b6
b45ffe8b2afd4fa28b7afdeffae9f9f7617f4fb97f5d3f3eecfcb0ff008669ff0082b07fd252fe08
7fe2b6b45ffe8b2a3fe19a7fe0ac1ff494bf821ff8adad17ff00a2cabf53e8a2debf7bfeba7e7dd8
5fd3ee5fd74fcfbb3f2c3fe19a7fe0ac1ff494bf821ff8adad17ff00a2ca8ff8669ff82b07fd252f
e087fe2b6b45ff00e8b2afd4fa28b7afdeff00ae9f9f7617f4fb97f5d3f3eecfcb0ff8669ff82b07
fd252fe087fe2b6b45ff00e8b2afb33f671f02fed15e00f07eb3a57ed2bfb40f853f68cf195df896
e350d17c5fe10f8196bf00f4fd1fc30fa5e956d6fe1bb8f0ada7c45f8971ead7906ab6dab6a8fe20
6d66c9e78354834e3a646ba6addddfd07453b7f577fd7f5e6c414514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
5001451450014514500145145001457e6e69d6ff00b48fc79fda0ff6bbd07c35fb5878e3e08782fe
057c5bf87bf0c7c21e12f03fc2df80fe26b6bab0d73f667f815f18755d6b59d67e267c37f19ebf73
abdd789be286b76ca906a56da6dbe9567a65bc16093c7737373e89ff000cd9fb527fd2453e37ff00
e18ffd90ff00f9c451f2fcbfcffab7a5ddbcd74efd6de5e7f83f2bfdbf457c41ff000cd9fb527fd2
453e37ff00e18ffd90ff00f9c451ff000cd9fb527fd2453e37ff00e18ffd90ff00f9c452f93fc3fc
ff00ab3f2b9f35f8ff0097f567e57fb7e8af883fe19b3f6a4ffa48a7c6ff00fc31ff00b21fff0038
8a3fe19b3f6a4ffa48a7c6ff00fc31ff00b21fff00388a3e4ff0ff003feacfcae7cd7e3fe5fd59f9
5fedfa2be20ff866cfda93fe9229f1bfff000c7fec87ff00ce228ff866cfda93fe9229f1bfff000c
7fec87ff00ce228f93fc3fcffab3f2b9f35f8ff97f567e57fb7e8af883fe19b3f6a4ff00a48a7c6f
ff00c31ffb21ff00f388a3fe19b3f6a4ff00a48a7c6fff00c31ffb21ff00f388a3e4ff000ff3feac
fcae7cd7e3fe5fd59f95fedfa2be20ff00866cfda93fe9229f1bff00f0c7fec87ffce228ff00866c
fda93fe9229f1bff00f0c7fec87ffce228f93fc3fcff00ab3f2b9f35f8ff0097f567e57fb7e8af88
3fe19b3f6a4ffa48a7c6ff00fc31ff00b21fff00388a3fe19b3f6a4ffa48a7c6ff00fc31ff00b21f
ff00388a3e4ff0ff003feacfcae7cd7e3fe5fd59f95fedfa2be20ff866cfda93fe9229f1bfff000c
7fec87ff00ce228ff866cfda93fe9229f1bfff000c7fec87ff00ce228f93fc3fcffab3f2b9f35f8f
f97f567e57fb7e8af883fe19b3f6a4ff00a48a7c6fff00c31ffb21ff00f388a3fe19b3f6a4ff00a4
8a7c6fff00c31ffb21ff00f388a3e4ff000ff3feacfcae7cd7e3fe5fd59f95fedfa2be20ff00866c
fda93fe9229f1bff00f0c7fec87ffce228ff00866cfda93fe9229f1bff00f0c7fec87ffce228f93f
c3fcff00ab3f2b9f35f8ff0097f567e57fb7e8af883fe19b3f6a4ffa48a7c6ff00fc31ff00b21fff
00388a3fe19b3f6a4ffa48a7c6ff00fc31ff00b21fff00388a3e4ff0ff003feacfcae7cd7e3fe5fd
59f95fedfa2be20ff866cfda93fe9229f1bfff000c7fec87ff00ce228ff866cfda93fe9229f1bfff
000c7fec87ff00ce228f93fc3fcffab3f2b9f35f8ff97f567e57fb7e8af883fe19b3f6a4ff00a48a
7c6fff00c31ffb21ff00f388a3fe19b3f6a4ff00a48a7c6fff00c31ffb21ff00f388a3e4ff000ff3
feacfcae7cd7e3fe5fd59f95fedfa2be20ff00866cfda93fe9229f1bff00f0c7fec87ffce228ff00
866cfda93fe9229f1bff00f0c7fec87ffce228f93fc3fcff00ab3f2b9f35f8ff0097f567e57fb7e8
af883fe19b3f6a4ffa48a7c6ff00fc31ff00b21fff00388a3fe19b3f6a4ffa48a7c6ff00fc31ff00
b21fff00388a3e4ff0ff003feacfcae7cd7e3fe5fd59f95fedfa2be20ff866cfda93fe9229f1bfff
000c7fec87ff00ce228ff866cfda93fe9229f1bfff000c7fec87ff00ce228f93fc3fcffab3f2b9f3
5f8ff97f567e57fb7e8af883fe19b3f6a4ff00a48a7c6fff00c31ffb21ff00f388a3fe19b3f6a4ff
00a48a7c6fff00c31ffb21ff00f388a3e4ff000ff3feacfcae7cd7e3fe5fd59f95fedfa2be20ff00
866cfda93fe9229f1bff00f0c7fec87ffce22b9ef84d7ff1dfe1c7ed7bff000a33e237ed0be26f8f
5e0ff127ecddaefc58b29bc67f0ffe12783b57f0df897c39f13bc2be0f58b4cbbf857e09f04c779a
76a5a5f892e5efadf5a835274b9b4b392c66b35174974fe5f97f9ff56f417cff003ff2feade97fd0
0a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a280
0a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20fd97bfe4e3bfe0a4bff6
74ff000a3ff583ff00640afb7ebe20fd97bfe4e3bfe0a4bff674ff000a3ff583ff00640afb7e81bd
fe51fc905145140828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00
28a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002be20bff00f9491f853fecc8
3e20ff00eaf9f8675f6fd7c417ff00f2923f0a7fd9907c41ff00d5f3f0ce803edfa28a2800a28a28
00a28a2800a28a2800a28a2800a28a2800a28a2803e20fd97bfe4e3bfe0a4bff00674ff0a3ff0058
3ff640afb7ebe20fd97bfe4e3bfe0a4bff00674ff0a3ff00583ff640afb7e81bdfe51fc905145140
028a28a0028a28a0028a28a0028a28a0028a28a002be20bfff009491f853fecc83e20ffeaf9f8675
f6fd7c417fff002923f0a7fd9907c41ffd5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a
28a2800a28a2800a28a2803e20fd97bfe4e3bfe0a4bff674ff000a3ff583ff00640afb7ebe20fd97
bfe4e3bfe0a4bff674ff000a3ff583ff00640afb7e81bdfe51fc905145140828a28a0028a28a0028
a28a0028a28a0028a28a002be20bff00f9491f853fecc83e20ff00eaf9f8675f6fd7c417ff00f292
3f0a7fd9907c41ff00d5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a2800
a28a2803e20fd97bfe4e3bfe0a4bff00674ff0a3ff00583ff640afb7ebe20fd97bfe4e3bfe0a4bff
00674ff0a3ff00583ff640afb7e81bdfe51fc905145140828a28a0028a28a0028a28a0028a28a002
8a28a002be20bfff009491f853fecc83e20ffeaf9f8675f6fd7c417fff002923f0a7fd9907c41ffd
5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28
a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20fd97bfe4
e3bfe0a4bff674ff000a3ff583ff00640afb7ebe20fd97bfe4e3bfe0a4bff674ff000a3ff583ff00
640afb7e81bdfe51fc905145140828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a2
8a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002be20bff00f9
491f853fecc83e20ff00eaf9f8675f6fd7c417ff00f2923f0a7fd9907c41ff00d5f3f0ce803edfa2
8a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20fd95bf7dfb41ffc14b6e8fc
a6dff6c5f86da304ea196d3fe09e9fb0d6ae2e0b718676f103c063c10ab6ab26f265289f6fd7c41f
b287fc979ff829affd9eff00807ff5db7ff04f9afb7e81bdfe51fc905145140828a28a0028a28a00
28a28a0028a28a0028a28a002be20bff00f9491f853fecc83e20ff00eaf9f8675f6fd7c417ff00f2
923f0a7fd9907c41ff00d5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a28
00a28a2803e20fd943fe4bcffc14d7fecf7fc03ffaedbff827cd7dbf5f107eca1ff25e7fe0a6bff6
7bfe01ff00d76dff00c13e6bedfa06f7f947f24145145020a28a2800a28a2800a28a2800a28a2800
a28a2800af882fff00e5247e14ff00b320f883ff00abe7e19d7dbf5f105fff00ca48fc29ff006641
f107ff0057cfc33a00fb7e8a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a
28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00f88
3f650ff92f3ff0535ffb3dff0000ff00ebb6ff00e09f35f6fd7c41fb287fc979ff00829aff00d9ef
f807ff005db7ff0004f9afb7e81bdfe51fc905145140828a28a0028a28a0028a28a0028a28a0028a
28a002be20bfff009491f853fecc83e20ffeaf9f8675f6fd7c417fff002923f0a7fd9907c41ffd5f
3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2
800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20fd943fe4bc
ff00c14d7fecf7fc03ff00aedbff00827cd7dbf5f107eca1ff0025e7fe0a6bff0067bfe01ffd76df
fc13e6bedfa06f7f947f24145145020a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a
28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800af882ff00
fe5247e14ffb320f883ffabe7e19d7dbf5f105ff00fca48fc29ff6641f107ff57cfc33a00fb7e8a2
8a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00f883f650ff0092f3ff000535ff00
b3dff00ffebb6ffe09f35f6fd7c41fb287fc979ff829affd9eff00807ff5db7ff04f9afb7e81bdfe
51fc905145140828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028
a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002be20bff00f9491f853fecc83e
20ff00eaf9f8675f6fd7c417ff00f2923f0a7fd9907c41ff00d5f3f0ce803edfa28a2800a28a2800
a28a2800a28a2800a28a2800a28a2800a28a2803e20fd943fe4bcffc14d7fecf7fc03ffaedbff827
cd7dbf5f107eca1ff25e7fe0a6bff67bfe01ff00d76dff00c13e6bedfa06f7f947f24145145020a2
8a2800a28a2800a28a2800a28a2800a28a2800af882fff00e5247e14ff00b320f883ff00abe7e19d
7dbf5f105fff00ca48fc29ff006641f107ff0057cfc33a00fb7e8a28a0028a28a0028a28a0028a28
a0028a28a0028a28a0028a28a00f883f650ff92f3ff0535ffb3dff0000ff00ebb6ff00e09f35f6fd
7c41fb287fc979ff00829aff00d9eff807ff005db7ff0004f9afb7e81bdfe51fc905145140828a28
a0028a28a0028a28a0028a28a0028a28a002be20bfff009491f853fecc83e20ffeaf9f8675f6fd7c
417fff002923f0a7fd9907c41ffd5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a280
0a28a2800a28a2803e20fd943fe4bcff00c14d7fecf7fc03ff00aedbff00827cd7dbf5f107eca1ff
0025e7fe0a6bff0067bfe01ffd76dffc13e6bedfa06f7f947f24145145020a28a2800a28a2800a28
a2800a28a2800a28a2800af882ff00fe5247e14ffb320f883ffabe7e19d7dbf5f105ff00fca48fc2
9ff6641f107ff57cfc33a00fb7e8a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a
00f883f650ff0092f3ff000535ff00b3dff00ffebb6ffe09f35f6fd7c41fb287fc979ff829affd9e
ff00807ff5db7ff04f9afb7e81bdfe51fc905145140828a28a0028a28a0028a28a0028a28a0028a2
8a002be20bff00f9491f853fecc83e20ff00eaf9f8675f6fd7c417ff00f2923f0a7fd9907c41ff00
d5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a2
8a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20fd943fe
4bcffc14d7fecf7fc03ffaedbff827cd7dbf5f107eca1ff25e7fe0a6bff67bfe01ff00d76dff00c1
3e6bedfa06f7f947f24145145020a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a
2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800af882fff00e5
247e14ff00b320f883ff00abe7e19d7dbf5f105fff00ca48fc29ff006641f107ff0057cfc33a00fb
7e8a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0
028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00f883f650ff92f3ff0535ffb
3dff0000ff00ebb6ff00e09f35f6fd7c41fb287fc979ff00829aff00d9eff807ff005db7ff0004f9
afb7e81bdfe51fc905145140828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0
028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002be20bfff009491
f853fecc83e20ffeaf9f8675f6fd7c417fff002923f0a7fd9907c41ffd5f3f0ce803edfa28a2800a
28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20fd937f79f1c3fe0a5b76bcc177fb6f
f83fc86e85bfb3ff00e09e1fb0468d75953f32ecd434cbc886e037ac6b2a6639119bedfaf883f645
ff0092b5ff000516ff00b3dfb0ff00d625fd8c2bedfa06f7f947f24145145020a28a2800a28a2800
a28a2800a28a2800a28a2800af882fff00e5247e14ff00b320f883ff00abe7e19d7dbf5f105fff00
ca48fc29ff006641f107ff0057cfc33a00fb7e8a28a0028a28a0028a28a0028a28a0028a28a0028a
28a0028a28a002bf3fecbf68dfdaf7e22f8efe35e8bf023f66afd9bbc4de05f83bf16755f840de27
f8b7fb617c4ef855e2cf10ebda07863c25e21d5f521e08f077ec45f1af47d2b48593c57158e9ae7e
206a5797a96525ddd5a69ad32da47fa015f107ec5fff0021efdb63fecf7fe277feab7f83b40d75f2
5faa0ff84fbfe0a47ff46a1fb107fe2c1be3cfff004b2a8ff84fbfe0a47ff46a1fb107fe2c1be3cf
ff004b2abedfa297cdfe1fe5fd5df958f92fc7fcff00abbf2b7c41ff0009f7fc148ffe8d43f620ff
00c5837c79ff00e96551ff0009f7fc148ffe8d43f620ff00c5837c79ff00e96557dbf451f37f87f9
7f577e563e4bf1ff003feaefcadf107fc27dff000523ff00a350fd883ff160df1e7ffa59547fc27d
ff000523ff00a350fd883ff160df1e7ffa5955f6fd147cdfe1fe5fd5df958f92fc7fcffabbf2b7c4
1ff09f7fc148ff00e8d43f620ffc5837c79ffe96551ff09f7fc148ff00e8d43f620ffc5837c79ffe
96557dbf451f37f87f97f577e563e4bf1ff3feaefcadf107fc27dff0523ffa350fd883ff00160df1
e7ff00a59547fc27dff0523ffa350fd883ff00160df1e7ff00a5955f6fd147cdfe1fe5fd5df958f9
2fc7fcff00abbf2b7c41ff0009f7fc148ffe8d43f620ff00c5837c79ff00e96551ff0009f7fc148f
fe8d43f620ff00c5837c79ff00e96557dbf451f37f87f97f577e563e4bf1ff003feaefcadf107fc2
7dff000523ff00a350fd883ff160df1e7ffa59547fc27dff000523ff00a350fd883ff160df1e7ffa
5955f6fd147cdfe1fe5fd5df958f92fc7fcffabbf2b7c41ff09f7fc148ff00e8d43f620ffc5837c7
9ffe96551ff09f7fc148ff00e8d43f620ffc5837c79ffe96557dbf451f37f87f97f577e563e4bf1f
f3feaefcadf107fc27dff0523ffa350fd883ff00160df1e7ff00a59547fc27dff0523ffa350fd883
ff00160df1e7ff00a5955f6fd147cdfe1fe5fd5df958f92fc7fcff00abbf2b7c41ff0009f7fc148f
fe8d43f620ff00c5837c79ff00e96551ff0009f7fc148ffe8d43f620ff00c5837c79ff00e96557db
f451f37f87f97f577e563e4bf1ff003feaefcadf107fc27dff000523ff00a350fd883ff160df1e7f
fa59547fc27dff000523ff00a350fd883ff160df1e7ffa5955f6fd147cdfe1fe5fd5df958f92fc7f
cffabbf2b7c41ff09f7fc148ff00e8d43f620ffc5837c79ffe96551ff09f7fc148ff00e8d43f620f
fc5837c79ffe96557dbf451f37f87f97f577e563e4bf1ff3feaefcadf107fc27dff0523ffa350fd8
83ff00160df1e7ff00a59547fc27dff0523ffa350fd883ff00160df1e7ff00a5955f6fd147cdfe1f
e5fd5df958f92fc7fcff00abbf2b7c41ff0009f7fc148ffe8d43f620ff00c5837c79ff00e96551ff
0009f7fc148ffe8d43f620ff00c5837c79ff00e96557dbf451f37f87f97f577e563e4bf1ff003fea
efcadf107fc27dff000523ff00a350fd883ff160df1e7ffa59547fc27dff000523ff00a350fd883f
f160df1e7ffa5955f6fd147cdfe1fe5fd5df958f92fc7fcffabbf2b7c41ff09f7fc148ff00e8d43f
620ffc5837c79ffe96551ff09f7fc148ff00e8d43f620ffc5837c79ffe96557dbf451f37f87f97f5
77e563e4bf1ff3feaefcadf107fc27dff0523ffa350fd883ff00160df1e7ff00a59547fc27dff052
3ffa350fd883ff00160df1e7ff00a5955f6fd147cdfe1fe5fd5df958f92fc7fcff00abbf2b7cd5fb
237c71f17fed1bf023c35f173c73f0f3c3ff000b7c43aeebdf10b44baf067863e216a1f14348b05f
01fc43f1478005edb78c753f87df0bef2fd35897c312eaf1412f83b4e7b2b7bd82d6569a78e561f4
ad7c41ff0004e7ff009346f017fd8eff001fff00f5a23e2b57dbf4c4145145007c41fb22ff00c95a
ff00828b7fd9efd87feb12fec615f6fd7c41fb22ff00c95aff00828b7fd9efd87feb12fec615f6fd
037bfca3f920a28a2810514514005145140051451400514514005145140051451400514514005145
14005145140051451400514514005145140051451400514514005145140057c417ff00f2923f0a7f
d9907c41ff00d5f3f0cebedfaf882fff00e5247e14ff00b320f883ff00abe7e19d007dbf45145001
4514500145145001451450014514500145145001451450015f107ec5ff00f21efdb63fecf7fe277f
eab7f83b5f6fd7c41fb17ffc87bf6d8ffb3dff0089dffaadfe0ed035b4bd3f547dbf45145020a28a
2800a28a2800a28a2800a28a2800a28a2800a28a2803e20ff8273ffc9a3780bfec77f8ff00ff00ad
11f15abedfaf883fe09cff00f268de02ff00b1dfe3ff00feb447c56afb7e800a28a2803e20fd917f
e4ad7fc145bfecf7ec3ff5897f630afb7ebe20fd917fe4ad7fc145bfecf7ec3ff5897f630afb7e81
bdfe51fc905145140828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a
0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002be20bff00f9491f853fec
c83e20ff00eaf9f8675f6fd7c417ff00f2923f0a7fd9907c41ff00d5f3f0ce803edfa28a2800a28a
2800a28a2800a28a2800a28a2800a28a2800a28a2800af883f62ff00f90f7edb1ff67bff0013bff5
5bfc1dafb7ebe20fd8bffe43dfb6c7fd9eff00c4effd56ff0007681ada5e9faa3edfa28a28105145
14005145140051451400514514005145140051451400514514005145140051451400514514005145
14005145140051451400514514005145140051451401f107fc139ffe4d1bc05ff63bfc7fff00d688
f8ad5f6fd7c41ff04e7ff9346f017fd8eff1ff00ff005a23e2b57dbf40051451401f107ec8bff256
bfe0a2dff67bf61ffac4bfb1857dbf5f107ec8bff256bfe0a2dff67bf61ffac4bfb1857dbf40deff
0028fe4828a28a041451450014514500145145001451450014514500145145001451450014514500
1451450014514500145145001451450014514500145145001451450015f105ff00fca48fc29ff664
1f107ff57cfc33afb7ebe20bff00f9491f853fecc83e20ff00eaf9f867401f6fd145140051451400
514514005145140051451400514514005145140057c41fb17ffc87bf6d8ffb3dff0089dffaadfe0e
d7dbf5f107ec527cdbefdb22f4fca6f7f6e0f8ce0c7d447fd95e1df875e1f5c3705bce4d1d6e9b20
6c69da21b8461dc1aebe6bf547dbf45145020a28a2800a28a2800a28a2800a28a2800a28a2800a28
a2803e20ff008273ff00c9a3780bfec77f8fff00fad11f15abedfaf883fe09cfff00268de02ffb1d
fe3fff00eb447c56afb7e800a28a2803e20fd917fe4ad7fc145bfecf7ec3ff005897f630afb7ebe2
0fd917fe4ad7fc145bfecf7ec3ff005897f630afb7e81bdfe51fc905145140828a28a0028a28a002
8a28a0028a28a0028a28a002be20bfff009491f853fecc83e20ffeaf9f8675f6fd7c417fff002923
f0a7fd9907c41ffd5f3f0ce803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28
a2800af87ff623ff009bbaff00b3e0f8fbff00ba9d7dc15f0ffec47ff3775ff67c1f1f7ff753a00f
b828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a
0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00f883fe09cfff00268de02f
fb1dfe3fff00eb447c56afb7ebe20ff8273ffc9a3780bfec77f8ff00ff00ad11f15abedfa0028a28
a00f883f645ff92b5ff0516ffb3dfb0ffd625fd8c2bedfafcaaf869fb477c35fd9cfe3c7ede3e1cf
8bb61f17b40d47c67fb5768bf103c273e8bfb3afed09e3ed0bc47e0ebdfd913f652f0ac1af68fe28
f879f0bfc55e19bfb4ff00848fc23e25d1274b7d5dee6d352d16fad6ea08648b07ddbfe1e25fb2df
fd053e37ff00e221fed79ffce2e8baeffd7f4d7de369df6e91fc97f9a3edfa2be20ff87897ecb7ff
00414f8dff00f8887fb5e7ff0038ba3fe1e25fb2dffd053e37ff00e221fed79ffce2e95d775fd7fc
3afbc2cfb3febfe1d7de7dbf457c41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c
4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d175dd7f5ff000ebef0b3ecff00aff875f79f6fd15f
107fc3c4bf65bffa0a7c6fff00c443fdaf3ff9c5d1ff000f12fd96ff00e829f1bfff00110ff6bcff
00e71745d775fd7fc3afbc2cfb3febfe1d7de7dbf457c41ff0f12fd96ffe829f1bff00f110ff006b
cffe71747fc3c4bf65bffa0a7c6fff00c443fdaf3ff9c5d175dd7f5ff0ebef0b3ecffaff00875f79
f6fd15f107fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d1ff0f12fd96ffe829f1bff00f110
ff006bcffe71745d775fd7fc3afbc2cfb3febfe1d7de7dbf457c41ff000f12fd96ff00e829f1bfff
00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d175dd7f5ff000ebef0
b3ecff00aff875f79f6fd15f107fc3c4bf65bffa0a7c6fff00c443fdaf3ff9c5d1ff000f12fd96ff
00e829f1bfff00110ff6bcff00e71745d775fd7fc3afbc2cfb3febfe1d7de7dbf457c41ff0f12fd9
6ffe829f1bff00f110ff006bcffe71747fc3c4bf65bffa0a7c6fff00c443fdaf3ff9c5d175dd7f5f
f0ebef0b3ecffaff00875f79f6fd15f107fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d1ff0
f12fd96ffe829f1bff00f110ff006bcffe71745d775fd7fc3afbc2cfb3febfe1d7de7dbf457c41ff
000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff
009c5d175dd7f5ff000ebef0b3ecff00aff875f79f6fd15f107fc3c4bf65bffa0a7c6fff00c443fd
af3ff9c5d1ff000f12fd96ff00e829f1bfff00110ff6bcff00e71745d775fd7fc3afbc2cfb3febfe
1d7de7dbf457c41ff0f12fd96ffe829f1bff00f110ff006bcffe71747fc3c4bf65bffa0a7c6fff00
c443fdaf3ff9c5d175dd7f5ff0ebef0b3ecffaff00875f79f6fd15f107fc3c4bf65bff00a0a7c6ff
00fc443fdaf3ff009c5d1ff0f12fd96ffe829f1bff00f110ff006bcffe71745d775fd7fc3afbc2cf
b3febfe1d7de7dbf457c41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff
00a0a7c6ff00fc443fdaf3ff009c5d175dd7f5ff000ebef0b3ecff00aff875f79f6fd15f107fc3c4
bf65bffa0a7c6fff00c443fdaf3ff9c5d1ff000f12fd96ff00e829f1bfff00110ff6bcff00e71745
d775fd7fc3afbc2cfb3febfe1d7de7dbf457c41ff0f12fd96ffe829f1bff00f110ff006bcffe7174
7fc3c4bf65bffa0a7c6fff00c443fdaf3ff9c5d175dd7f5ff0ebef0b3ecffaff00875f79f6fd7c41
7fff002923f0a7fd9907c41ffd5f3f0ce8ff0087897ecb7ff414f8dfff008887fb5e7ff38baf32f8
55f16fc29f1f3f6f6b6f1efc34d37e24ddf833c29fb21f8afc21ae7897c5ff00067e30fc2ed22dbc
4fae7c66f026b3a56876f77f14bc0be0c8f53d46f34ad2353bf4b7d28debc76d653cb3796abcbbae
ff00d7f4d0acfb7f5fd35f79fa594514500145145001451450014514500145145001451450014514
50015f0ffec47ff3775ff67c1f1f7ff753afb82be1ff00d88ffe6eebfecf83e3effeea7401f70514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451401f107fc139ff00e4d1bc05ff0063
bfc7ff00fd688f8ad5f6fd7c41ff0004e7ff009346f017fd8eff001fff00f5a23e2b57dbf4005145
14005145140051451400514514005145140051451400514514005145140051451400514514005145
14005145140051451400514514005145140051451400514514005145140051451400514514005145
1400514514005145140051451400514514005145140057c3ff00b11ffcddd7fd9f07c7dffdd4ebee
0af87ff623ff009bbaff00b3e0f8fbff00ba9d007dc1451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145007c41ff04e7ff9346f017fd8eff1ff00ff005a23e2b57dbf5f107fc139ff00
e4d1bc05ff0063bfc7ff00fd688f8ad5f6fd00145145001451450014514500145145001451450014
51450014514500145145001451450014514500145145001451450014514500145145001451450014
51450014514500145145001451450014514500145145001451450014514500145145001451450014
51450015f107ec3bfbcd2ff6a6bc6ff5b79fb6ff00ed35e701c20fecdf17dbe876fb1792b9b2d2ad
4c9966dd399641b55d634fb7ebe20fd867fe403fb4dffd9eff00ed55ff00ab22ee803edfa28a2800
a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20ff8273ffc9a3780bfec77f8ff00ff
00ad11f15abedfaf883fe09cff00f268de02ff00b1dfe3ff00feb447c56afb7e800a28a2800a28a2
800a28a2800a28a2800a28a2800a28a2800af883f619ff00900fed37ff0067bffb557feac8bbafb7
ebe20fd867fe403fb4dffd9eff00ed55ff00ab22ee803edfa28a2800a28a2800a28a2800a28a2800
a28a2800a28a2800a28a2803e20ff8273ffc9a3780bfec77f8ff00ff00ad11f15abedfaf883fe09c
ff00f268de02ff00b1dfe3ff00feb447c56afb7e800a28a2800a28a2800a28a2800a28a2800a28a2
800a28a2800af883f619ff00900fed37ff0067bffb557feac8bbafb7ebe20fd867fe403fb4dffd9e
ff00ed55ff00ab22ee803edfa28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800
e20ff8273ffc9a3780bfec77f8ff00ff00ad11f15abedfaf883fe09cff00f268de02ff00b1dfe3ff
00feb447c56afb7e800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2
800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800af883f619ff00
900fed37ff0067bffb557feac8bbafb7ebe20fd847f79e0bfda12e9f99eebf6dff00db37cf7e9e67
d83e3ff8d347b4f946117cad3b4db2b7f9157ccf27ce977cf24b2c875b7afe16ff00303edfa28a28
00a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803e20ff8273ffc9a3780bfec77f8ff00
ff00ad11f15abedfaf883fe09cff00f268de02ff00b1dfe3ff00feb447c56afb7e800a28a2800a28
a2800a28a2800a28a2800a28a2800a28a2800af883f60eff00910fe3e7fd9eff00edb1ff00ad23f1
06bedfaf883f60eff910fe3e7fd9effedb1ffad23f1069755e8ff3881f6fd14514c028a28a0028a2
8a0028a28a0028a28a0028a28a0028a28a00f883fe09cfff00268de02ffb1dfe3fff00eb447c56af
b7ebe20ff8273ffc9a3780bfec77f8ff00ff00ad11f15abedfa0028a28a0028a28a0028a28a0028a
28a0028a28a0028a28a002be20fd83bfe443f8f9ff0067bffb6c7feb48fc41afb7ebe20fd83bfe44
3f8f9ff67bff00b6c7feb48fc41a5d57a3fce207dbf45145300a28a2800a28a2800a28a2800a28a2
800a28a2800a28a2803e20ff008273ff00c9a3780bfec77f8fff00fad11f15abedfaf883fe09cfff
00268de02ffb1dfe3fff00eb447c56afb7e800a28a2800a28a2800a28a2800a28a2800a28a2800a2
8a2800af883f60eff910fe3e7fd9effedb1ffad23f106bedfaf883f60eff00910fe3e7fd9eff00ed
b1ff00ad23f1069755e8ff003881f6fd14514c028a28a0028a28a0028a28a0028a28a0028a28a002
8a28a00f883fe09cff00f268de02ff00b1dfe3ff00feb447c56afb7ebe20ff008273ff00c9a3780b
fec77f8fff00fad11f15abedfa0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a2
8a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002be3
6f117fc13f3f63ff0015789bc4de30d67e0ce9efe21f19788757f16789afb4ef1678ff00428b57f1
27882f65d4b5cd6ae34fd0bc57a6e989a86ada84f3df6a13c167135d5e4d35ccdbe695ddbec9a280
3e1fff0087707ec61ff446bff321fc56ff00e6e68ff87707ec61ff00446bff00321fc56ffe6e6bee
0a2803e1ff00f87707ec61ff00446bff00321fc56ffe6e68ff0087707ec61ff446bff321fc56ff00
e6e6bee0a2803e1fff0087707ec61ff446bff321fc56ff00e6e68ff87707ec61ff00446bff00321f
c56ffe6e6bee0a2803e1ff00f87707ec61ff00446bff00321fc56ffe6e68ff0087707ec61ff446bf
f321fc56ff00e6e6bee0a2803e1fff0087707ec61ff446bff321fc56ff00e6e68ff87707ec61ff00
446bff00321fc56ffe6e6bee0a2803e1ff00f87707ec61ff00446bff00321fc56ffe6e68ff008770
7ec61ff446bff321fc56ff00e6e6bee0a2803e1fff0087707ec61ff446bff321fc56ff00e6e68ff8
7707ec61ff00446bff00321fc56ffe6e6bee0a2803e1ff00f87707ec61ff00446bff00321fc56ffe
6e68ff0087707ec61ff446bff321fc56ff00e6e6bee0a2803e1fff0087707ec61ff446bff321fc56
ff00e6e68ff87707ec61ff00446bff00321fc56ffe6e6bee0a2803e1ff00f87707ec61ff00446bff
00321fc56ffe6e68ff0087707ec61ff446bff321fc56ff00e6e6bee0a2803e1fff0087707ec61ff4
46bff321fc56ff00e6e68ff87707ec61ff00446bff00321fc56ffe6e6bee0a2803e1ff00f87707ec
61ff00446bff00321fc56ffe6e68ff0087707ec61ff446bff321fc56ff00e6e6bee0a2803e1fff00
87707ec61ff446bff321fc56ff00e6e68ff87707ec61ff00446bff00321fc56ffe6e6bee0a2803e1
ff00f87707ec61ff00446bff00321fc56ffe6e68ff0087707ec61ff446bff321fc56ff00e6e6bee0
a2803e1fff0087707ec61ff446bff321fc56ff00e6e68ff87707ec61ff00446bff00321fc56ffe6e
6bee0a2803e1ff00f87707ec61ff00446bff00321fc56ffe6e68ff0087707ec61ff446bff321fc56
ff00e6e6bee0a2803e1fff0087707ec61ff446bff321fc56ff00e6e68ff87707ec61ff00446bff00
321fc56ffe6e6bee0a280387f86df0dbc0bf083c0fe1ef86df0d3c33a7783fc0fe15b496cb40f0e6
94b28b2d3a0b8bcb9d42eb635c4b3dccf3de6a179777f7b77753cf77797b7571777534b713492377
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
14514005145140051451400514514005145140051451400514514005145140051451400514514005
1451400514514005145140051451401fffd9}}}}}\pard\sb0\sl-240\par\pard\ql \li968\sb0
\sl-230\slmult0 \par\pard\ql\li968\sb0\sl-230\slmult0 \par\pard\ql\li968\sb0\sl230\slmult0 \par\pard\ql\li968\sb184\sl-230\slmult0 \up0 \expndtw-1\charscalex10
0 \ul0\nosupersub\cf7\f8\fs20 Sindrom Lennox-Gastaut\par\pard\sect\sectd\sbknone
\cols2\colno1\colw6076\colsr160\colno2\colw5524\colsr160\ql \li963\sb0\sl-230\sl
mult0 \par\pard\ql \li963\sb109\sl-230\slmult0 \up0 \expndtw-3\charscalex100 \ul
0\nosupersub\cf12\f13\fs20 1. Keberadaan SLG terkait erat dengan lobus frontali
s otak\par\pard\ql \li963\ri359\sb2\sl-240\slmult0\fi283\tx1246\tx1246 \up0 \exp
ndtw-3\charscalex100 dengan aktivitas POL dominan di lobus tersebut. \line \up0
\expndtw0\charscalex105 2. Dijumpai adanya sinkronisasi kedua lobus frontalis \
line\tab \up0 \expndtw-7\charscalex100 namun bukan akibat sinkronisasi bilateral
secara sekunder \line \tab \up0 \expndtw-2\charscalex100 dari satu fokus tungga
l.\par\pard\qj \li963\ri357\sb0\sl-240\slmult0\tx1246 \up0 \expndtw-2\charscalex
100 3. Terdapat sejumlah kasus SLG sebagai kesinambungan \line\tab \up0 \expnd
tw-3\charscalex100 sindrom West.\par\pard\ql \li963\ri356\sb0\sl-240\slmult0\tx1
246\tx1246 \up0 \expndtw-2\charscalex100 4. Pada sindrom West yang mengalami pe
rbaikan umum-\line \tab \up0 \expndtw-1\charscalex100 nya tidak ditemukan lesi
otak, dan bila ada minimal di \line \tab \up0 \expndtw-3\charscalex100 bagian po
sterior.\par\pard\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\sb110\sl-230\
slmult0 \up0 \expndtw-9\charscalex95 \ul0\nosupersub\cf11\f12\fs20 Gambaran Klin
is dan EEG\par\pard\ql \li963\sb66\sl-230\slmult0 \up0 \expndtw-1\charscalex100
\ul0\nosupersub\cf6\f7\fs20 Tipe bangkitan kejang\par\pard\qj \li963\ri359\sb59\
sl-240\slmult0\fi398 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf12\f13\fs20
Yaqub\ul0\super\cf13\f14\fs17 14\ul0\nosupersub\cf12\f13\fs20 pada pengamatanny

a terhadap 21 penderita \line \up0 \expndtw0\charscalex105 SLG mendapatkan, bahw
a semua ( 1 0 0 % ) penderita \line \up0 \expndtw0\charscalex108 mengalami bangk
itan kejang absans atipik, 18 (81%) \line \up0 \expndtw-5\charscalex100 bangkita
n kejang tonik, dan 4 (21%) atonik-mioklonik.\par\pard\ql \li963\sb0\sl-230\slm
ult0 \par\pard\ql \li963\sb77\sl-230\slmult0 \up0 \expndtw0\charscalex100 \ul0\n
osupersub\cf7\f8\fs20 Bangkitan Kejang Tonik\par\pard\qj \li963\ri356\sb59\sl-24
0\slmult0\fi398 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Bang
kitan tonik terdiri atas ekstensi lambat keseluruhan \line \up0 \expndtw-5\char
scalex100 anggota badan dan deviasi mata ke atas disertai perlambatan \line \up0
\expndtw-2\charscalex100 pernapasan. Keterlibatan fungsi motorik bervariasi den
gan \line \up0 \expndtw0\charscalex101 beberapa bangkitan kejang yang terbatas p
ada mata atau \line \up0 \expndtw0\charscalex100 perubahan pernapasan. Bangkitan
kejang yang ringan ini \line \up0 \expndtw-4\charscalex100 umumnya terjadi di s
aat tidur dan berlangsung tanpa sempat \line \up0 \expndtw0\charscalex106 diketa
hui kecuali bila dimonitor dengan video disertai \line \up0 \expndtw-9\charscale
x94 rekaman EEG.\par\pard\qj \li963\ri356\sb0\sl-240\slmult0\fi398 \up0 \expndtw
-8\charscalex100 Gambaran vegetatif terdiri atas pernapasan ireguler, henti \up0
\expndtw-1\charscalex100 napas, muka merah, takikardi, atau pelebaran pupil. La
ma \up0 \expndtw-2\charscalex100 bangkitan kejang berbeda-beda dari beberapa det
ik hingga \up0 \expndtw-3\charscalex100 20 detik bahkan lebih.\ul0\super\cf13\f1
4\fs17 4,13\ul0\nosupersub\cf12\f13\fs20 Pada Gambar 1 terlihat pola EEG \up0 \
expndtw-5\charscalex100 dari seorang anak laki-laki 12 tahun yang sedang mengala
mi \up0 \expndtw-3\charscalex100 bangkitan kejang tonik singkat.\par\pard\ql \li
963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li96
3\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\
sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb
0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\
sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl
-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-1
84\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184
\slmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\s
lmult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slm
ult0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb0\sl-184\slmul
t0 \par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb113\sl-184\slmul
t0 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf2\f3\fs16 Gambar 1. Gambaran E
EG pada Seorang Anak Laki-laki 12\par\pard\ql \li1870\sb8\sl-184\slmult0 \up0 \e
xpndtw0\charscalex107 Tahun yang Sedang Mengalami Bangkitan Kejang\par\pard\ql \
li1870\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex106 Tonik Singkat.\ul0\super\
cf14\f15\fs14 14\ul0\nosupersub\cf2\f3\fs16 Terlihat Lepasan Aktivitas Listrik\
par\pard\ql \li1870\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex111 Paku Ombak 1
3 Hz Iregular. Bangkitan Kejang\par\pard\ql \li1870\sb8\sl-184\slmult0 \up0 \ex
pndtw0\charscalex110 Berakhir dalam \up0 \expndtw0\charscalex110 2 Detik . Ak
sentuasi Anterior\par\pard\ql \li1870\sb8\sl-184\slmult0 \up0 \expndtw0\charsca
lex106 Nyata pada Regio Temporal\par\pard\ql \li946\sb0\sl-184\slmult0 \par\pard
\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb106\sl-184\slmult0 \up0 \exp
ndtw0\charscalex110 38\par\pard\column \ql \li6236\sb0\sl-230\slmult0 \par\pard\
ql \li20\sb109\sl-230\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf7\f
8\fs20 Bangkitan Absans Atipik\par\pard\qj \li20\ri757\sb60\sl-240\slmult0\fi398
\up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Bangkitan kejang in
i terdiri atas gangguan kesadaran \line \up0 \expndtw-5\charscalex100 fluktuatif
yang waktu awal dan berakhirnya sulit ditentukan. \line \up0 \expndtw-4\charsca
lex100 Tonus aksial yang sering terganggu menyebabkan penderita \line \up0 \expn
dtw-3\charscalex100 terjatuh. Kekejangan kelopak mata, bangkitan kejang tonik \l
ine \up0 \expndtw0\charscalex100 ringan, gambaran otonomik atau otomatismus dapa
t pula \line \up0 \expndtw-5\charscalex100 terlihat.\par\pard\qj \li20\ri758\sb0
\sl-240\slmult0\fi398 \up0 \expndtw0\charscalex104 Keseluruhan manifestasi klini
s bisa bervariasi dari \line \up0 \expndtw0\charscalex100 absans yang khas hingg
a gejala yang sangat ringan. Pada \line \up0 \expndtw-6\charscalex100 anak denga
n gangguan intelektual sering ditemukan kesulitan \line \up0 \expndtw-3\charscal
ex100 menghitung bangkitan kejang yang sifatnya ringan tersebut \line \up0 \expn
dtw0\charscalex107 baru disebut, bahkan dengan video sekalipun.\ul0\super\cf13\f
14\fs17 4,13\ul0\nosupersub\cf12\f13\fs20 Pada \line \up0 \expndtw-5\charscalex
100 Gambar 2 terlihat satu adegan yang berhasil direkam dengan \line \up0 \expnd
tw-5\charscalex100 EEG dan video secara simultan dari seorang anak laki-laki 5 \
line \up0 \expndtw-2\charscalex100 tahun yang sedang mengalami bangkitan absans
atipik.\par\pard\ql \li6236\sb0\sl-184\slmult0 \par\pard\ql \li6236\sb0\sl-184\s
lmult0 \par\pard\ql \li6236\sb0\sl-184\slmult0 \par\pard\ql \li6236\sb0\sl-184\s
lmult0 \par\pard\ql \li20\sb28\sl-184\slmult0 \up0 \expndtw0\charscalex112 \ul0\
nosupersub\cf2\f3\fs16 Gambar 2 . Pengambilan EEG dan Video Dilakukan Secara\par
\pard\ql \li927\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex111 Simultan pada Se
orang Anak Laki -laki 5 Tahun\par\pard\ql \li927\sb8\sl-184\slmult0 \up0 \expndt
w0\charscalex105 yang Sedang Mengalami Bangkitan Kejang Absans\par\pard\ql \li92
7\sb9\sl-184\slmult0 \up0 \expndtw0\charscalex104 Atipik .\ul0\super\cf14\f15\fs
14 1 4\ul0\nosupersub\cf2\f3\fs16 EEG Menunjukkan Paku Ombak 2 - 2 , 5\par\par
d\ql \li927\sb7\sl-184\slmult0 \up0 \expndtw0\charscalex113 Hz Iregular dengan
Aksentuasi Anterior dan\par\pard\ql \li927\sb8\sl-184\slmult0 \up0 \expndtw0
\charscalex112 Terputus oleh Sebuah Bangkitan Kejang Atonik\par\pard\ql \li927\s
b8\sl-184\slmult0 \up0 \expndtw0\charscalex104 yang Mengakibatkan Kolaps Kepala
(Panah Putih).\par\pard\ql \li927\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex11
3 Peristiwa Selanjutnya \up0 \expndtw0\charscalex111 (Panah Hitam ) adalah\pa
r\pard\ql \li927\sb9\sl-184\slmult0 \up0 \expndtw0\charscalex112 Mioklonus Masi
f pada Kedua Tungkai Kaki .\par\pard\ql \li927\sb7\sl-184\slmult0 \up0 \expn
dtw0\charscalex118 Sementara Penderita Terjatuh oleh Karena\par\pard\ql \li9
27\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex110 Mioklonus Masif , Kepala T
etap Fleksi Akibat\par\pard\ql \li927\sb8\sl-184\slmult0 \up0 \expndtw0\charsc
alex110 Bangkitan Kejang Atonik\par\pard\ql \li6236\sb0\sl-230\slmult0 \par\pard
\ql \li20\sb69\sl-230\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf7\f
8\fs20 Status Epileptikus\par\pard\qj \li20\ri757\sb60\sl-240\slmult0\fi398 \up0
\expndtw-9\charscalex97 \ul0\nosupersub\cf12\f13\fs20 Sekitar 54-97% pengidap S
LG dilaporkan mengalami satu \line \up0 \expndtw-6\charscalex100 atau beberapa k
ali episode status epileptikus (SE) yang terdiri \line \up0 \expndtw0\charscalex
101 atas bangkitan kejang absans, tonik atau campuran. Pada\par\pard\ql \li6752\
sb0\sl-184\slmult0 \par\pard\ql \li6752\sb0\sl-184\slmult0 \par\pard\ql \li536\s
b104\sl-184\slmult0 \up0 \expndtw0\charscalex108 \ul0\nosupersub\cf2\f3\fs16 Maj
Kedokt Indon, Volum: 55, Nomor: 1, Januari 2005 \par\pard\sect\sectd\fs24\paper
w11900\paperh16820{\shp
z-10000\shplid3
ffd8ffe000104a46494600010101006000600000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
5001451450014514500145145001457c7dfb487edf1fb267ec8de22f0f784ff685f8afff000afbc4
1e2ad165f11683a7ff00c20bf12bc57f6fd1e1be9b4d92f3ed5e08f077896cad76dedbcd0fd9ef6e
6dee8ecf31603132c8df397fc3eb3fe0995ff472dff986ff00680ffe7554aebbafbc767d9fdc7ea7
515f963ff0facff82657fd1cb7fe61bfda03ff009d551ff0facff82657fd1cb7fe61bfda03ff009d
55175dd7de82cfb3fb99fa9d457e58ff00c3eb3fe0995ff472dff986ff00680ffe75547fc3eb3fe0
995ff472dff986ff00680ffe75545d775f7a0b3ecfee67ea7515f963ff000facff0082657fd1cb7f
e61bfda03ff9d551ff000facff0082657fd1cb7fe61bfda03ff9d55175dd7de82cfb3fb99fa9d457
e58ffc3eb3fe0995ff00472dff00986ff680ff00e75547fc3eb3fe0995ff00472dff00986ff680ff
00e75545d775f7a0b3ecfee67ea7515f963ff0facff82657fd1cb7fe61bfda03ff009d551ff0facf
f82657fd1cb7fe61bfda03ff009d55175dd7de82cfb3fb99fa9d457e58ff00c3eb3fe0995ff472df
f986ff00680ffe75547fc3eb3fe0995ff472dff986ff00680ffe75545d775f7a0b3ecfee67ea7515
f963ff000facff0082657fd1cb7fe61bfda03ff9d551ff000facff0082657fd1cb7fe61bfda03ff9
d55175dd7de82cfb3fb99fa9d457e58ffc3eb3fe0995ff00472dff00986ff680ff00e75547fc3eb3
fe0995ff00472dff00986ff680ff00e75545d775f7a0b3ecfee67ea7515f963ff0facff82657fd1c
b7fe61bfda03ff009d551ff0facff82657fd1cb7fe61bfda03ff009d55175dd7de82cfb3fb99fa9d
457e58ff00c3eb3fe0995ff472dff986ff00680ffe75547fc3eb3fe0995ff472dff986ff00680ffe
75545d775f7a0b3ecfee67ea7515f963ff000facff0082657fd1cb7fe61bfda03ff9d551ff000fac
ff0082657fd1cb7fe61bfda03ff9d55175dd7de82cfb3fb99fa9d457e58ffc3eb3fe0995ff00472d
ff00986ff680ff00e75547fc3eb3fe0995ff00472dff00986ff680ff00e75545d775f7a0b3ecfee6
7ea7515f963ff0facff82657fd1cb7fe61bfda03ff009d551ff0facff82657fd1cb7fe61bfda03ff
009d55175dd7de82cfb3fb99fa9d457e58ff00c3eb3fe0995ff472dff986ff00680ffe75547fc3eb
3fe0995ff472dff986ff00680ffe75545d775f7a0b3ecfee67ea7515f963ff000facff0082657fd1
cb7fe61bfda03ff9d551ff000facff0082657fd1cb7fe61bfda03ff9d55175dd7de82cfb3fb99fa9
d457e58ffc3eb3fe0995ff00472dff00986ff680ff00e75547fc3eb3fe0995ff00472dff00986ff6
80ff00e75545d775f7a0b3ecfee67ea7515f963ff0facff82657fd1cb7fe61bfda03ff009d557d99
fb397ed4ff0001bf6b5f07eb3e3dfd9f3c77ff000b03c27a078967f086afab7fc231e32f0a7d93c4
56ba5e95accfa7fd87c6de1ef0dea53ecd375ad32e7ed76d67358b7da7c94b96b886e2288ba7b34f
e6167d9fdc7d05451453105145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
451400514514005145140051451401f3afc5ef895f1ffc1be22b0d37e147ecd0df19b409f4686f6f
bc4a7e327823e1d2d86af25edf412e88ba3f88eceeefaefc8b3b7b2be3a946d1db486ffecb1a192d
6663e53ff0bdff006cff00fa30cffcda3f853ffca7afb828a00f87ff00e17bfed9ff00f4619ff9b4
7f0a7ff94f47fc2f7fdb3ffe8c33ff00368fe14fff0029ebee0a2803e1ff00f85eff00b67ffd1867
fe6d1fc29ffe53d1ff000bdff6cfff00a30cff00cda3f853ff00ca7afb828a00f87ffe17bfed9fff
004619ff009b47f0a7ff0094f47fc2f7fdb3ff00e8c33ff368fe14ff00f29ebee0a2803e1fff0085
effb67ff00d1867fe6d1fc29ff00e53d1ff0bdff006cff00fa30cffcda3f853ffca7afb828a00f87
ff00e17bfed9ff00f4619ff9b47f0a7ff94f47fc2f7fdb3ffe8c33ff00368fe14fff0029ebee0a28
03e1ff00f85eff00b67ffd1867fe6d1fc29ffe53d1ff000bdff6cfff00a30cff00cda3f853ff00ca
7afb828a00f87ffe17bfed9fff004619ff009b47f0a7ff0094f47fc2f7fdb3ff00e8c33ff368fe14
ff00f29ebee0a2803e1fff0085effb67ff00d1867fe6d1fc29ff00e53d1ff0bdff006cff00fa30cf
fcda3f853ffca7afb828a00f87ff00e17bfed9ff00f4619ff9b47f0a7ff94f47fc2f7fdb3ffe8c33
ff00368fe14fff0029ebee0a2803e1ff00f85eff00b67ffd1867fe6d1fc29ffe53d1ff000bdff6cf
ff00a30cff00cda3f853ff00ca7afb828a00f87ffe17bfed9fff004619ff009b47f0a7ff0094f47f
c2f7fdb3ff00e8c33ff368fe14ff00f29ebee0a2803e1fff0085effb67ff00d1867fe6d1fc29ff00
e53d1ff0bdff006cff00fa30cffcda3f853ffca7afb828a00f87ff00e17bfed9ff00f4619ff9b47f
0a7ff94f47fc2f7fdb3ffe8c33ff00368fe14fff0029ebee0a2803e1ff00f85eff00b67ffd1867fe
6d1fc29ffe53d1ff000bdff6cfff00a30cff00cda3f853ff00ca7afb828a00f87ffe17bfed9fff00
4619ff009b47f0a7ff0094f47fc2f7fdb3ff00e8c33ff368fe14ff00f29ebee0a2803e1fff0085ef
fb67ff00d1867fe6d1fc29ff00e53d1ff0bdff006cff00fa30cffcda3f853ffca7afb828a00f87ff
00e17bfed9ff00f4619ff9b47f0a7ff94f5f407c1ef1a7c58f1a695abdd7c5af82cdf05754b2d422
b7d2b493f117c31f11975ab07b65924d446a1e19b7b5874f686e37db359dd4464701678e4656654f
28a2800a28a2800a28a2800a2be3dfda4752fdbf6cbc45e1e4fd90bc1bfb1ef89bc24fa2cade2bb9
fda47e25fc69f03f88adbc442fa610c1e1eb2f863f09be21e997ba29d305bc92dd6a5a8585f2df34
d0a59b5baa4eff00397f6fff00c16dbfe8947fc12c3ff120ff006b5ffe865a2ffd59ff005d7fab30
b7f575fd7f5e4cfd4fa2bf2c3fb7ff00e0b6dff44a3fe0961ff8907fb5afff00432d1fdbff00f05b
6ffa251ff04b0ffc483fdad7ff00a19695fd7ee7fd75fcfb31dbd3ef5fd75fcfb33f53e8afcb0fed
ff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5ff
00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe24
1fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d985b
d3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc16
dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb0f
edff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5
ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe
241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d98
5bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc
16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb
0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6
b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587
fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d
985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00
fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8af
cb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120f
f6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff825
87fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe
7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff
00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8
afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff0012
0ff6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff8
2587fe241fed6bff00d0cb47f6ff00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73feba
fe7d985bd3ef5fd75fcfb33f53e8afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb47f6
ff00fc16dbfe8947fc12c3ff00120ff6b5ff00e865a2febf73febafe7d985bd3ef5fd75fcfb33f53
e8afcb0fedff00f82db7fd128ff82587fe241fed6bff00d0cb5f667ece379fb55def83f5993f6b9f
0efecf9e1af1faf896e13c3f65fb38f8cfe23f8dfc1f3783c697a535add6b3a9fc4df01fc3ed6ad7
c4adad36b715c58d969377a5a6971695711ea2f7771776d6aeff00d59ff5fd79311f41d145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
4514005145140051451401ffd9}}}}}\pard\sb0\sl-240\par\pard\ql \li8941\sb0\sl-230\s
lmult0 \par\pard\ql\li8941\sb0\sl-230\slmult0 \par\pard\ql\li8941\sb0\sl-230\slm
ult0 \par\pard\ql\li8941\sb184\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0
\nosupersub\cf7\f8\fs20 Sindrom Lennox-Gastaut\par\pard\sect\sectd\sbknone\cols2
\colno1\colw6076\colsr160\colno2\colw5524\colsr160\ql \li963\sb0\sl-230\slmult0
\par\pard\ql \li963\sb109\sl-230\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosu
persub\cf12\f13\fs20 seri itu 94% penderita memperlihatkan komponen tonik selama
\par\pard\qj \li963\ri356\sb3\sl-239\slmult0 \up0 \expndtw-5\charscalex100 SE ya
ng dicerminkan oleh irama EEG 10 Hz, identik dengan \up0 \expndtw-3\charscalex10
0 ciri-ciri sewaktu tidur. SE tonik tersebut dapat dipresipitasi \up0 \expndtw-1
\charscalex100 kemunculannya oleh pemberian benzodiazepin intravena. \up0 \expnd
tw0\charscalex105 Awal munculnya SE absans biasanya tersembunyi dan \up0 \expndt
w-2\charscalex100 mungkin terabaikan untuk beberapa jam atau hari, terlebih \up0
\expndtw-3\charscalex100 pada penderita retardasi mental.\ul0\super\cf13\f14\fs
17 4,17\par\pard\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\sb77\sl-230\sl
mult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs20 Jenis-jenis Lain
Tipe Bangkitan Kejang\par\pard\qj \li963\ri357\sb59\sl-240\slmult0\fi398 \up0 \
expndtw0\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Gastaut \ul0\nosupersub\cf7
\f8\fs20 et al\ul0\super\cf13\f14\fs17 10\ul0\nosupersub\cf12\f13\fs20 menyebut
kan bahwa pada SLG dapat \line \up0 \expndtw-5\charscalex100 dijumpai jenis lain
tipe bangkitan kejang seperti tonik-klonik \line \up0 \expndtw0\charscalex104 u
mum (15%), parsial kompleks (5%), dan sekali-sekali \line \up0 \expndtw-8\charsc
alex100 mioklonik.\par\pard\ql \li963\sb201\sl-230\slmult0 \up0 \expndtw-2\chars
calex100 \ul0\nosupersub\cf6\f7\fs20 EEG Interiktal\par\pard\qj \li963\ri356\sb5
8\sl-240\slmult0\fi398 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf12\f13\fs
20 Latar belakang EEG interiktal sifatnya lambat, terutama \line \up0 \expndtw-8
\charscalex100 selama periode bangkitan kejang berfrekuensi tinggi. Aktivitas \l
ine \up0 \expndtw-7\charscalex100 tersebut memiliki korelasi dengan fungsi kogni
tif yang buruk. \line \up0 \expndtw-7\charscalex100 Pola POL adalah petanda EEG
interiktal dalam keadaan sadar, \line \up0 \expndtw-8\charscalex100 terdiri atas
letupan ireguler, gelombang umum paku atau tajam \line \up0 \expndtw-8\charscal
ex100 diikuti gelombang lambat sinus 35-400 milidetik yang simetris \line \up0 \
expndtw-1\charscalex100 atau asimetris dengan pergeseran asimetris, terutama pad
a \line \up0 \expndtw-2\charscalex100 sadapan verteks. Lepas muatan listrik seri
ngkali menyebar \line \up0 \expndtw-8\charscalex100 difus, tetapi kadangkala dom
inan di bagian anterior. POL tidak \line \up0 \expndtw-2\charscalex100 dipengaru
hi oleh stimulasi fotik tetapi kadangkala berubah \line \up0 \expndtw-2\charscal
ex100 oleh hiperventilasi. Tiga perempat dari para penderita juga \line \up0 \ex
pndtw0\charscalex100 menunjukkan adanya paku fokal atau multifokal maupun \line
\up0 \expndtw-5\charscalex100 gelombang tajam di daerah frontotemporal atau ante
rio tem-\line \up0 \expndtw-4\charscalex100 poral.\ul0\super\cf13\f14\fs17 4\par
\pard\ql \li963\sb201\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupers
ub\cf6\f7\fs20 Gangguan Mental dan Motorik\par\pard\qj \li963\ri356\sb59\sl-240\
slmult0\fi398 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Kemund
uran mental, meski tidak selalu dijumpai pada \up0 \expndtw-7\charscalex100 saat
timbulnya penyakit, dalam perkembangan SLG pasti akan \up0 \expndtw-2\charscale
x100 terjadi proses kehilangan kemampuan untuk belajar secara \up0 \expndtw-3\ch
arscalex100 progresif. Perburukan fungsi kognitif lebih meningkat pada \up0 \exp
ndtw-2\charscalex100 penderita dengan awitan penyakit yang lebih awal. Fungsi \u
p0 \expndtw-4\charscalex100 mental berfluktuasi menurut frekuensi bangkitan keja
ng dan \up0 \expndtw0\charscalex100 kemundurannya mengikuti SE serta menjadi san

gat jelek \up0 \expndtw-4\charscalex100 akibat politerapi obat antiepilepsi (OAE
).\ul0\super\cf13\f14\fs17 4\par\pard\ql \li963\sb201\sl-230\slmult0 \up0 \expnd
tw-4\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Usia, Saat Timbul dan Cara Timbul
nya Bangkitan Kejang\par\pard\qj \li963\ri356\sb60\sl-240\slmult0\fi398 \up0 \ex
pndtw0\charscalex101 \ul0\nosupersub\cf12\f13\fs20 Gambaran EEG SLG tidak segera
tampak pada saat \line \up0 \expndtw-5\charscalex100 kemunculan penyakit. Bangk
itan kejang pertama terjadi saat \line \up0 \expndtw0\charscalex100 usia 1 hingg
a lebih dari 8 tahun, kadang sekitar pubertas, \line \up0 \expndtw0\charscalex10
0 sementara puncaknya terjadi antara 3-5 tahun. Bangkitan \line \up0 \expndtw-6\
charscalex100 kejang terdiri atas absans atipik, tonik, atau tak terklasifikasi.
\line \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf7\f8\fs20 Recruiting rhyt
hm\ul0\nosupersub\cf12\f13\fs20 dapat mendahului ciri-ciri lain dari sindrom \l
ine \up0 \expndtw0\charscalex102 ini.\ul0\super\cf13\f14\fs17 2\ul0\nosupersub\c
f12\f13\fs20 SLG dapat timbul pada anak normal atau didahului \line \up0 \expnd
tw-6\charscalex100 epilepsi, mencakup epilepsi parsial, absans, dan SE. Tercata
t \line \up0 \expndtw-3\charscalex100 30-41% kasus dengan riwayat sindrom West y
ang positif.\par\pard\qj \li963\ri357\sb0\sl-240\slmult0\fi398 \up0 \expndtw-7\c
harscalex100 SLG dicirikan oleh fluktuasi frekuensi bangkitan kejang, \up0 \expn
dtw0\charscalex106 episode SE yang rekuren, atau masa yang relatif baik. \up0 \e
xpndtw0\charscalex105 Pengobatan tidak berkaitan dengan fluktuasi frekuensi \up0
\expndtw-6\charscalex100 bangkitan kejang. SLG memiliki prognosis yang buruk un
tuk \up0 \expndtw-2\charscalex100 frekuensi bangkitan kejang dan fungsi kognitif
. Bangkitan \up0 \expndtw-4\charscalex100 kejang menetap pada 60-80% kasus.\ul0\
super\cf13\f14\fs17 3,4\par\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li94
6\sb0\sl-184\slmult0 \par\pard\ql \li946\sb68\sl-184\slmult0 \up0 \expndtw0\char
scalex108 \ul0\nosupersub\cf2\f3\fs16 Maj Kedokt Indon, Volum: 55, Nomor: 1, Jan
uari 2005\par\pard\column \ql \li6236\sb0\sl-230\slmult0 \par\pard\ql \li20\sb10
9\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf11\f12\fs20 Dia
gnosis Banding\par\pard\qj \li20\ri758\sb60\sl-240\slmult0\fi398 \up0 \expndtw-1
\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Letak kesulitan diagnosis SLG adala
h dalam hal tipe \line \up0 \expndtw-5\charscalex100 bangkitan kejang dan ciri k
arakteristik EEG. Sebagai contoh\par\pard\ql \li6236\sb0\sl-184\slmult0 \par\par
d\ql \li20\sb24\sl-184\slmult0 \up0 \expndtw0\charscalex107 \ul0\nosupersub\cf2\
f3\fs16 Tabel 1. Diagnosis Banding SLG\par\pard\ql \li6236\sb0\sl-184\slmult0
\par\pard\ql \li20\sb16\sl-184\slmult0\tx1725\tx3426 \up0 \expndtw0\charscalex10
9 Diagnosis Banding \tab \up0 \expndtw0\charscalex112 Contoh Kelainan \tab \up0
\expndtw0\charscalex109 Temuan Klinis\par\pard\ql \li6236\sb0\sl-184\slmult0 \p
ar\pard\ql \li20\sb16\sl-184\slmult0 \up0 \expndtw0\charscalex106 \ul0\nosupersu
b\cf15\f16\fs16 1. Kondisi nonepileptik \up0 \expndtw0\charscalex109 \ul0\nosupe
rsub\cf9\f10\fs16 Paroxysmal dystonia\ul0\nosupersub\cf15\f16\fs16
Bangkitan
tonik\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex103 parok
sismal, EEG\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex106
normal\par\pard\ql \li20\sb8\sl-184\slmult0\tx1726\tx3428 \up0 \expndtw0\charsca
lex107 2. Kelainan nonpro-\tab \up0 \expndtw0\charscalex101 Sindrom Angelman \ta
b \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf9\f10\fs16 Drop attack\ul0\nosu
persub\cf15\f16\fs16 ,\par\pard\ql \li211\sb8\sl-184\slmult0\tx3428 \up0 \expndt
w-2\charscalex100 gresif \tab \up0 \expndtw0\charscalex104 absans atipik,\par\pa
rd\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex101 sesekali muncul\pa
r\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersu
b\cf9\f10\fs16 spikes\ul0\nosupersub\cf15\f16\fs16 disertai\par\pard\ql \li3423
\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex107 bangkitan tonik-\par\pard\ql \l
i3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex107 klonik\par\pard\ql \li20\s
b8\sl-184\slmult0\tx1727 \up0 \expndtw0\charscalex104 3. Kelainan progresif \tab
\up0 \expndtw0\charscalex104 a. Kelainan metabolismeRetardasi mental\par\pard\q
l \li1964\sb8\sl-184\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf9\f
10\fs16 Jansky-Bielschowsky \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf15\f1
6\fs16 (RM), absans ati-\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\c
harscalex107 pik, bangkitan to-\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \exp
ndtw0\charscalex105 nikklonik, \ul0\nosupersub\cf9\f10\fs16 spikes\par\pard\ql \
li1721\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\

fs16 b. \ul0\nosupersub\cf9\f10\fs16 Subacute Schlerosing\ul0\nosupersub\cf15\f1
6\fs16 Bangkitan absans\par\pard\ql \li1909\sb8\sl-184\slmult0\tx3428 \up0 \exp
ndtw0\charscalex100 \ul0\nosupersub\cf9\f10\fs16 Panencephalitis \tab \up0 \expn
dtw0\charscalex108 \ul0\nosupersub\cf15\f16\fs16 atipik, drop attack\par\pard\ql
\li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex107 akibat klonus otot\par\
pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex104 periodik.\par\pa
rd\ql \li20\sb8\sl-184\slmult0\tx1724 \up0 \expndtw0\charscalex104 4. Bangkitan
Umum \tab \up0 \expndtw0\charscalex105 a. Kalsifikasi oksipital Bangkitan keja
ng\par\pard\ql \li210\sb8\sl-184\slmult0\tx1961 \up0 \expndtw-2\charscalex100 Se
kunder \tab \up0 \expndtw0\charscalex102 dan penyakit \ul0\nosupersub\cf9\f10\
fs16 celiac\ul0\nosupersub\cf15\f16\fs16 parsial dengan\par\pard\ql \li3423\sb
8\sl-184\slmult0 \up0 \expndtw0\charscalex107 atau tanpa menja-\par\pard\ql \li3
423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex101 di umum secara\par\pard\ql \
li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex102 sekunder, kadang-\par\par
d\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex105 kala tonik, EEG\par
\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex107 interiktal: men
un-\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex106 kkan POL
oksipi-\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex105 tal
unilateral atau\par\pard\ql \li3423\sb5\sl-184\slmult0 \up0 \expndtw0\charscale
x103 bilateral.\par\pard\ql \li1721\sb8\sl-184\slmult0\tx3431 \up0 \expndtw0\cha
rscalex105 b. Enselopati pasca-\tab \up0 \expndtw0\charscalex103 RM, bangkitan\p
ar\pard\ql \li1910\sb8\sl-184\slmult0\tx3428 \up0 \expndtw-2\charscalex100 radia
si \tab \up0 \expndtw0\charscalex104 umum kompleks,\par\pard\ql \li3423\sb8\sl-1
84\slmult0 \up0 \expndtw0\charscalex106 parsial/atonik\par\pard\ql \li3423\sb8\s
l-184\slmult0 \up0 \expndtw0\charscalex104 POL, kalsifikasi\par\pard\ql \li3423\
sb8\sl-184\slmult0 \up0 \expndtw0\charscalex103 subkorteks\par\pard\ql \li1721\s
b8\sl-184\slmult0 \up0 \expndtw0\charscalex106 c. Epilepsi pascatrauma POL-paku
maje-\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex104 muk lo
bus frontal/\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex108
temporal\par\pard\ql \li1721\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex103 d.
Epilepsi lobus tem-\par\pard\ql \li1933\sb8\sl-184\slmult0 \up0 \expndtw-2\char
scalex100 poral\par\pard\ql \li1721\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex
106 e. Epilepsi area motorik Kontraksi tonik\par\pard\ql \li1955\sb8\sl-184\slmu
lt0\tx3428 \up0 \expndtw-2\charscalex100 tambahan \tab \up0 \expndtw0\charscalex
101 umum, gelombang\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charsc
alex105 lambat ritmis,\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\cha
rscalex104 EEG normal atau\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0
\charscalex101 gelombang paku di\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \ex
pndtw0\charscalex100 sebuah fokus\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \e
xpndtw0\charscalex110 frontal\par\pard\ql \li1721\sb8\sl-184\slmult0 \up0 \expnd
tw0\charscalex102 f.
Epilepsi lesi frontal Sinkroni bilateral\par\pard\ql \
li1961\sb8\sl-184\slmult0\tx3428 \up0 \expndtw-1\charscalex100 bilateral/ unilat
eral \tab \up0 \expndtw0\charscalex101 sekunder\par\pard\ql \li20\sb8\sl-184\slm
ult0\tx1726 \up0 \expndtw0\charscalex103 5. Sindrom epilepsi \tab \up0 \expndtw0
\charscalex105 a. Epilepsi multifokal
Riwayat Sindrom\par\pard\ql \li252\sb8\
sl-184\slmult0\tx3428 \up0 \expndtw-2\charscalex100 multifokal dan umum
be
rat \tab \up0 \expndtw0\charscalex103 West (+), sklerosis\par\pard\ql \li3423\sb
8\sl-184\slmult0 \up0 \expndtw0\charscalex101 tuberosum\par\pard\ql \li1721\sb8\
sl-184\slmult0 \up0 \expndtw0\charscalex107 b. Epilepsi mioklonik Tahun I kehi
dupan\par\pard\ql \li1967\sb8\sl-184\slmult0\tx3425 \up0 \expndtw0\charscalex101
ensefalopati non-\tab \up0 \expndtw0\charscalex100 gangguan kesada-\par\pard\ql
\li1940\sb8\sl-184\slmult0\tx3428 \up0 \expndtw-2\charscalex100 progresif \tab
\up0 \expndtw-1\charscalex100 ran, episode\par\pard\ql \li3423\sb8\sl-184\slmu
lt0 \up0 \expndtw0\charscalex106 status mioklonik,\par\pard\ql \li3423\sb8\sl-18
4\slmult0 \up0 \expndtw0\charscalex106 POL\par\pard\ql \li1721\sb8\sl-184\slmult
0 \up0 \expndtw0\charscalex106 c. Sindrom bangkitan
RM, mioklonus\par\pard\ql
\li1960\sb8\sl-184\slmult0\tx3428 \up0 \expndtw-1\charscalex100 absans miokloni
k \tab \up0 \expndtw0\charscalex105 ritmis anggota\par\pard\ql \li3423\sb8\sl-18
4\slmult0 \up0 \expndtw0\charscalex103 gerak atas, \ul0\nosupersub\cf9\f10\fs16
spikes\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex109 \ul0\

nosupersub\cf15\f16\fs16 3 Hz 5-20 \u8220?\par\pard\ql \li1721\sb8\sl-184\slmult
0 \up0 \expndtw0\charscalex105 d. Sindrom West awitan Umur 1-2 tahun,\par\pard\q
l \li1932\sb8\sl-184\slmult0\tx3428 \up0 \expndtw-2\charscalex100 lambat \tab \u
p0 \expndtw0\charscalex105 EEG interiktal\par\pard\ql \li3423\sb8\sl-184\slmult0
\up0 \expndtw0\charscalex105 tersinkronisasi\par\pard\ql \li10777\sb0\sl-184\sl
mult0 \par\pard\ql \li10777\sb0\sl-184\slmult0 \par\pard\ql \li10777\sb0\sl-184\
slmult0 \par\pard\ql \li4561\sb11\sl-184\slmult0 \up0 \expndtw0\charscalex110 \u
l0\nosupersub\cf2\f3\fs16 39 \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\
shp
z-10000\shplid4
ffd8ffe000104a46494600010101006000600000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
fd252fe087fe2b6b45ff00e8b2afbb3e03f84fe34f82be1d69fa07c7ef8c5e1ef8edf1220d43559f
51f889e17f8516ff0005b48d434eb9bc79749d3e2f01db78d7e2045632e956652d27be1e25b83a94
886e9aded0bf92bec7453b7f577fd7f5e6c414514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
450014514500145145001451450014514500145145001451450015ca6a3e3cf03e8f7b3e9dab78cb
c29a5ea16c505cd86a3e22d22caf6dcc91a4d189ed6e6f229e232432472a092352d1ba3ae55949ea
ebe29f8a9ff04e0fd827e38f8fbc43f153e30fec85fb3ffc4bf891e2c92c26f1378dfc65f0d3c37a
f78975d974bd2ac743d3a4d5356beb296eeedecb47d334ed32d9a6918c565656d02623890000fa7b
fe1677c36ffa285e07ff00c2b341ff00e5851ff0b3be1b7fd142f03ffe159a0fff002c2be20ff874
47fc12f7fe8c23f658ff00c33be0ff00fe56d1ff000e88ff00825eff00d1847ecb1ff8677c1fff00
cada5af97dff00f03d7fa7a3d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff9
6147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83f
ff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083
ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00
cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19
df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0
acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963f
f0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cf
eeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff0085
6683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611f
b2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a17
81ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a3
08fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebf
d3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc
0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097
bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0
dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004
bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff
00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86
dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3
a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff
00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d
11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b6
8d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147
fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff00
95b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd
3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0a
f883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07
ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd0
7ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0ce
f83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff
0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683
ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7
fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff
00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd
963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0
d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff
00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4
611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe
8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff
00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f8
1ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff4
50bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23f
e097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff0085
9df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff
0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7c
beff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2c
ef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b4
7fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3e
dfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883
fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00
f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff9
6147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83f
ff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083
ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00
cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19
df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0
acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963f
f0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cf
eeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff0085
6683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611f
b2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a17
81ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a3
08fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebf
d3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc
0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097
bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0
dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004
bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff
00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86
dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3
a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff
00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d
11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b6
8d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147
fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff00
95b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd
3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0a
f883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07
ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd0
7ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0ce
f83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff
0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff00856683
ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7
fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff
00f0acd07ff96147fc2cef86dff450bc0fff00856683ff00cb0af883fe1d11ff0004bdff00a308fd
963ff0cef83fff0095b47fc3a23fe097bff4611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0
d3cfeeff0083ebfd3d3edfff00859df0dbfe8a1781ff00f0acd07ff96147fc2cef86dff450bc0fff
00856683ff00cb0af883fe1d11ff0004bdff00a308fd963ff0cef83fff0095b47fc3a23fe097bff4
611fb2c7fe19df07ff00f2b68d7cbeff00f81ebfd3d0d3cfeeff0083ebfd3d3edfff00859df0dbfe
8a1781ff00f0acd07ff9615d3e97abe93ae59a6a1a2ea9a76b16123c91c77da5dedb6a166ef13149
512e6d259a1678dc159143928c0ab0078afcf9ff0087447fc12f7fe8c23f658ffc33be0fff00e56d
7d89f06fe07fc1ff00d9e7c0d65f0cbe067c36f06fc27f87ba6deea3a9587833c07a158f873c3b67
7fabdd35eea9796fa5e9d1436b15c5fddbbdc5d4ab1869a662ee4b1cd3d7fa7ff03d7fad91ea7451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450014514500145145001451450014514500145145001451450014514500145145001451
45001451450015e4daf7c7cf815e16d5efbc3fe27f8d3f09bc39af697288352d135ef88de0fd2357
d3a768d25586fb4dd4359b7bdb494c5247288ee218dcc722385daca4facd7936bdf00fe0578a757b
ef10789fe0b7c26f11ebdaa4a27d4b5bd7be1cf83f57d5f519d6348966bed4b50d1ae2f6ee511471
c424b89a4711c6881b6aa800191ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd
1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd
1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36f
fd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36f
fd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb3
6ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb3
6ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37f
b36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9f
b36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d3
7fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc
9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0
d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0
cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1f
f0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051f
f0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd
1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505
1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5
fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5
051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00
e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00
e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff
00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff
00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02
ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02
ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e
02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe
02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b
1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34
fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc
3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc
34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00
fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00
fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff
00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff
00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27c0
ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0
ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c27
c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdf
c0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd1c
27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd1b
dfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36ffd
1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36ffd
1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb36f
fd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb36f
fd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37fb3
6ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9fb3
6ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d37f
b36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc9f
b36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0d3
7fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0cc
9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001ff0
d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0
cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505001f
f0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1f
f0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e50500
1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd
1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e505
001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5
fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5
05001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff00
e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00
e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02ff
00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02ff
00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e02
ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe02
ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b1e
02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34fe
02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc3b
1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc34
fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00fc
3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00fc
34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd1ff0d37fb36ffd1c27c0ff00
fc3b1e02ff00e5fd1ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5051ff0cc9fb36ffd1bdfc0ff00
fc34fe02ff00e505001ff0d37fb36ffd1c27c0ff00fc3b1e02ff00e5fd7a5f853c67e0ff001de943
5df03f8afc35e32d0cdccd66359f0a6bba5f88b4a3776e10dc5a8d4748babcb4fb4c0248ccd079de
6c42442eabbd73e69ff0cc9fb36ffd1bdfc0ff00fc34fe02ff00e5057a5f853c19e0ff0002694342
f03f853c35e0dd0c5ccd78346f0a685a5f8774a17770105c5d0d3b48b5b3b4fb4ce238c4d3f93e6c
a2340ecdb17001d2d145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451400514514005145140051451400514514005145140051451400
5145140051451400514514005145140051457e6a7c76fd8bff006b5f8a5f15fc5de3df86ff00f053
cfda03e01782bc4136952687f08fc1bf09be03788fc35e0f8ec342d2f4abd834bd6bc61e0fd4fc47
7c9ab6a56379afdcb6a57d3bc37baadcdb5b94b386de2400fd2ba2bf1e3fe1ddff00b76ffd2677f6
a7ff00c317fb30ff00f30147fc3bbff6edff00a4cefed4ff00f862ff00661ffe60297c9fe1fe7fd5
9f95dfcd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0
eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061
e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bf
d987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda
9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feac
fcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff00
0eeffdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8a
fc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18b
fd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfd
a9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacf
cae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0ee
ff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8
afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd9
87ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9f
ff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfc
ae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000e
effdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc
78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd
987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9
ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfca
e7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff
00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8af
c78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987
ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff
000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae
7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eef
fdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78
ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd98
7ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff
00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7
cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00
dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc7
8ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff
00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff00
0c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7c
d7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffd
bb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff
008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987f
f980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00
f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd
7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00db
b7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78f
f8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff00
980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c
5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7
e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb
7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff00
8777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff9
80a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0
c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e
3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7
fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8
777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7fe933bfb53ffe18bfd987ff0098
0a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff008777feddbff499dfda9fff000c5f
ecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980a3e4ff000ff3feacfcae7cd7e3
fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5fecc3ffcc051ff000eeffdbb7f
e933bfb53ffe18bfd987ff00980a3e4ff0ff003feacfcae7cd7e3fe5fd59f95ff61e8afc78ff0087
77feddbff499dfda9fff000c5fecc3ff00cc051ff0eeff00dbb7fe933bfb53ff00e18bfd987ff980
a3e4ff000ff3feacfcae7cd7e3fe5fd59f95ff0061e8afc78ff8777feddbff00499dfda9ff00f0c5
fecc3ffcc057e89fece7f0bbe237c1ef85fa6781fe2afc7bf197ed29e31b2d4b58bdbbf8abe3cf0e
f843c2de22d52d351bd7b9b0d32e347f03e99a4787e1b7d16dd96c6d6582c92e27863125d3c9292c
5fcbf2ff003feade823dd28a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a
28a0028a28a00fffd9}}}}}\pard\sb0\sl-240\par\pard\ql \li946\sb0\sl-230\slmult0 \p
ar\pard\ql\li946\sb0\sl-230\slmult0 \par\pard\ql\li946\sb0\sl-230\slmult0 \par\p
ard\ql\li946\sb184\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\
cf7\f8\fs20 Sindrom Lennox-Gastaut\par\pard\sect\sectd\sbknone\cols2\colno1\colw
6196\colsr40\colno2\colw5524\colsr160\ql \li963\sb0\sl-230\slmult0 \par\pard\ql
\li963\sb109\sl-230\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf12\f1
3\fs20 adalah \ul0\nosupersub\cf7\f8\fs20 drop attack \ul0\nosupersub\cf12\f13\f
s20 yang dapat disebabkan oleh bangkitan\par\pard\qj \li963\ri359\sb2\sl-240\slm
ult0 \up0 \expndtw-1\charscalex100 kejang tonik, mioklonik, atau atonik (absans
atonik). Pada \up0 \expndtw-4\charscalex100 Tabel 1 tertera diagnosis banding SL
G.\ul0\super\cf13\f14\fs17 3,4,14,18\par\pard\ql \li963\sb0\sl-230\slmult0 \par\
pard\ql \li963\sb7\sl-230\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosupersub\
cf11\f12\fs20 Tatalaksana\par\pard\ql \li963\sb65\sl-230\slmult0 \up0 \expndtw-3
\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Obat Anti epilepsi (OAE)\par\pard\qj
\li963\ri356\sb60\sl-240\slmult0\fi398 \up0 \expndtw-2\charscalex100 \ul0\nosupe
rsub\cf12\f13\fs20 SLG bukanlah kelainan yang bersifat homogen, maka \line \up0
\expndtw-4\charscalex100 pendekatannya bersifat individual. Efek OAE pada tiap t
ipe \line \up0 \expndtw0\charscalex101 bangkitan kejang tidaklah menentu untuk s
atu gangguan\par\pard\qj \li963\ri357\sb0\sl-240\slmult0 \up0 \expndtw0\charscal
ex100 dengan beberapa tipe bangkitan kejang. \ul0\nosupersub\cf7\f8\fs20 Carba
mazepine \line \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs20 (CBZ)
mungkin dapat mengurangi bangkitan kejang tonik \line \up0 \expndtw-2\charscale
x100 tetapi sebaliknya meningkatkan aktivitas paku ombak dan\par\pard\qj \li963
\ri356\sb0\sl-240\slmult0 \up0 \expndtw-4\charscalex100 bangkitan kejang absans.
\ul0\nosupersub\cf7\f8\fs20 Phenytoin\ul0\nosupersub\cf12\f13\fs20 (PHT) intra
vena sangat \line \up0 \expndtw-1\charscalex100 bermanfaat secara praktis untuk
pengobatan SE. \ul0\nosupersub\cf7\f8\fs20 Ethosux-\line \up0 \expndtw-2\charsca
lex100 imide\ul0\nosupersub\cf12\f13\fs20 (ESM) mampu mengurangi bangkitan keja
ng absans\par\pard\qj \li963\ri359\sb0\sl-240\slmult0 \up0 \expndtw-6\charscalex
100 tetapi pada sisi lain bisa memprovokasi munculnya bangkitan \line \up0 \expn
dtw0\charscalex103 kejang. \ul0\nosupersub\cf7\f8\fs20 Valproic Acid\ul0\nosuper
sub\cf12\f13\fs20 (VPA) memiliki aktivitas sedang \line \up0 \expndtw0\charscal
ex110 terhadap absans atipik dan bangkitan kejang tonik.\par\pard\qj \li963\ri
359\sb0\sl-240\slmult0 \up0 \expndtw-8\charscalex100 Benzodiazepin (BZDs) memil
iki spektrum aktivitas yang luas, \line \up0 \expndtw0\charscalex100 tetapi deng
an mudah kehilangan keampuhannya. Kadang \line \up0 \expndtw-1\charscalex100 ter
jadi kasus SE yang dipicu oleh pemberian BZDs secara\par\pard\qj \li963\ri359\sb
0\sl-240\slmult0 \up0 \expndtw-4\charscalex100 intravena. Toleransi terhadap OAE
mendorong penambahan \up0 \expndtw-2\charscalex100 dosis yang pada gilirannya m
alah meningkatkan terjadinya \up0 \expndtw-3\charscalex100 efek samping.\ul0\sup
er\cf13\f14\fs17 4,17\par\pard\qj \li963\ri356\sb0\sl-240\slmult0\fi398 \up0 \ex
pndtw0\charscalex107 \ul0\nosupersub\cf12\f13\fs20 Steroid mungkin bermanfaat pa
da periode terjadi \line \up0 \expndtw0\charscalex106 perburukan SLG atau saat S
E. Sayangnya pengobatan \line \up0 \expndtw0\charscalex107 dengan cara itu memer
lukan waktu 1-6 minggu untuk\par\pard\qj \li963\ri356\sb0\sl-240\slmult0 \up0 \e
xpndtw-6\charscalex100 memperoleh pengaruh yang diharapkan. Akibat efek samping
\line \up0 \expndtw0\charscalex102 kumulatifnya terhadap tekanan darah, berat ba
dan, serta \line \up0 \expndtw-4\charscalex100 pertumbuhan, maka pemberian stero
id tidak dapat diberikan\par\pard\qj \li963\ri357\sb0\sl-240\slmult0 \up0 \expnd
tw-1\charscalex100 lebih dari beberapa bulan.\ul0\super\cf13\f14\fs17 4,19 \ul0
\nosupersub\cf12\f13\fs20 Pada Tabel 2 disajikan profil \line \up0 \expndtw-6\ch
arscalex100 beberapa OAE non-konvensional yang sudah diujicoba pada\par\pard\ql
\li963\sb9\sl-230\slmult0 \up0 \expndtw-5\charscalex100 SLG:\ul0\super\cf13\f14
\fs17 7,20-22\par\pard\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\sb78\sl230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs20 Tatalaksan
a Diet\par\pard\qj \li963\ri356\sb59\sl-240\slmult0\fi398 \up0 \expndtw0\charsca

lex101 \ul0\nosupersub\cf12\f13\fs20 Diet ketogenik merupakan salah satu alterna
tif tata-\line \up0 \expndtw-2\charscalex100 laksana epilepsi dan telah diperken
alkan sejak tahun 1921.\par\pard\ql \li975\sb0\sl-184\slmult0 \par\pard\ql \li97
sb102\sl-184\slmult0 \up0 \expndtw0\charscalex109 \ul0\nosupersub\cf2\f3\fs16 Ta
bel 2. Obat Antikonvulsi Relatif Baru\par\pard\ql \li975\sb0\sl-184\slmult0 \par
\pard\ql \li975\sb16\sl-184\slmult0\tx3351\tx5165 \up0 \expndtw0\charscalex108 N
ama Obat, Waktu \tab \up0 \expndtw0\charscalex110 Dosis Rumatan \tab \up0 \expnd
tw0\charscalex111 Keuntungan\par\pard\ql \li975\sb8\sl-184\slmult0 \up0 \expndtw
0\charscalex111 Pelabelan oleh FDA\par\pard\column \ql \li6236\sb0\sl-230\slmult
0 \par\pard\ql \li20\sb109\sl-230\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosu
persub\cf12\f13\fs20 Diet terdiri atas lemak sebagai sumber kalori utama dan\par
\pard\ql \li20\sb10\sl-230\slmult0 \up0 \expndtw-3\charscalex100 sisanya karbohi
drat (19%) serta protein (10%).\ul0\super\cf13\f14\fs17 7,23\par\pard\qj \li20\r
i757\sb3\sl-239\slmult0\fi398 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12
\f13\fs20 Livingstone melaporkan bahwa dari 426 anak dengan \line \up0 \expndtw3\charscalex100 epilepsi mioklonik, terdiri dari 341 anak sesudah menerima \line
\up0 \expndtw-2\charscalex100 diet ketogenik, 221 (52%) anak dapat dikontrol ke
jangnya, \line \up0 \expndtw-5\charscalex100 116 (27%) menunjukkan perbaikan nya
ta, sedang sisanya 89 \line \up0 \expndtw-1\charscalex100 (21%) tidak memperliha
tkan respons sama sekali.\ul0\super\cf13\f14\fs17 18\ul0\nosupersub\cf12\f13\fs2
0 Meski \line \up0 \expndtw-4\charscalex100 diet ini dinyatakan bermanfaat bagi
kasus epilepsi seperti di \line \up0 \expndtw-4\charscalex100 atas, namun sejau
h mana pengaruhnya terhadap SLG masih \line \up0 \expndtw-5\charscalex100 belum
jelas.\ul0\super\cf13\f14\fs17 18\par\pard\ql \li6236\sb0\sl-230\slmult0 \par\pa
rd\ql \li20\sb77\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf
6\f7\fs20 Tatalaksana Bedah\par\pard\qj \li20\ri757\sb59\sl-240\slmult0\fi398 \u
p0 \expndtw-2\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Kraniotomi untuk epile
psi pertama kali di era modern \line \up0 \expndtw0\charscalex100 dilakukan oleh
Sir Victor Horsley.\ul0\super\cf13\f14\fs17 5\ul0\nosupersub\cf12\f13\fs20 Sem
asa perang dunia \line \up0 \expndtw-8\charscalex100 Foerster dan Penfield\ul0\s
uper\cf13\f14\fs17 24\ul0\nosupersub\cf12\f13\fs20 melaporkan keberhasilan mere
ka dalam \line \up0 \expndtw-1\charscalex100 menangani 12 pengidap epilepsi de
ngan cara mengeksisi \line \up0 \expndtw-7\charscalex100 bagian otak yang rusak
seperti akibat luka tembak atau trauma \line \up0 \expndtw-1\charscalex100 kelah
iran. Terdapat laporan tentang keberhasilan \ul0\nosupersub\cf7\f8\fs20 anterior
\line \up0 \expndtw-8\charscalex100 callosotomy\ul0\nosupersub\cf12\f13\fs20 u
ntuk mengatasi SLG. Tindakan itu kurang efektif \line \up0 \expndtw-1\charscalex
100 untuk SLG dengan riwayat positif Sindrom West, kecuali \line \up0 \expndtw0\
charscalex103 dilakukan \ul0\nosupersub\cf7\f8\fs20 completion of callosotomy\ul
0\nosupersub\cf12\f13\fs20 , dengan 2/3 kasus \line \up0 \expndtw0\charscalex102
menunjukkan kemajuan seperti berkurangnya bangkitan \line \up0 \expndtw-3\chars
calex100 kejang, perbaikan perilaku, serta kewaspadaan.\ul0\super\cf13\f14\fs17
25\par\pard\ql \li6236\sb0\sl-230\slmult0 \par\pard\ql \li20\sb75\sl-230\slmult0
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf11\f12\fs20 Prognosis\par\pard\
qj \li20\ri757\sb59\sl-240\slmult0\fi398 \up0 \expndtw-1\charscalex100 \ul0\nosu
persub\cf12\f13\fs20 Prognosis SLG tergantung pada banyak faktor. Prog-\line \up
0 \expndtw-4\charscalex100 nosis dinyatakan buruk bila terdapat riwayat Sindrom
West, \line \up0 \expndtw0\charscalex103 awitan penyakit kurang dari 3 tahun, te
rdapat gangguan \line \up0 \expndtw0\charscalex110 kognitif atau defisit neurolo
gis sebelumnya, bersifat \line \up0 \expndtw0\charscalex100 simtomatik, bangkita
n kejang sangat sering, dan terdapat \line \up0 \expndtw-4\charscalex100 SE.\ul0
\super\cf13\f14\fs17 5,18\ul0\nosupersub\cf12\f13\fs20 Dengan tatalaksana konv
ensional, 15-20% penderita \line \up0 \expndtw-1\charscalex100 mengalami penurun
an bangkitan kejang dan pengurangan \line \up0 \expndtw-7\charscalex100 obat, te
tapi fungsi mentalnya tetap kurang baik. Hanya sekitar \line \up0 \expndtw0\char
scalex100 5% penderita mengalami bebas bangkitan kejang dengan \line \up0 \expnd
tw-4\charscalex100 fungsi mental normal.\ul0\super\cf13\f14\fs17 3,5\par\pard\qj
\li20\ri757\sb0\sl-240\slmult0\fi398 \up0 \expndtw-4\charscalex100 \ul0\nosuper
sub\cf12\f13\fs20 Tatalaksana bedah merupakan alternatif tindakan yang \line \up

0 \expndtw0\charscalex100 menjanjikan bagi perbaikan prognosis SLG.7,\ul0\super\
cf13\f14\fs17 6,7\ul0\nosupersub\cf12\f13\fs20 Cakupan\par\pard\ql \li975\sb0\s
l-184\slmult0 \par\pard\ql \li975\sb0\sl-184\slmult0 \par\pard\ql \li975\sb0\sl184\slmult0 \par\pard\ql \li975\sb0\sl-184\slmult0 \par\pard\ql \li975\sb0\sl-18
4\slmult0 \par\pard\ql \li824\sb106\sl-184\slmult0\tx2077 \up0 \expndtw0\charsca
lex110 \ul0\nosupersub\cf2\f3\fs16 Kerugian \tab \up0 \expndtw0\charscalex110 Pe
makaian Klinis yang Mungkin \par\pard\sect\sectd\sbknone \li975\sb0\sl-184\slm
ult0\par\pard\li975\sb16\sl-184\slmult0\fi0\tx3356\tx7040 \up0 \expndtw0\charsca
lex105 \ul0\nosupersub\cf15\f16\fs16 Felbamat (Felbatol), 1993\tab \up0 \expndtw
0\charscalex109 15 - 45 mg per kg/hari
Efektif, non-sedatif\tab \up0 \expndtw
0\charscalex107 Anemia aplastik, Bangkitan refraker\par\pard\sect\sectd\sbknone
\li975\sb8\sl-184\slmult0\fi6064 \up0 \expndtw0\charscalex102 gagal hati\par\par
d\sect\sectd\sbknone \li975\sb8\sl-184\slmult0\fi0\tx3356\tx5171\tx7040\tx8288 \
up0 \expndtw0\charscalex106 Lamotrigin (Lamictal), 1996\tab \up0 \expndtw0\chars
calex104 1- 15 mg/kg/hari\tab \up0 \expndtw0\charscalex102 Berdayaguna, efek,\ta
b \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf9\f10\fs16 Rash\ul0\nosupersub\
cf15\f16\fs16 , kadang\tab \up0 \expndtw0\charscalex104 Bangkitan yang \ul0\nosu
persub\cf9\f10\fs16 Intractable\ul0\nosupersub\cf15\f16\fs16 atau\par\pard\sect
\sectd\sbknone \li975\sb8\sl-184\slmult0\fi4195\tx7040\tx8288 \up0 \expndtw0\cha
rscalex104 samping terkait dosis\tab \up0 \expndtw0\charscalex100 serius, lebih\
tab \up0 \expndtw0\charscalex105 untuk mengganti obat yang tidak\par\pard\sect\s
ectd\sbknone \li975\sb9\sl-184\slmult0\fi4195\tx7040 \up0 \expndtw0\charscalex10
2 dengan insidens yang\tab \up0 \expndtw0\charscalex104 sering bila diper- dapa
t ditolerir efek sampingnya\par\pard\sect\sectd\sbknone \li975\sb7\sl-184\slmult
0\fi4195\tx7040 \up0 \expndtw0\charscalex104 rendah\tab \up0 \expndtw0\charscale
x102 gunakan bersa-\par\pard\sect\sectd\sbknone \li975\sb8\sl-184\slmult0\fi6064
\up0 \expndtw0\charscalex104 ma asam val-\par\pard\sect\sectd\sbknone \li975\sb
8\sl-184\slmult0\fi6064 \up0 \expndtw0\charscalex111 proat\par\pard\sect\sectd\s
bknone \li975\sb8\sl-184\slmult0\fi0\tx3356\tx7040 \up0 \expndtw0\charscalex108
Topiramat (Topamax), 1997\tab \up0 \expndtw0\charscalex108 3 - 9 mg per kg per h
ari Efektif, efek samping\tab \up0 \expndtw0\charscalex106 Hilangan berat
Mo
noterapi atau sebagai tambahan\par\pard\sect\sectd\sbknone\cols2\colno1\colw5010
\colsr160\colno2\colw6590\colsr160\ql \li975\sb0\sl-184\slmult0 \par\pard\ql \li
sb49\sl-184\slmult0 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf9\f10\fs16 FD
A: Food and Drug Administration of United State\par\pard\column \ql \li20\sb9\sl
-184\slmult0\tx3143 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf15\f16\fs16 t
erkait dosis yang rendah badan, batu \tab \up0 \expndtw0\charscalex104 OAE
untuk bangkitan parsial\par\pard\ql \li1890\sb7\sl-184\slmult0 \up0 \expndtw0\ch
arscalex103 ginjal (jarang),\par\pard\ql \li1890\sb8\sl-184\slmult0 \up0 \expndt
w0\charscalex101 gangguan kog-\par\pard\ql \li1890\sb8\sl-184\slmult0 \up0 \expn
dtw0\charscalex100 nitif -perilaku \par\pard\sect\sectd\sbknone \li946\sb0\sl-18
4\slmult0\par\pard\li946\sb0\sl-184\slmult0\par\pard\li946\sb67\sl-184\slmult0\f
i0\tx6742 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf2\f3\fs16 40\tab \up0 \
expndtw0\charscalex108 Maj Kedokt Indon, Volum: 55, Nomor: 1, Januari 2005\par\p
ard\sect\sectd\fs24\paperw11900\paperh16820{\shp
z-10000\shplid5
ffd8ffe000104a46494600010101006000600000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
00110803e702c303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
50014514500145145001451450014514500145145001451450014514500145145001451450014514
500145145001451450014514500145145001451450014514500145145001451450015f9fff00197f
e1e9dff0b2bc4fff000cf7ff000eff00ff00853de6e9bff0867fc2e5ff00868aff008595e47f6369
dfdaff00f093ff00c211ff0014bf9bff00090ff6bff66ff657c9fd8dfd9df6aff4efb4d7e805140d
3b767ebea7e58ffc6ed3feb163ff009b6b47fc6ed3feb163ff009b6b5fa9d452b79bfbfd3fcbf17d
c2fe4beef4ff002fc5f73f2c7fe3769ff58b1ffcdb5a3fe3769ff58b1ffcdb5afd4ea28b79bfbfd3
fcbf17dc2fe4beef4ff2fc5f73f2c7fe3769ff0058b1ff00cdb5a3fe3769ff0058b1ff00cdb5afd4
ea28b79bfbfd3fcbf17dc2fe4beef4ff002fc5f73f2c7fe3769ff58b1ffcdb5a3fe3769ff58b1ffc
db5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff2fc5f73f2c7fe3769ff0058b1ff00cdb5a3fe3769
ff0058b1ff00cdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff002fc5f73f2c7fe3769ff58b1ffc
db5a3fe3769ff58b1ffcdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff2fc5f73f2c7fe3769ff00
58b1ff00cdb5a3fe3769ff0058b1ff00cdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff002fc5f7
3f2c7fe3769ff58b1ffcdb5a3fe3769ff58b1ffcdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff2
fc5f73f2c7fe3769ff0058b1ff00cdb5a3fe3769ff0058b1ff00cdb5afd4ea28b79bfbfd3fcbf17d
c2fe4beef4ff002fc5f73f2c7fe3769ff58b1ffcdb5a3fe3769ff58b1ffcdb5afd4ea28b79bfbfd3
fcbf17dc2fe4beef4ff2fc5f73f2c7fe3769ff0058b1ff00cdb5a3fe3769ff0058b1ff00cdb5afd4
ea28b79bfbfd3fcbf17dc2fe4beef4ff002fc5f73f2c7fe3769ff58b1ffcdb5a3fe3769ff58b1ffc
db5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff2fc5f73f2c7fe3769ff0058b1ff00cdb5a3fe3769
ff0058b1ff00cdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff002fc5f73f2c7fe3769ff58b1ffc
db5a3fe3769ff58b1ffcdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff2fc5f73f2c7fe3769ff00
58b1ff00cdb5a3fe3769ff0058b1ff00cdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff002fc5f7
3f2c7fe3769ff58b1ffcdb5a3fe3769ff58b1ffcdb5afd4ea28b79bfbfd3fcbf17dc2fe4beef4ff2
fc5f73f2c7fe3769ff0058b1ff00cdb5a3fe3769ff0058b1ff00cdb5afd4ea28b79bfbfd3fcbf17d
c2fe4beef4ff002fc5f73cefe137fc2d9ff8575e15ff0085e9ff000aeffe16d7f67c9ff09bff00c2
a6ff008497fe15d7f6a7db2e7caff8457fe130ff008a97fb3fec1f63f33fb5ff00d23ed9f69dbfb9
f2abd128a298828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a
28a0028a28a0028a28a002be4df1dfc75fda0bc33e2ed7341f09fec47f16be2478774cbb5834bf1c
689f163f668d0349f11c06de191efac747f187c61d0bc4d6302cf24b6c22d6348d3eed9a0697eceb
1c9193f5951401f107fc349fed49ff0048ebf8dfff0087c3f643ff00e7ef47fc349fed49ff0048eb
f8dfff0087c3f643ff00e7ef5f6fd14be6ff000ff2feaefcacfe4bf1ff003feaefcadf107fc349fe
d49ff48ebf8dff00f87c3f643ffe7ef47fc349fed49ff48ebf8dff00f87c3f643ffe7ef5f6fd147c
dfe1fe5fd5df958f92fc7fcffabbf2b7c41ff0d27fb527fd23afe37ffe1f0fd90fff009fbd1ff0d2
7fb527fd23afe37ffe1f0fd90fff009fbd7dbf451f37f87f97f577e563e4bf1ff3feaefcadf107fc
349fed49ff0048ebf8dfff0087c3f643ff00e7ef47fc349fed49ff0048ebf8dfff0087c3f643ff00
e7ef5f6fd147cdfe1fe5fd5df958f92fc7fcff00abbf2b7c41ff000d27fb527fd23afe37ff00e1f0
fd90ff00f9fbd1ff000d27fb527fd23afe37ff00e1f0fd90ff00f9fbd7dbf451f37f87f97f577e56
3e4bf1ff003feaefcadf107fc349fed49ff48ebf8dff00f87c3f643ffe7ef47fc349fed49ff48ebf
8dff00f87c3f643ffe7ef5f6fd147cdfe1fe5fd5df958f92fc7fcffabbf2b7c41ff0d27fb527fd23
afe37ffe1f0fd90fff009fbd1ff0d27fb527fd23afe37ffe1f0fd90fff009fbd7dbf451f37f87f97
f577e563e4bf1ff3feaefcadf107fc349fed49ff0048ebf8dfff0087c3f643ff00e7ef47fc349fed
49ff0048ebf8dfff0087c3f643ff00e7ef5f6fd147cdfe1fe5fd5df958f92fc7fcff00abbf2b7c41
ff000d27fb527fd23afe37ff00e1f0fd90ff00f9fbd1ff000d27fb527fd23afe37ff00e1f0fd90ff
00f9fbd7dbf451f37f87f97f577e563e4bf1ff003feaefcadf107fc349fed49ff48ebf8dff00f87c
3f643ffe7ef47fc349fed49ff48ebf8dff00f87c3f643ffe7ef5f6fd147cdfe1fe5fd5df958f92fc
7fcffabbf2b7c41ff0d27fb527fd23afe37ffe1f0fd90fff009fbd1ff0d27fb527fd23afe37ffe1f
0fd90fff009fbd7dbf451f37f87f97f577e563e4bf1ff3feaefcadf107fc349fed49ff0048ebf8df
ff0087c3f643ff00e7ef47fc349fed49ff0048ebf8dfff0087c3f643ff00e7ef5f6fd147cdfe1fe5
fd5df958f92fc7fcff00abbf2b7c41ff000d27fb527fd23afe37ff00e1f0fd90ff00f9fbd1ff000d
27fb527fd23afe37ff00e1f0fd90ff00f9fbd7dbf451f37f87f97f577e563e4bf1ff003feaefcadf
107fc349fed49ff48ebf8dff00f87c3f643ffe7ef47fc349fed49ff48ebf8dff00f87c3f643ffe7e
f5f6fd147cdfe1fe5fd5df958f92fc7fcffabbf2b7c41ff0d27fb527fd23afe37ffe1f0fd90fff00
9fbd1ff0d27fb527fd23afe37ffe1f0fd90fff009fbd7dbf451f37f87f97f577e563e4bf1ff3feae
fcadf107fc349fed49ff0048ebf8dfff0087c3f643ff00e7ef47fc349fed49ff0048ebf8dfff0087
c3f643ff00e7ef5f6fd147cdfe1fe5fd5df958f92fc7fcff00abbf2b7c41ff000d27fb527fd23afe
37ff00e1f0fd90ff00f9fbd1ff000d27fb527fd23afe37ff00e1f0fd90ff00f9fbd7dbf451f37f87
f97f577e563e4bf1ff003feaefcadc5fc3cf11f89bc5be0dd17c43e31f87dae7c2bf126a31de36a7
e01f126b5e11f10eb5e1f7b6d46f2cede3bdd67c09af789fc297bfda1696f6faadbbe93ae5e88ad2
fe082f3ecda84577676fda5145310514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
51400514514005145140051451400514514005145140051451400514514005145140051451400514
5140051451400514514005145140051451400514514005145140051451400514514005145140057c
9be3bfdb6ff67df86de2ed73c0fe2bd43e2cc5e22f0eddad96ab1e85fb34fed2de32d212e1ede1b9
5163e27f06fc23d7fc31ac45e4cf19373a3eb17f6cb21785a613452c69f5951401f107fc3c4bf65b
ff00a0a7c6ff00fc443fdaf3ff009c5d1ff0f12fd96ffe829f1bff00f110ff006bcffe7175f6fd14
b5f2fbbfe0faff004b57a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bcff
00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79fdf
ff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7
c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12fd
96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7d
bf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bc
ff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79f
dfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0
a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12
fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d
7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6
bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a7
9fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00
a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f
12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c
5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110f
f6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9
a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff
00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff00
0f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff00
9c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff0011
0ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5
a9a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65b
ff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff
000f12fd96ff00e829f1bfff00110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff
009c5d7dbf451af97ddff07d7fa5a9a79fdfff0003d7fa5afc41ff000f12fd96ff00e829f1bfff00
110ff6bcff00e71747fc3c4bf65bff00a0a7c6ff00fc443fdaf3ff009c5d7dbf451af97ddff07d7f
a5a9a79fdfff0003d7fa5af17f0f3e207867e29783b46f1e783a5d6a6f0debf1ddc9a64be21f09f8
b3c0fac3a595fdd69b71f6cf0bf8e344f0e78a74a65bbb3b8589355d1ac9ee2158eeedd65b49e09e
5ed28a298828a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a
0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a2be19f8f9a57fc14b6e
fe215ccdfb2ef8f3f619f0ff00c293a5698b69a77c7cf84bf1f7c61f10975b589c6b32dceb5f0f3e
35781bc3726952cde59d32de2d063bbb7883adddd5cb956001f73515f961fd81ff0005b6ff00a2af
ff0004b0ff00c47cfdad7ffa26a8fec0ff0082db7fd157ff0082587fe23e7ed6bffd1354be4ff0ff
003feacfcaefe6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa
3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa
9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f
9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c1
2c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e5
73e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6
dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f
607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff00
44d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f
6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2
feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00
e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbf
e8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f8
7f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa
3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa
9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f
9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c1
2c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e5
73e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6
dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f
607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff00
44d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f
6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2
feacfcaffa9f457e587f607fc16dbfe8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00
e0961ff88f9fb5afff0044d51f27f87f9ff567e573e6bf1ff2feacfcaffa9f457e587f607fc16dbf
e8abff00c12c3ff11f3f6b5ffe89aa3fb03fe0b6dff455ff00e0961ff88f9fb5afff0044d51f27f8
7f9ff567e573e6bf1ff2feacfcaffa9f4579dfc2687e2cdbfc3af0ac3f1d352f877abfc5a8f4f75f
1bea5f09b44f12f873e1d5deabf6cb931c9e15d13c61aff8a7c4ba7e9e2c0d9a3c3abf88353b9378
b732aceb0c91451fa253105145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514514005145140051451400514514005145140051451400514514005145140051
45140051451400514578c7c6bf8cfa77c1dd1342687c3dac78f7c7fe3bf10dbf833e16fc2ff0c4fa
641e26f883e2fb9b3bbd4e5b1b2b9d66f2c349d1f43f0f683a6eafe2ef1af8a356bb874cf0b783f4
2d67589c5ddcc167a66a001ecf457c41ff000887fc1447c51ff13cb9f8edfb27fc1d925ff4ad3fe1
d68ffb387c4df8e169a33bfef0699e29f8a1ab7ed1bf062efc7d6d032c303de786be19fc21b89a23
7ec8524bbb19b49e93c11f1a3e2e781fc73e17f849fb537873c0da76afe3bbabdd27e177c6ff0085
536af65f09fe25f89ac2c27d626f036b1e0df16dfeade2cf83ff0012af745b2d6358f0df852f3c55
f12fc31e2ad1bc39acdc695f120788a31e0f880febfafebbf43ebba28a2800a28a2800a28a2800a2
8a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800af
883e24ff00c483f6fcfd983c53e27fddf857c47fb3dfed3bf097c0baadcfeeb4cd3be2feb9e30fd9
e7e219f0bb4b262197c4de3ef86df0cbc5fac786a3c9ba8f47f85be3786dd91350b88aebedfae0be
267c31f047c60f066a9e01f885a336b7e19d565d36ee482df53d5f42d574ed5743d4ecf5cf0ff883
c3be24f0f5fe95e24f0b78a3c37aee9fa7ebbe1af14786f56d2bc43e1dd6f4fb1d5f45d4ac751b4b
7b98c03bdaf883f6fcff0089b7c1cf02f80f46fdff00c48f1ffed33fb2a58fc2ab0b7fde6a63c5de
0cfda1fe1bfc52d47c5567689fe9175a6fc31f04780fc5bf14fc5d1c063ff8a2bc17e2212cd144ec
49ff000cfdfb5b7873fe24ff000fff006e6d4a6f08affa3da47f19fe007813e2a78fb46d357e4b7b
4d33c7de1bf117c278b54bbb3b7768a1d6bc7de17f1d6b1792416377af5e6b576baa4dabfa6fc25f
d9bf4ff0078a66f8a1e3cf887e3cf8edf1aeef46bcf0e1f89df122eb48b71e1cf0d6a575a7df6a5e
15f86df0ff00c21a5f873e1c7c34f0fea577a46912eb8fe16f0c5b78a7c64744d025f885e2af18de
681a3ddd900b469f63e92a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28
a2800a28a2800a28a2800a28a2800a28a2803fffd9}}}}}\pard\sb0\sl-240\par\pard\ql \li8
941\sb0\sl-230\slmult0 \par\pard\ql\li8941\sb0\sl-230\slmult0 \par\pard\ql\li894
1\sb0\sl-230\slmult0 \par\pard\ql\li8941\sb184\sl-230\slmult0 \up0 \expndtw-1\ch
arscalex100 \ul0\nosupersub\cf7\f8\fs20 Sindrom Lennox-Gastaut\par\pard\sect\sec

td\sbknone\cols2\colno1\colw6076\colsr160\colno2\colw5524\colsr160\ql \li963\sb0
\sl-230\slmult0 \par\pard\ql \li963\sb109\sl-230\slmult0 \up0 \expndtw0\charscal
ex103 \ul0\nosupersub\cf12\f13\fs20 keberhasilan tindakan ini atas \ul0\nosupers
ub\cf7\f8\fs20 intractable epilepsy\ul0\nosupersub\cf12\f13\fs20 yang\par\pard\
qj \li963\ri357\sb3\sl-239\slmult0 \up0 \expndtw0\charscalex107 ditunjukkan oleh
adanya perbaikan bangkitan kejang, \up0 \expndtw-4\charscalex100 perilaku dan a
daptasi social, dan dilukiskan oleh Vries \ul0\nosupersub\cf7\f8\fs20 et al\ul0\
super\cf13\f14\fs17 5 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf12\f13\fs20
berdasarkan laporan dari beberapa klinik dan ahli bedah \up0 \expndtw-5\charsca
lex100 seperti Tabel 3.\par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li96
3\sb0\sl-184\slmult0 \par\pard\ql \li963\sb32\sl-184\slmult0 \up0 \expndtw0\char
scalex107 \ul0\nosupersub\cf2\f3\fs16 Tabel 3. Operasi pada Penderita Epilepsi
Anak-Anak\par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb16\sl-184
\slmult0\tx2388\tx3586\tx4679 \up0 \expndtw0\charscalex118 Series \tab \up0 \exp
ndtw0\charscalex104 Kasus Total \tab \up0 \expndtw0\charscalex102 Jumlah \tab \u
p0 \expndtw0\charscalex101 Keberhasilan\par\pard\ql \li3581\sb8\sl-184\slmult0\t
x4997 \up0 \expndtw-1\charscalex100 Kontrol \tab \up0 \expndtw-2\charscalex100 (
%)\par\pard\ql \li963\sb0\sl-184\slmult0 \par\pard\ql \li963\sb16\sl-184\slmult0
\tx2660\tx3795\tx5060 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs16
Falconer \tab \up0 \expndtw0\charscalex110 40 \tab \up0 \expndtw0\charscalex110
31 \tab \up0 \expndtw-2\charscalex100 77\par\pard\ql \li963\sb8\sl-184\slmult0\
tx2660\tx3795\tx5060 \up0 \expndtw0\charscalex100 Rasmusen \tab \up0 \expndtw0\c
harscalex110 72 \tab \up0 \expndtw0\charscalex110 53 \tab \up0 \expndtw-2\charsc
alex100 73\par\pard\ql \li963\sb8\sl-184\slmult0\tx2660\tx3795\tx5060 \up0 \expn
dtw0\charscalex101 Vaernet \tab \up0 \expndtw0\charscalex110 33 \tab \up0 \expnd
tw0\charscalex110 27 \tab \up0 \expndtw-2\charscalex100 82\par\pard\ql \li963\sb
8\sl-184\slmult0\tx2660\tx3795\tx5060 \up0 \expndtw0\charscalex101 Green \tab \u
p0 \expndtw0\charscalex110 32 \tab \up0 \expndtw0\charscalex110 26 \tab \up0 \ex
pndtw-2\charscalex100 81\par\pard\ql \li963\sb8\sl-184\slmult0\tx2660\tx3795\tx5
060 \up0 \expndtw0\charscalex103 Mayo Clinic \tab \up0 \expndtw0\charscalex110 5
0 \tab \up0 \expndtw0\charscalex110 39 \tab \up0 \expndtw-2\charscalex100 78\par
\pard\ql \li963\sb8\sl-184\slmult0\tx2660\tx3795\tx5060 \up0 \expndtw0\charscale
x111 Toronto \tab \up0 \expndtw0\charscalex110 41 \tab \up0 \expndtw0\charscalex
110 30 \tab \up0 \expndtw-2\charscalex100 75\par\pard\ql \li963\sb0\sl-184\slmul
t0 \par\pard\ql \li963\sb16\sl-184\slmult0\tx2598\tx3736\tx5060 \up0 \expndtw0\c
harscalex100 \ul0\nosupersub\cf2\f3\fs16 Total \tab \up0 \expndtw-2\charscalex10
0 268 \tab \up0 \expndtw-2\charscalex100 206 \tab \up0 \expndtw-2\charscalex100
77\par\pard\ql \li963\sb0\sl-230\slmult0 \par\pard\ql \li963\sb0\sl-230\slmult0
\par\pard\ql \li963\sb117\sl-230\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosu
persub\cf11\f12\fs20 Penutup\par\pard\qj \li963\ri356\sb60\sl-240\slmult0\fi398
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf12\f13\fs20 Sindrom Lennox-Gasta
ut merupakan epilepsi berat yang \line \up0 \expndtw-1\charscalex100 sangat suka
r diatasi dengan OAE dan merupakan sindrom \line \up0 \expndtw-4\charscalex100 y
ang terkait erat dengan umur, terdiri atas bangkitan kejang \line \up0 \expndtw0
\charscalex105 tonik, absans atipik, dan status epileptikus yang sangat \line \u
p0 \expndtw-8\charscalex100 sering, paku ombak lambat, serta paku majemuk 10-Hz
dalam \line \up0 \expndtw0\charscalex102 gelombang lambat tidur. SLG disebabkan
oleh berbagai \line \up0 \expndtw-7\charscalex100 macam bentuk lesi otak atau s
ebagai kesinambungan Sindrom \line \up0 \expndtw-2\charscalex100 West serta sang
at sulit dibedakan dengan sindrom epilepsi \line \up0 \expndtw-5\charscalex100 b
erat lainnya, terutama epilepsi umum sekunder dan epilepsi \line \up0 \expndtw-6
\charscalex100 genetis seperti mioklonik astatik. Pada SLG dapat ditemukan \line
\up0 \expndtw-2\charscalex100 gangguan mental tanpa tendensi sembuh spontan. Si
ndrom \line \up0 \expndtw-5\charscalex100 ini tidak banyak, namun demikian tetap
diperlukan perhatian \line \up0 \expndtw-1\charscalex100 secara lebih seksama.
Meskipun tindakan bedah memberi \line \up0 \expndtw0\charscalex113 harapan , unt
uk kasus yang tidak memenuhi syarat \line \up0 \expndtw0\charscalex103 pembedaha
n diperlukan upaya penemuan OAE spesifik \line \up0 \expndtw-2\charscalex100 unt
uk peningkatan kualitas hidup penderitanya.\par\pard\ql \li963\sb0\sl-230\slmult
0 \par\pard\ql \li963\sb77\sl-230\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nos

upersub\cf11\f12\fs20 Daftar Pustaka\par\pard\ql \li963\sb71\sl-184\slmult0 \up0
\expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\fs16 1.
Hauser W.A. The pre
valence and incidence of convulsive disor-\par\pard\ql \li1304\sb8\sl-184\slmult
0 \up0 \expndtw0\charscalex103 ders in children. Epilepsia 1994;35[Suppl]:S1-6.\
par\pard\ql \li963\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex108 2.
Holmes
GL. New directions in medical treatment of epilepsy.\par\pard\ql \li1304\sb9\sl184\slmult0 \up0 \expndtw0\charscalex105 American Academy of Neurology 1996;144:
13-42.\par\pard\ql \li963\sb7\sl-184\slmult0 \up0 \expndtw0\charscalex103 3.
Beaumanoir. The Lennox - Gastaut Syndrome : a personal study.\par\pard\qj \li963
\ri359\sb2\sl-192\slmult0\fi340 \up0 \expndtw0\charscalex105 Electroencephalogr
Clin Neurophysiol 1982;35 [Suppl]:85-99. \line \up0 \expndtw0\charscalex104 4.
Dulac O, N\u8217?Guyen T. The Lennox-Gastaut Syndrome. Epilepsia\par\pard\ql \
li1304\sb7\sl-184\slmult0 \up0 \expndtw0\charscalex105 1993:34[suppl 7]:S7-17.\p
ar\pard\ql \li963\sb9\sl-184\slmult0 \up0 \expndtw0\charscalex102 5.
Vries JK
, Crumrine PK, Dasheiff RM. Epilepsy Surgery in Child-\par\pard\ql \li1304\sb7\s
l-184\slmult0 \up0 \expndtw0\charscalex101 hood. Dalam : McLaurin RL, Schut L, V
enes JL, Epstein F. Pedi-\par\pard\ql \li1304\sb8\sl-184\slmult0 \up0 \expndtw-1
\charscalex100 atric Neurosurgery, 2\ul0\super\cf16\f17\fs14 nd\ul0\nosupersub\c
f15\f16\fs16 ed. Philadelphia: WB Saunders;1989.p.535-\par\pard\ql \li1304\sb8\
sl-184\slmult0 \up0 \expndtw0\charscalex110 46.\par\pard\ql \li946\sb0\sl-184\sl
mult0 \par\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb0\sl-184\slmu
lt0 \par\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb0\sl-184\slmult
0 \par\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb0\sl-184\slmult0
\par\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb0\sl-184\slmult0 \p
ar\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb0\sl-184\slmult0 \par
\pard\ql \li946\sb0\sl-184\slmult0 \par\pard\ql \li946\sb112\sl-184\slmult0 \up0
\expndtw0\charscalex108 \ul0\nosupersub\cf2\f3\fs16 Maj Kedokt Indon, Volum: 55
, Nomor: 1, Januari 2005\par\pard\column \ql \li6236\sb0\sl-184\slmult0 \par\par
d\ql \li20\sb162\sl-184\slmult0\tx428 \up0 \expndtw0\charscalex109 \ul0\nosupers
ub\cf15\f16\fs16 6. \tab \up0 \expndtw0\charscalex105 Smith KA, Detwiler PW, Por
ter RW. Surgical treatment of In-\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \ex
pndtw0\charscalex101 tractable Epilepsy. Barrow Neurological Institute 1999; 15(
1):27-\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex110 35.\pa
r\pard\ql \li20\sb8\sl-184\slmult0\tx366 \up0 \expndtw0\charscalex109 7. \tab \u
p0 \expndtw0\charscalex102 Benbadis SR. Tatum WO. Advances in the treatment of e
pilepsy.\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex107 Am F
am Physician 2001;64(1):91-8.\par\pard\ql \li20\sb8\sl-184\slmult0\tx366 \up0 \e
xpndtw0\charscalex109 8. \tab \up0 \expndtw0\charscalex107 Lennox WG, Davis JP.
Clinical correlates of the fast and slow\par\pard\qj \li20\ri759\sb3\sl-191\slmu
lt0\fi340\tx363 \up0 \expndtw0\charscalex105 spike wave electroencephalogram. Pe
diatrics 1950:5:636-44. \line \up0 \expndtw0\charscalex109 9. \tab \up0 \expndtw
0\charscalex105 Gibbs FA. Petit mal variant revisited. Epilepsia 1971;12:89-96.\
par\pard\ql \li20\sb7\sl-184\slmult0 \up0 \expndtw0\charscalex110 10. \up0 \expn
dtw0\charscalex105 Gastaut H, Roger J, Soulayrol R. Childhood epileptic encepha\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex101 lopathy with
diffuse slow spike maves (otherwise known as \u8216?petit\par\pard\qj \li20\ri7
58\sb2\sl-192\slmult0\fi340 \up0 \expndtw0\charscalex106 mal variant\u8217?) or
Lennox Syndrome. Epilepsia 1966;7:139-79. \up0 \expndtw0\charscalex110 11. \up0
\expndtw0\charscalex108 Commission on classification and terminology of the Inte
rna-\par\pard\ql \li361\sb7\sl-184\slmult0 \up0 \expndtw0\charscalex104 tional L
eague Againts Epilepsy. Proposal for revised classifica-\par\pard\ql \li361\sb8\
sl-184\slmult0 \up0 \expndtw0\charscalex108 tion of HL-A antigens and haplotypes
in patients and first-de-\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\
charscalex106 gree relatives. Epilepsia 1975;17:325-36.\par\pard\ql \li20\sb8\sl
-184\slmult0 \up0 \expndtw0\charscalex110 12. \up0 \expndtw0\charscalex103 Smera
ldi E., Smeraldi RS, Cazzullo CL, Cazzullo AG, Fabio G,\par\pard\ql \li361\sb8\s
l-184\slmult0 \up0 \expndtw0\charscalex105 Canges R. Immunogenetics of the Lenno
x-Gastaut Syndrome :\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charsc
alex102 Frequency of HL-A antigens and haplotypes in patients and first-\par\par
d\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex105 degree relatives. Ep

ilepsia 1975:16:699-703.\par\pard\ql \li20\sb8\sl-184\slmult0 \up0 \expndtw0\cha
rscalex110 13. \up0 \expndtw0\charscalex106 Gastaut H, Gastaut Jl. Computerized
transverse axial tomogra-\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\c
harscalex106 phy in epilepsy. Epilepsia 1976;17:325-36.\par\pard\ql \li20\sb8\sl
-184\slmult0 \up0 \expndtw0\charscalex110 14. \up0 \expndtw0\charscalex100 Yaqub
BA. Electroclinical seizures in Lennox-Gastaut Syndrome.\par\pard\ql \li361\sb8
\sl-184\slmult0 \up0 \expndtw0\charscalex106 Epilepsia 1993;34:120-7.\par\pard\q
l \li20\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex110 15. \up0 \expndtw-3\char
scalex100 Velasco AL, Boleaga B, Santos N, Velasco F, Velasco M. Electroen-\par\
pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex106 cephalographic an
d magnetic resonance correlation in children\par\pard\ql \li361\sb8\sl-184\slmul
t0 \up0 \expndtw0\charscalex106 with intractable seizure of Lennox Gastaut Syndr
ome and Epi-\par\pard\ql \li20\ri760\sb3\sl-191\slmult0\fi340 \up0 \expndtw0\cha
rscalex106 lepsy Partialis Continuea. Epilepsia 1993;34:262-70. \up0 \expndtw0\c
harscalex110 16. \up0 \expndtw0\charscalex107 Chugani HT, Mazziotta JC, Engel J,
Phelps ME. The Lennox-\par\pard\ql \li361\sb7\sl-184\slmult0 \up0 \expndtw0\cha
rscalex102 Gastaut Syndrome: metabolik subtypes determinide by 2-Deoxy-\par\pard
\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex103 2 [18F] Flyoro D-Gluc
ose Positron Emission Tomography. Ann\par\pard\ql \li361\sb8\sl-184\slmult0 \up0
\expndtw0\charscalex106 Neurol 1987:21:4-13.\par\pard\ql \li20\sb8\sl-184\slmul
t0 \up0 \expndtw0\charscalex110 17. \up0 \expndtw0\charscalex102 Tassinari CA, G
astaut H, Drave C, Roger JA. Paradoxical effect:\par\pard\ql \li361\sb8\sl-184\s
lmult0 \up0 \expndtw0\charscalex112 status epilepticus induced by benzodiazepine
s (valium and\par\pard\qj \li20\ri757\sb2\sl-192\slmult0\fi340 \up0 \expndtw0\c
harscalex104 mogadon). Electroencephalogr Clin Neurophysiol 1971;31:182. \up0 \e
xpndtw0\charscalex110 18. \up0 \expndtw0\charscalex104 Livingstone S. Diagnosis
and treatment of childhood myoclonic\par\pard\ql \li361\sb7\sl-184\slmult0 \up0
\expndtw0\charscalex105 seizures. Pediatrics 1974;53:542-8.\par\pard\ql \li20\sb
8\sl-184\slmult0 \up0 \expndtw0\charscalex110 19. \up0 \expndtw0\charscalex109 Y
amatogi Y, Ohtsuka Y, Ishida T. Treatment of the Lennox-\par\pard\ql \li361\sb8\
sl-184\slmult0 \up0 \expndtw0\charscalex106 Gastaut syndrome with ACTH. A clinic
al and electroencepha-\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\char
scalex105 lographic study. Brain Dev 1979;1:267-76.\par\pard\ql \li20\sb8\sl-184
\slmult0 \up0 \expndtw0\charscalex110 20. \up0 \expndtw0\charscalex102 Oller LFV
, Russi A, Oller D. Lamotrigine in the Lennox-Gastaut\par\pard\ql \li361\sb8\sl184\slmult0 \up0 \expndtw0\charscalex104 Syndrome. Epilepsia 1991;32 [Suppl.1]:5
8.\par\pard\ql \li20\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex110 21. \up0 \e
xpndtw0\charscalex103 Felbamated study group in Lennox-Gastaut Syndrome. Efficac
y\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex108 of felbamat
e in childhood epileptic encephalopathy (Lennox-\par\pard\ql \li20\ri760\sb2\sl192\slmult0\fi340 \up0 \expndtw0\charscalex105 Gastaut Syndrome) N Eng J Med 199
3.p.328-9-333. \up0 \expndtw0\charscalex110 22. \up0 \expndtw0\charscalex102 Sac
hdeo RC, Glauser TA, Ritter F, Reife R, Lim P, Pledger G. A\par\pard\ql \li361\s
b7\sl-184\slmult0 \up0 \expndtw0\charscalex104 double-blind, randomized trial of
topiramate in Lennox-Gastaut\par\pard\ql \li361\sb8\sl-184\slmult0 \up0 \expndt
w0\charscalex106 Syndrome. Neurol 1999;52(9):882-7.\par\pard\ql \li20\sb8\sl-184
\slmult0 \up0 \expndtw0\charscalex110 23. \up0 \expndtw0\charscalex108 Stephenso
n JBP. Ketogenic diet in the treatment of childhood\par\pard\ql \li20\ri760\sb3\
sl-191\slmult0\fi340 \up0 \expndtw0\charscalex104 epilepsy. Dev Med Child Neurol
1977;19:833-4. \line \up0 \expndtw0\charscalex110 24. \up0 \expndtw0\charscalex
102 Foester O, Penfield W. The structural basis of traumatic epilepsy\par\pard\q
l \li20\ri758\sb1\sl-191\slmult0\fi340 \up0 \expndtw0\charscalex106 and results
of radical operation. Brain 1930;53:99-118. \up0 \expndtw0\charscalex110 25. \up
0 \expndtw0\charscalex111 Pinard JM, Dellande O, Plovin P. Results of callosotom
y in\par\pard\ql \li361\sb7\sl-184\slmult0 \up0 \expndtw0\charscalex101 children
according to etiology and epileptic syndromes. Epilepsia\par\pard\ql \li361\sb8
\sl-184\slmult0 \up0 \expndtw0\charscalex106 1992;333[Suppl 3]:27.\par\pard\ql \
li10335\sb0\sl-230\slmult0 \par\pard\ql \li10335\sb0\sl-230\slmult0 \par\pard\ql
\li4119\sb117\sl-230\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf7\f
8\fs20 SS\par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li10762\sb0\sl-1

84\slmult0 \par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li10762\sb0\sl
-184\slmult0 \par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li10762\sb0\
sl-184\slmult0 \par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li10762\sb
0\sl-184\slmult0 \par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li10762\
sb0\sl-184\slmult0 \par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li1076
762\sb0\sl-184\slmult0 \par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li
4546\sb75\sl-184\slmult0 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf2\f3\fs1
6 41 \par\pard\sect\sectd\fs24}

Sindrom Lennox

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Sindrom Lennox

Uploaded by

Copyright:

Available Formats

{\rtf1{\fonttbl

{\f2 Times New Roman Bold Italic;}

persub\cf7\f8\fs20 : SLG, EEG, obat antiepilepsi, diet ketogenik, terapi bedah \

aki-laki terhadap perempuan adalah 20:14.\ul0\super\cf13\f14\fs17 1\par\pard\ql

ar\pard\ql \li20\sb9\sl-230\slmult0 \up0 \expndtw-4\charscalex100 4. Normal.\pa

Yaqub\ul0\super\cf13\f14\fs17 14\ul0\nosupersub\cf12\f13\fs20 pada pengamatanny

ng dan \up0 \expndtw0\charscalex100 kemundurannya mengikuti SE serta menjadi san

li1721\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf15\f16\

spikes\par\pard\ql \li3423\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex109 \ul0\

a Diet\par\pard\qj \li963\ri356\sb59\sl-240\slmult0\fi398 \up0 \expndtw0\charsca

sub\cf12\f13\fs20 Tatalaksana bedah merupakan alternatif tindakan yang \line \up

arscalex100 \ul0\nosupersub\cf7\f8\fs20 Sindrom Lennox-Gastaut\par\pard\sect\sec

0 \par\pard\ql \li963\sb77\sl-230\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nos

d\ql \li361\sb8\sl-184\slmult0 \up0 \expndtw0\charscalex105 degree relatives. Ep

8\fs20 SS\par\pard\ql \li10762\sb0\sl-184\slmult0 \par\pard\ql \li10762\sb0\sl-1

You might also like