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Khairunnisa
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Journal : Asian Australasian Neuro and Health Science Journal (AANHS-J)

 1 
PHENYTOIN AS A PROPHYLAXIS OF POST-TRAUMATIC SEIZURES IN HEAD TRAUMA PATIENTS AT JAKARTA ISLAMIC HOSPITAL CEMPAKA PUTIH IN 2020-2022 Tegar Maulana; Dekka Andra; khairunnisa; Zainy Hamzah
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 2 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i2.12507

Abstract

Introduction: Post-traumatic seizures can occur as a complication of head injury, whether it is immediately after the head injury to months or years after. Phenytoin is an anti-epileptic drug that has been used widely as a prophylaxis for posttraumatic seizures. Method: The study was conducted retrospectively using medical records of head trauma patients in hospitals in 2020-2022 on 54 samples treated up to seven days post-trauma. Samples were obtained which were then analyzed by medical records, looking at the patient's identity, patient diagnosis, seizure symptoms, and history of anti-seizure drugs. Result: Patients given phenytoin prophylaxis [22 (40.7%)] who did not have seizures [18 (33.3%)] were more than patients who had seizures [4 (7.4%)]. Similar results occurred in patients without phenytoin prophylaxis [32 (59.3%)], more patients with no seizures [30 (55.6%)] than those with seizures [2 (3.7%)]. Conclusion: The usage of phenytoin is still not routinely given to post-traumatic head patients at RSIJ Cempaka Putih. The administration is carried out on a case-by-case basis assessment must be carried out in determining the use of phenytoin as a seizure prophylactic so that the benefits outweigh the side effects. For further research, it is recommended to conduct an EEG examination on head trauma patients to determine the diagnosis of post-traumatic seizures/epilepsy and conduct further seizure evaluation. Keywords: Post-trauma seizure; Phenytoin; Prophylaxis; Head Trauma; Jakarta Islamic Cempaka Putih Hospital
Co-Authors . Marianne Abdullah, Khabib Adnan Ahmad Taufik Al Afkari Siahaan Ainun Nuraida Al Um Aniswatun Khasanah Alifah Asri Elina Aminah Dalimunthe Anisa Khairani Anisa Nanta Pratiwi Anita Fardilla Rahim Antonio Marro Sipayung Ardina Khorunnisa arnida sari Azmi Oktari Harahap budi Arianto Bunga Kesuma Chandra Novita Meiliani Dea Ahunayah Dekka Andra Dessy Elvyana Dhea Rizky Fitri Saragi Dita Utami, Andini Endang Dwi Wulansari Fabio Meydina Eka Fera Damayanti Fitriani Manurung Gufran Hafizha Wiranti Hafnes Wahyuni Hafnes Wahyuni Hani Octarina Hari Ronaldo Tanjung Hutauruk, Dumartina Iksan Iksan Imma Nuriya Ipak Sinantin Irfan Hadi Isnaini Alya Amanda Julia Syahriani Hasibuan Khairina Habib Rangkuti Lisda Rimayani M. Dzaky Labib M.Nur Yogi Paspaye Maimuna Harahap Mega Shafira Melisa Witanto Moh. Fatah Yasin Muhammad Fadil Azhari Muhammad Luthfi Hamzah Munazar Munir Muthia Kamila Mutia Rizki Ananda Mutiya Nanda Nabilah Nazhira Azmi Nia Anggraini Nur Adilla Nur Ulina Warnisyah Sebayang Nur Ulina Warnisyah Sebayang Nurul Romadhona Permata, Yade Metri Pitri Aulina Usman Lubis Putri Amanda Fadilla Putri Miratil Hayati Efri Reka Purnama Sari Rizki Andriani Rizky Wardiyah Rumanda Nurhasanah Rusma Noortyani Sari, Syilvi Rinda sarmi Ningsih Satriyadi Sawitania C. Dwi U Situmorang Siti Sundari Syabrina Hayati Siregar Tegar Maulana Tita Artila Urip Harahap Wilda WIRYANTO Wiwit Aditama Yazid Hulaini Habbani Nasution Yesa Dwi Khairani Zainy Hamzah zulfikar zulfikar