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All Journal Jurnal Sinaps Majalah Kedokteran Neurosains Cermin Dunia Kedokteran Magna Neurologica Neurona
Riwanti Estiasari
Departemen Neurologi Fakultas Kedokteran Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo Jakarta
Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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LESI OTAK FOKAL DENGAN PCR EBV CAIRAN SEREBROSPINAL POSITIF PADA PASIEN AIDS DI RS CIPTO MANGUNKUSUMO Norma Mediciani*, Andini Aswar*, Riwanti Estiasari**, Nurul Komari**, Darma Imran**
NEURONA Vol 29 No. 2 Januari 2012
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

BACKGROUND FOCAL BRAIN LESIONS IN AIDS MAY BE CAUSED BY OPPORTUNISTIC INFECTIONS CEREBROVASCULAR DISEASE AND MALIGNANCY IN ADDITION TO TOXOPLASMA ENCEPHALITIS TE AND TUBERCULOMAS PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA PCNSL IS ONE OF THE ETIOLOGY OF FOCAL BRAIN LESIONS IN AIDS POSITIVE EXAMINATION OF POLYMERASE CHAIN REACTION PCR EPSTEIN BARR VIRUS IN CEREBROSPINAL FLUID FROM SOME STUDIES HAVE HIGH SPECIFICITY AND SENSITIVITY ALTHOUGH THE DEFINITE DIAGNOSIS PCNSL IS THROUGH BIOPSY
KETEBALAN KOMPLEKS INTIMAMEDIA KAROTIS MENGGUNAKAN ULTRASONOGRAFI PADA PASIEN HIV DENGAN INFEKSI OPORTUNISTIK INTRAKRANIAL Mohammad Arief Rachman*, Salim Harris*, Riwanti Estiasari*, Joedo Prihartono**
NEURONA Vol 32 No. 3 Juni 2015
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION HUMAN IMMUNODEFICIENCY VIRUS HIVINFECTION IS A CHRONIC INFLAMMATORY PROCESS THAT CAUSES ENDOTHELIAL INJURY LEADING TO THICKENING OF THE INTIMA MEDIA COMPLEX CONSEQUENTLY HIV PATIENTS WITH INTRACRANIAL OPPORTUNISTIC INFECTIONS HAVE HIGHER RISKS TO MANIFEST VASCULAR DISTURBANCE ESPECIALLY WITHIN THE CAROTID VESSELS THEREFORE EARLY DETECTION USING CAROTID VESSEL EXAMINATION IS FUNDAMENTAL TO DETERMINE THE NEED FOR PREVENTIVE ACTION AGAINST CEREBROVASCULAR INCIDENTS
NEURITIS OPTIK PADA SINDROM SJGREN Winda Kusumadewi,* Darma Imran,* Riwanti Estiasari*
NEURONA Vol 33 No 2 Maret 2016
Publisher : Neurona Majalah Kedokteran Neuro Sains

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NEURITIS IS KNOWN AS A NEUROLOGIC MANIFESTATION OF SYSTEMIC AUTOIMMUNE DISEASES PARTICULARLY IN SJGRENS SYNDROME COEXISTING SJGRENS SYNDROME HAS BEEN REPORTED IN 2 TO 30 OF PATIENTS WITH NEUROMYELITIS OPTICAOPTIC NEURITIS HAS BEEN ASSOCIATED WITH SJGRENS SYNDROME
MULTIPEL SKLEROSIS TUMEFAKTIF Dwi Astiny,* Reza Aditya Arpandy,* Riwanti Estiasari*
NEURONA Vol. 33 No. 3 Juni 2016
Publisher : Neurona Majalah Kedokteran Neuro Sains

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MULTIPLE SCLEROSIS MS IS A RARE VARIANT OF MS IT REFERS TO DEMYELINATING BRAIN LESIONS MORE THAN 2CM IN WHITE MATTER REGION WITH MASSLIKE EFFECT OR VASOGENIC EDEMA AND POSTGADOLINIUM MAGNETIC RESONANCE IMAGING MRI TYPICALLY SHOWING AN INCOMPLETE RING ENHANCEMENT MRI OFFERS BY FAR THE MOST SENSITIVE TECHNIQUE FOR DETECTING MS LESION AND HAS PROVED TO BE AN IMPORTANT PARACLINICAL TOOL FOR DIAGNOSING MS
TERAPI FINGOLIMOD PADA MULTIPEL SKLEROSIS BENTUK HIGHLY ACTIVE Riwanti Estiasari,* Sari Nurul Hanifa,* Reyhan Eddy,** Birry Karim***
NEURONA Vol 34 No. 1 Desember 2016
Publisher : Neurona Majalah Kedokteran Neuro Sains

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THIS CASE REPORT WE DESCRIBE A CASE OF HIGHLY ACTIVE MULTIPLE SCLEROSIS MS IN WOMEN AGED 41 YEARS HER COMPLAINT WAS WEAKNESS ON HER BOTH LEGS AND IMPAIRMENT OF COORDINATION FUNCTION IT BECAME WORSE IN THE LAST 1 YEAR
MULTIPEL SKLEROSIS PROGRESIF SEKUNDER GEJALA KLINIS DIAGNOSIS DAN TATA LAKSANA Nadia Devianca,* Kartika Maharani,* Darma Imran,* Riwanti Estiasari*
NEURONA Vol. 37 No. 3 Juni 2020
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

SCLEROSIS MS IS A CHRONIC INFLAMMATORY AUTOIMMUNE DISORDER OF THE CENTRAL NERVOUS SYSTEM CNS AFFECTING THE MYELIN MS IS VERY DETRIMENTAL WHICH CAUSES DISABILITY AND WILL REDUCE THE PRODUCTIVITY AND QUALITY OF LIFE OF THE PATIENTS ESPECIALLY IF IT PROGRESSED TO SECONDARY PROGRESSIVE MULTIPLE SCLEROSIS SPMS WHICH THERE WILL BE A CONTINUOUS WORSENING OF NEUROLOGICAL DEFICITS EARLY DETECTION OF SYMPTOM PROGRESSION CAN BE DONE TO OVERCOME THE PROBLEMS THAT MAY OCCUR IN SPMS
Sklerosis Multipel Estiasari, Riwanti
Cermin Dunia Kedokteran Vol 41, No 6 (2014): Bedah
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.756 KB) | DOI: 10.55175/cdk.v41i6.1130

Abstract

Sklerosis Multipel (MS) adalah penyakit autoimun yang terutama menyerang perempuan usia muda, tergolong penyakit langka di Indonesia. Meskipun demikian, penyakit ini dapat mengakibatkan kecacatan dan menurunkan kualitas hidup. Penegakan diagnosis yang akurat sangat diperlukan agar pasien MS bisa mendapatkan pengobatan yang adekuat sedini mungkin. Tata laksana pasien MS perlu memperhatikan tipe MS dan gejala yang menyertai.Multiple sclerosis (MS) is an autoimmune disease that mostly affected young women; this disease is rare in Indonesia. Nevertheless, MS can result in severe disability and decreased quality of life. Accurate diagnosis is needed as early as possible to initiate proper treatment. In MS management it is important to classify the disease and also treat the accompanying symptoms.
Diagnosis dan Tatalaksana Meningitis Bakterialis Meisadona, Gogor; Soebroto, Anne Dina; Estiasari, Riwanti
Cermin Dunia Kedokteran Vol 42, No 1 (2015): Neurologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.913 KB) | DOI: 10.55175/cdk.v42i1.1048

Abstract

Meningitis bakterialis (MB) adalah kegawatdaruratan neurologik yang mengancam jiwa dan memerlukan diagnosis serta terapi yang cepat. Penanganan MB memerlukan pendekatan interdisipliner. Penegakan diagnosis MB kadang sulit jika hanya mengandalkan anamnesis dan pemeriksaan fisik. Hasil pemeriksaan cairan serebrospinal (CSS) harus diinterpretasikan secara hati-hati. Pemahaman karakter pasien sangat dibutuhkan untuk memberikan antibiotik empirik yang tepat.Bacterial meningitis is a life-threatening neurologic emergency that needs rapid diagnosis and treatment. Management of bacterial meningitis needs interdisciplinary approach. The diagnosis of bacterial meningitis can sometimes be difficult when relying only on history and physical examination. Cerebrospinal fluid (CSF) examination results must be interpreted carefully. To provide appropriate empiric antibiotics therapy, understanding of patient’s characteristic is essential. 
POLA MIKROBA SENSITIVITAS ANTIBIOTIK DAN KELUARAN JANGKA PENDEK ABSES SEREBRI DI RSUPN CIPTO MANGUNKUSUMO Donna Octaviani, Nurul Komari, Riwanti Estiasari, Darma Imran, Ratna D. Restuti, Yeva Rosana, M. Sae
NEURONA Vol 29 No. 4 Agustus 2012
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION IN GENERAL THE MANAGEMENT OF CEREBRAL ABSCESS IS COMBINATION OF ANTIBIOTICS AND OPERATIVE EMPIRICAL THERAPY OF ANTIBIOTICS NEED EPIDEMIOLOGY DATA OF THE MOST COMMON CEREBRAL ABSCESS MICROBES ISOLATION TECHNIC IMPROVEMENT HAS FACILITATED THE IDENTIFICATION OF MICROBES EASILY TO INCREASE THE RECOVERY RATE AND TO DECREASE THE MORTALITY RATE
MIELITIS LUPUS SEBAGAI MANIFESTASI AWAL LUPUS ERITEMATOSUS SISTEMIK: LAPORAN KASUS Erwin Widi Nugraha; Arthur H.P. Mawuntu; Riwanti Estiasari
Jurnal Sinaps Vol. 4 No. 1 (2021): Volume 4 Nomor 1, Februari 2021
Publisher : Neurologi Manado

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Abstract

Background: Lupus myelitis is one of 19 neuropsychiatric syndromes related to systemic lupus erythemathosus (SLE) defined by American College of Rheumatology (ACR) as neuro-psychiatric SLE (NPLSE). Lupus myelitis is one of the least common NPSLE with an incidence between 1-2% in the SLE population, however is generally severe. Almost 50% of cases of lupus myelitis are presented as the initial manifestation of SLE and about two-third is associated with high lupus activity. Case report: Twenty-three-year-old man presented with the only symptom of dysesthesia at epigastric and back region (T7 dermatome) with a sensation of tight band-like pain. Neurological examination revealed positive finger escape test and Hoffman-Tromner reflex on both hands, slight lower extremities weakness as demonstrated from repetitive squatting and tip-toe walking tests, and positive Lhermitte test. The whole non-contrast spine MRI found multiple short segment T2 hyperintensities on spinal cord level C6-C7 and T3-T5. The brain MRI result was unremarkable. The cerebrospinal fluid analysis only found a slight increase in protein level (50mg/dl). Laboratory results showed a positive anti-Smith (Sm) antibody and low level of vitamin D 25-OH total (20,6ng/ml). The patient was diagnosed with SLE and lupus myelitis. His lupus myelitis was presented as the initial and the only clinical manifestation of SLE. The heterogeneity of clinical manifestations of lupus myelitis poses a challenge in diagnosing this disorder, therefore immunological screening for SLE is essential and recommended in cases of myelitis.
Co-Authors Ahmad Yanuar Anne Dina Soebroto Arthur H.P. Mawuntu Ayudhea Tannika Darma Imran Darma Imran Darma Imran David Pangeran Dewi Wulandari Diyah Eka Andayani Erwin Widi Nugraha Fitri Octaviana Gloria Tanjung Gogor Meisadona Henry Riyanto Sofyan Imran, Darma Kartika Maharani Kartika Maharani Kartika Maharani Kartika Maharani Kartika Maharani Maharani, Kartika Meisadona, Gogor Nadia Devianca Ni Nengah Rida Ariarini Pradita Sari Purba, Maria Jheny Fulgensia Renindra Ananda Aman Septiana Andri Wardana Soebroto, Anne Dina Sutanto, Anyelir Tiara Aninditha Widya Andini, Putri