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I Made Oka Adnyana

Department Of Neurology, Faculty Of Medicine, Udayana University/Sanglah General Hospital, Bali, Indonesia

Author-ID : 336722

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Penatalaksanaan Medication-overuse Headache Artini, Ni Made Yuli; Adnyana, I Made Oka
Cermin Dunia Kedokteran Vol 41, No 9 (2014): Diabetes Mellitus
Publisher : PT. Kalbe Farma Tbk.

Medication-overuse Headache (MOH) adalah nyeri kepala kronik akibat penggunaan berlebihan analgesik, triptan, atau kombinasi obat nyeri kepala lain. Patofisiologi MOH belum jelas, diduga ada peranan faktor genetik, fisiologi dan regulasi reseptor, serta faktor psikologis. Tujuan pengobatan MOH adalah mengurangi frekuensi dan atau keparahan nyeri kepala, mengurangi konsumsi obat akut, memperbaiki respon terhadap obat akut dan obat preventif, mencegah kecacatan dan memperbaiki kualitas hidup. Langkah-langkah pencegahan termasuk membatasi konsumsi obat, menghindari kafein dan obat-obatan mengandung kafein atau kodein. Profilaksis dini mungkin diperlukan. Penanganan MOH meliputi edukasi pasien serta withdrawal obat. Pasien diikuti secara teratur untuk mencegah kambuh, terutama di tahun pertama setelah withdrawal.Medication-overuse Headache (MOH) is a chronic headache caused by overuse of analgesics, triptans, or other drugs. Pathophysiology of MOH is unknown, presumably influenced by genetics, physiology and regulation of the receptor, as well as psychological factors. The goal of MOH treatment is to reduce the frequency and/or severity of headache, to reduce acute drug consumption, to improve response to acute and preventive treatment, to prevent disability and improve quality of life. Measures to prevent MOH include limiting drugs consumption, avoiding caffeine and medications containing caffeine or codeine. Early prophylaxis either with medication or behavioral therapy may be necessary. Management consists of patient education and drug withdrawal. Patients should be followed regularly, especially in the first year, to prevent relapse.

Penatalaksanaan Medication-overuse Headache Ni Made Yuli Artini; I Made Oka Adnyana
Cermin Dunia Kedokteran Vol 41, No 9 (2014): Diabetes Mellitus
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v41i9.1104

Medication-overuse Headache (MOH) adalah nyeri kepala kronik akibat penggunaan berlebihan analgesik, triptan, atau kombinasi obat nyeri kepala lain. Patofisiologi MOH belum jelas, diduga ada peranan faktor genetik, fisiologi dan regulasi reseptor, serta faktor psikologis. Tujuan pengobatan MOH adalah mengurangi frekuensi dan atau keparahan nyeri kepala, mengurangi konsumsi obat akut, memperbaiki respon terhadap obat akut dan obat preventif, mencegah kecacatan dan memperbaiki kualitas hidup. Langkah-langkah pencegahan termasuk membatasi konsumsi obat, menghindari kafein dan obat-obatan mengandung kafein atau kodein. Profilaksis dini mungkin diperlukan. Penanganan MOH meliputi edukasi pasien serta withdrawal obat. Pasien diikuti secara teratur untuk mencegah kambuh, terutama di tahun pertama setelah withdrawal.Medication-overuse Headache (MOH) is a chronic headache caused by overuse of analgesics, triptans, or other drugs. Pathophysiology of MOH is unknown, presumably influenced by genetics, physiology and regulation of the receptor, as well as psychological factors. The goal of MOH treatment is to reduce the frequency and/or severity of headache, to reduce acute drug consumption, to improve response to acute and preventive treatment, to prevent disability and improve quality of life. Measures to prevent MOH include limiting drugs consumption, avoiding caffeine and medications containing caffeine or codeine. Early prophylaxis either with medication or behavioral therapy may be necessary. Management consists of patient education and drug withdrawal. Patients should be followed regularly, especially in the first year, to prevent relapse.

Tension-type Headache and Migraine as Manifestations of Chronic Post-Traumatic Headache Eric Hartono Tedyanto; -I Made Oka Adnyana; I Putu Eka Widyadharma
Cermin Dunia Kedokteran Vol 50 No 2 (2023): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i2.528

Introduction: A subsequent headache within seven days of a head injury (or after regaining consciousness after the head trauma)is referred to as a post-traumatic headache (PTHA); it is referred to as chronic or chronic post-traumatic headache (CPTHA) if it lasts longer than three months after the injury. Case : A 17-year-old male with headache since 3 months ago, 3 days after suffered a blow to his left head from falling from a chair. At that time, the patient fainted for about 15 minutes but had no complaints after regained consciousness. Pain is felt on the left side of the head, throbbing, mild-moderate intensity, and feels heavier with a loud sound or a too-bright light. Discussion: Post-traumatic headache is clinically diagnosed. Laboratory and routine diagnostic imaging studies are unnecessary and have minimal clinical utility. Conclusion: Chronic post-traumatic headaches often occur, especially after minimally traumatic brain injury. The clinical picture is variable and may be similar to tension-type headaches and/or migraines. Pendahuluan: Nyeri kepala dalam tujuh hari setelah cedera kepala atau setelah sadar kembali dari trauma kepala disebut nyeri kepala pasca-trauma (post-traumatic headache/PTHA); disebut sakit kepala pasca-trauma kronis atau kronis (CPTHA) jika berlangsung lebih dari tiga bulan setelah cedera. Kasus: Seorang laki-laki berusia 17 tahun dengan keluhan nyeri kepala sejak 3 bulan, 3 hari setelah kepala kiri terbentur karena jatuh dari kursi. Saat itu, pasien pingsan sekitar 15 menit, tidak ada keluhan setelah sadar. Nyeri dirasakan di sisi kiri kepala, berdenyut, intensitas ringan-sedang, terasa lebih berat jika ada suara keras atau cahaya terlalu terang. Diskusi: Nyeri kepala pasca-trauma didiagnosis secara klinis. Laboratorium dan studi pencitraan diagnostik rutin tidak diperlukan dan memiliki utilitas klinis minimal. Simpulan: Nyeri kepala pasca-trauma kronis sering terjadi, terutama setelah cedera otak traumatis minimal. Gambaran klinisnya bervariasi dan dapat mirip nyeri kepala tipe tegang dan/atau migrain

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