Gilbert Sterling Octavius
Faculty Of Medicine, University Of Pelita Harapan, Karawaci, Tangerang, Banten, Indonesia

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Journal : SCRIPTA SCORE Scientific Medical Journal

Findings of Fahr’s Syndrome in A Patient Suspected With Subarachnoid Hemorrhage: An Evidence-Based Case Report Gilbert Sterling Octavius; Theo Audi Yanto; Nicholas Gabriel H.R.; Eka Julianta Wahjoepramono; Harsan
SCRIPTA SCORE Scientific Medical Journal Vol. 1 No. 2 (2020): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1034.235 KB) | DOI: 10.32734/scripta.v1i2.1244

Abstract

ABSTRACT Fahr’s syndrome is an entity where there is symmetrical bilateral calcification of basal ganglia with parkinsonian and psychiatric symptoms. However, due to its rarity, clinicians tend not to include Fahr’s syndrome in their differential diagnosis. This article aims to raise awareness about the diagnosis of Fahr’s Syndrome through its unique presentation in this patient. Data was obtained primarily and secondarily. In this case, a 32 years old male was referred to our clinic with chief complaints of headache since a week prior and a seizure 5 days ago. A head CT and a CT angiography (CTA) of the circulus willisi were done and a bilateral and symmetrical calcification of the corona radiata, basal ganglia, thalamus, and nucleus dentatus were found. There is also hypocalcemia and low Parathyroid Hormone (PTH). Fahr’s Syndrome may manifest unusually and hence clinicians have to be aware of diagnosing this entity. Keywords: Fahr’s Disease, Fahr’s Syndrome ABSTRAK Sindroma Fahr’s merupakan sebuah penyakit yang ditandai dengan kalsifikasi bilateral sietris dari basal ganglia dengan gejala psikatri dan parkinsonisme. Namun, akibat jarangnya ditemukan penyakit ini, klinisi cenderung tidak memikirkan sindroma Fahr’s sebagai salah satu diagnosis banding. Artikel ini bertujuan untuk meningkatkan kewaspadaan terhadap diagnosis Sindroma Fahr’s melalui presentasi unik pada pasien ini. Data diambil secara primer dan sekunder. Pada kasus ini, seorang laki-laki berusia 32 tahun dirujuk dengan keluhan utama sakit kepala sejak satu minggu dan kejang 5 hari sebelum masuk rumah sakit. Computed Tomography (CT) scan kepala dan Computed Tomography Angiography (CTA) dari sirkulus willisi dilakukan dan ditemukan adanya kalsifikasi bilateral simetris pada korona radiata, basal ganglia, talamus dan nukleus dentatus. Pada pemeriksaan laboratorium ditemukan adanya hipokalsemia dan hormon paratiroid (PTH) yang rendah. Sindroma Fahr’s dapat datang dengan presentasi yang tidak khas sehingga para klinisi harus lebih tajam dalam mendiagnosis kasus ini. Kata kunci: Penyakit Fahr’s, Sindroma Fahr’s
Effects of Adjuvant Administration of Macromolecules and Total Calories through Aggressive Parenteral Nutrition in Improvement of Neovascularisation of Infants with Retinopathy of Prematurity: A Literature Review Stefany Tanto; Gilbert Sterling Octavius; Alvita Suci Edgina
SCRIPTA SCORE Scientific Medical Journal Vol. 3 No. 2 (2022): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v3i2.4471

Abstract

Introduction: Retinopathy of Prematurity (ROP) is almost exclusively in premature infants. With advanced care and technology, the prevalence of retinopathy of prematurity in babies is increasing, which means the incidence of preventable blindness in ROP is increasing. Objectives:  To evaluate the effects of protein, glucose, lipids, and total calories from Aggressive Parenteral Nutrition (APN) in improving neovascularisation of ROP in premature infants. Methods: We searched PubMed, Ophthalmology Advance, Scientific Reports, and Science Direct using the terms "Retinopathy of Prematurity", "Aggressive Parenteral Nutrition", "Prevalence of Retinopathy of Prematurity in Indonesia", "Protein", "Lipid", "Carbohydrate", "Glucose", "Total Calories", "Neovascularization", and "Prematurity" in various combinations. Results: We found three pieces of literature stating a positive association between APN and improvement of ROP, while one literature states that there is no significant change of prevalence of ROP by administering APN. Keywords: Aggressive Parenteral Nutrition, glucose, lipid, protein, Retinopathy of Prematurity   Pendahuluan: Retinopathy of Prematurity (ROP) adalah penyakit yang hampir secara eksklusif terjadi pada bayi prematur. Dengan perawatan dan teknologi yang canggih, prevalensi retinopati pada bayi prematur meningkat dan ini berarti kejadian kebutaan yang dapat dicegah pada ROP meningkat. Tujuan: Untuk mengevaluasi efek protein, glukosa, lipid, dan kalori total dari Nutrisi Parenteral Agresif (APN) dalam meningkatkan neovaskularisasi ROP pada bayi prematur. Metode: Kami mencari PubMed, Ophthalmology Advance, Scientific Reports dan Science Direct menggunakan istilah “Retinopathy of Prematurity”, “Aggressive Parenteral Nutrition”, “Prevalence of Retinopathy of Prematurity in Indonesia”, “Protein”, “Lipid”, “Carbohydrate” , "Glukosa", "Kalori Total", "Neovaskularisasi", dan "Prematuritas" dalam berbagai kombinasi. Hasil: Ditemukan tiga literatur yang menyatakan terdapat hubungan positif antara APN dengan peningkatan ROP sedangkan satu literatur menyatakan tidak ada perubahan signifikan prevalensi ROP dengan pemberian APN. Kata Kunci: Nutrisi Parenteral Agresif, glukosa, lipid, protein, Retinopati Prematuritas