Siti Aminah Sobana
Department Of Neurology, Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung

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Cut-off Score of Indonesian Version of Sensorimotor History Questionnaire for Preschooler and Soft Sign Cambridge Neurological Inventory against Intelligent Quotient Siti Aminah Sobana; Tiara Pramaesya; Uni Gamayani; Lisda Amalia; Suryani Gunadharma; Andi Basuki Prima Birawa
Majalah Kedokteran Bandung Vol 53, No 4 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v53n4.2420

Abstract

Early detection of Sensory Processing Disorder (SPD) is important for deciding on appropriate interventions for children at risk. However, there is no valid screening tool available at this moment. The purpose of this study was to validate the deGangi, Sensorimotor History Questionnaire for Preschooler (SHQP), and neurological soft sign of Cambridge Neurological Inventory (NSS CNI) against intelligent quotient (IQ) to establish a reliable cut-off for SPD screening tools for children aged 4–6 years. Sixty-four parent-child were recruited randomly from 3 kindergartens in Bandung, Indonesia. Eligible parents were asked to fill out the SHQP, while their child was assessed using theWechsler Preschool and Primary Scale of Intelligent (WPPSI) and NSS CNI. The deGangi SHQP score and NSS CNI showed a weak and moderate correlation with Full-scale IQ (FIQ). The total score of deGangi SHQP’s sensitivity was 50% with a specificity of 53.4% and a negative predictive value (NPV) of 91.2% agaisnt the FIQ score. The total sensitivity for the NSS CNI was 66.7%, while the total specificity was 58.6% and the NPV was 94.4%. Meanwhile, the sensitivity for the sensory integration subscale score of the NSS CNI was 83.3%, with a specificity of 60.3% and an NPV of 97.2%. The deGangi SHQP can be considered to be an SPD screening tool with the cut-off scores for each subscale of self-regulation, sensory processing of touch, sensory processing of movement, emotional maturity, and motor maturity of 3, 3, 3, and 2, respectively, while the NSS CNI can be used for identifying SPD in children aged 4–6 years with a cut-off scores for the motor coordination, sensory integration, and disinhibition subscales of 7, 10, and 3, respectively.
Spinocerebellar Ataxia 3 (SCA3) Patient with Peripheral Neuropathy Siti Aminah Sobana; Iin Pusparini; Nushrotul Lailiyya; Ahmad Rizal Ganiem; Uni Gamayani; Yusuf Wibisono; Fathul Huda; Yunia Sribudiani; Tri Hanggono Achmad
Majalah Kedokteran Bandung Vol 54, No 1 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v54n1.2394

Abstract

Spinocerebellar ataxia (SCA) 3 is a neurodegenerative disease which involves cerebellum and extra cerebellum. Neuropathy in SCA3 manifests in various ways, including axonal and demyelination lesions in sensory and motor nerves. There has not been any study that describes the peripheral neuropathy characteristics of SCA3 patients in Indonesia at the time of this publication. This paper reports a case of a 43-year-old male with known spinocerebellar ataxia 3 presented with hereditary ataxia and mild numbness in both palms since two years before. No abnormalities were found during the sensory examination. The NCS showed severe axonal demyelinating sensorimotor peripheral neuropathy. In magnetic resonance imaging (MRI), an atrophy in the cerebellum with cerebral multiple lacunar infarction was identified. Electrophysiological results revealed profound axonal lesion in peripheral nerves. To conclude, peripheral neuropathy in SCA3 represents the dominance of axonal lesions in motor nerves.
Lumbar Radiculopathy: a Descriptive Study on Red Flag and Neurologic Symptoms in Dr. Hasan Sadikin General Hospital Bandung Astrid Feinisa Khairani; Kuheinderan Radha Krishnan; Umar Islami; Siti Aminah Sobana
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.83 KB) | DOI: 10.29313/gmhc.v8i1.5253

Abstract

Over 80% of the adult population will experience an episode of low back pain (LBP). Low back pain is a pain in the lumbosacral region. When it progresses, which may be identified earlier with signs of a red flag, the manifestation might become radiculopathy. Radiculopathies are nerve root disease which may show signs of neurologic symptoms from the sensory, motoric, or autonomic origin. This study to help identify the clinical characteristics of a red flag in low back pain patients, which became lumbar radiculopathy for prognostic and diagnostic use. It is a descriptive quantitative cross-sectional study of medical records from patients hospitalized with complaints of low back pain with lumbar radiculopathy between January 2013–December 2015 in the Department of Neurology, Dr. Hasan Sadikin General Hospital, Bandung. It identifies a specific red flag and neurogenic symptoms. Patients most affected were housewives (26%), females (60%), and middle-aged adults (31%). The highest recorded symptom being sensory (76%), the highest progression was sensory to motoric (59%), affected by all three neurologic symptoms (39%), and trauma was the highest red flag recorded (48%). Low back pain patients who have signs of red flag show a high tendency to develop radiculopathy, which shows neurologic symptoms. If left untreated earlier, it may become a permanent disability. RADIKULOPATI LUMBAR: STUDI DESKRIPTIF GEJALA KLINIS RED FLAG DAN GEJALA NEUROLOGIS DI RSUP DR. HASAN SADIKIN BANDUNGLebih dari 80% populasi penduduk dewasa akan mengalami episode low back pain (LBP). Low back pain merupakan nyeri pada bagian tulang belakang regio lumbo-sakral. Pada saat rasa sakitnya bertambah berat, gejala berbahaya dapat menjadi awal perkembangan LBP menjadi radikulopati. Radikulopati merupakan penyakit saraf pada daerah radiks neuron berupa gejala sensorik, motorik, dan otonomik. Penelitian ini bertujuan mengidentifikasi karakteristik gejala klinis tanda berbahaya (red flag) pada pasien LBP yang berlanjut menjadi radikulopati lumbar sebagai alat bantu diagnostik dan prognostik. Penelitian ini menggunakan metode penelitian cross-sectional kuantitatif deskriptif dari rekam medis pasien yang dirawat dengan diagnosis LBP dan radikulopati lumbar antara bulan Januari 2013–Desember 2015 di Departemen Ilmu Penyakit Saraf, RSUP Dr. Hasan Sadikin, Bandung. Penelitian ini mengidentifikasi gejala klinis red flag spesifik dan neurologis. Pasien yang terkena terutama ibu rumah tangga (26%), wanita (60%), usia dewasa pertengahan (31%). Gejala yang tercatat paling banyak adalah sensorik (76%), perkembangan progresif sensorik ke motorik (59%), mengalami gangguan ketiganya (39%), dan trauma menjadi penyebab red flag yang paling tinggi (48%). Pasien LBP yang memiliki gejala tanda berbahaya (red flag) memiliki kecenderungan tinggi berkembang menjadi radikulopati yang menunjukkan gejala neurologis. Jika tidak diobati lebih awal, ini dapat mengakibatkan kecacatan permanen.
Karakteristik anak epilepsi di Sekolah Luar Biasa Negeri (SLBN) Cileunyi Bandung tahun 2018 Gita Tiara Dewi Nasution; Siti Aminah Sobana; Leonardo Lubis
Bali Anatomy Journal Vol 3 No 1 (2020): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.93 KB) | DOI: 10.36675/baj.v3i1.36

Abstract

Background: Research regarding characteristics of epileptic children in special needs school in Indonesia had never been conducted. Aim: This research aims to provide education to the parents about the characteristics and to provide new reference for further researches. Methods: This descriptive cross-sectional research was conducted in September – November 2018 using a questionnaire inquiring about demographic, socio-economic condition, clinical picture, prenatal, perinatal and postnatal factors. The subjects of this research are class C students in public special needs school Cileunyi Bandung. Sample size was calculated using a categorical descriptive formula and was determined to be 13 subjects. Result and Conclusion: The most prevalent characteristics are male (8), age ≥16 year old (5), elementary school (7), tonic-clonic seizure type (7), present history of repeated seizure (11), one type of seizure (6), onset of seizure in newborn age (7), duration of seizure <15 minutes (9), term delivery (9), birth weight ≥ 2500 grams (9), spontaneous vaginal delivery (10), and present history of febrile seizure (7). Latar Belakang: Penelitian mengenai karakteristik anak dengan epilepsi di Sekolah Luar Biasa (SLB) di Indonesia belum pernah dilakukan. Tujuan: Penelitian ini bertujuan memberikan wawasan kepada orang tua mengenai karakteristik anak dengan epilepsi di SLB serta dapat menjadi referensi data untuk perkembangan ilmu pengetahuan dan penelitian selanjutnya. Metode: Penelitian ini merupakan studi deskriptif dengan desain potong lintang yang dilakukan pada bulan September - November 2018 menggunakan kuesioner yang berisi pertanyaan mengenai karakteristik demografis, sosial ekonomi, gambaran klinis, faktor prenatal, perinatal, dan postnatal. Subjek penelitian adalah siswa/siswi kelas C SLB Negeri Cileunyi Bandung. Penentuan jumlah sampel minimum menggunakan formula deskriptif kategorik dan didapatkan 13 subjek penelitian. Hasil dan Simpulan: Karakteristik yang paling banyak ditemukan adalah jenis kelamin laki-laki (8), usia ≥ 16 tahun (5), tingkat pendidikan Sekolah Dasar (7), jenis kejang tonik-klonik umum (7), terdapat riwayat kejang berulang (11), satu tipe kejang (6), onset kejang terjadi pada usia bayi (7), durasi kejang < 15 menit (9), usia persalinan cukup bulan ((9), berat badan lahir ≥ 2500 gram (9), persalinan secara spontan melalui vagina (10), dan memiliki riwayat kejang demam (7).