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Bistok Saing
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Incidence of epilepsy among patients with cerebral palsy (CP) in Yayasan Pemeliharaan Anak Cacat (YPAC) – Medan Saing, Bistok; Sianturi, Pertin; Syarifuddin, Amir
Medical Journal of Indonesia Vol 11, No 3 (2002): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.429 KB) | DOI: 10.13181/mji.v11i3.69

Abstract

Epilepsy is a chronic condition due to cerebral function disorders. Epilepsy occurs as a common complication of many neurological disorders such as cerebral palsy (CP) that can cause further brain damage if especially they are accompanied with prolonged seizure. The incidence of epilepsy among patients with CP varies, 25-35%. The high incidence of epilepsy among patients with CP suggests that these disorders has common or related origins. We carried out a retrospective study to determine the incidence of epilepsy among patients with CP registered July 1988 to June 1998 in YPAC Medan and to determine whether the incidence of epilepsy was different according to type of CP. Data was compiled from medical records, including name, sex, parity, mothers age, prenatal, perinatal, and postnatal history, and EEG resuts. Data were analysed using statistical computer program and its significance was evaluated by chi square test at p < 0.05. There were 67 cases with CP, 53 cases spastic CP, 13 cases mixed CP and one case dyskinetic CP. Of the 67 cases CP, 47.8% were male, 52.2% female with the mean age of 50.3 (SD 36.9) months. There were 25 (37.3%) patients CP associated with epilepsy, 72% general seizures, 20% partial seizures, and 8% infantile spasm. The incidence of epilepsy was significantly different among patients with CP associated with the type of CP and gestational age, p < 0.05. We concluded that the incidence of epilepsy among patient with CP in YPAC Medan was 37.3% and showed significant difference in CP according to type and gestational age. (Med J Indones 2002; 11: 158-63) Keywords: epilepsy, cerebral palsy, obstetric history, gestational age
Intelligence level in children with cerebral palsy (CP) at YPAC Medan Rambe, Abdul M.; Syarifuddin, Amir; Saing, Bistok
Medical Journal of Indonesia Vol 11, No 4 (2002): October-December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.786 KB) | DOI: 10.13181/mji.v11i4.79

Abstract

Children with cerebral palsy has been investigated at YPAC (Yayasan Pembinaan Anak Cacat / Institute for Crippled Children) Medan to obtain the detailed description of patient’s intelligence level referring to cerebral palsy types and to determine the relationship between palsy types and mental retardation level as well as to relate cerebral palsy types and sex. The study is cross-sectionally conducted involving all cerebral palsy patients listed in registration book of YPAC Policlinic Medan from July 1987 to June 1998. Of 74 patients participated in the study, all had IQ under average and 62% them were female. The most common type is spastic (65%), followed by mixed (16%), dyskinetic (11%) and hypotonic (8%), respectively. Overall, the mixed type had severe mental retardation. Statistically, there is a significant relationship between cerebral palsy types and mental retardation level (p < 0.001). There is no significant relationship between cerebral palsy types and sex. (Med J Indones 2002; 11: 242-5)Keywords: cerebral palsy, intelligence level, children with CP
Effectiveness of cyproheptadine in the prevention of childhood migraine Zulkarnain Zulkarnain; Johannes Saing; Yazid Dimyati; Bistok Saing
Paediatrica Indonesiana Vol 49 No 5 (2009): September 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.85 KB) | DOI: 10.14238/pi49.5.2009.286-91

Abstract

Background Migraine is one of the causes of recurrent headachein childhood. Cyproheptadine is well known as an antihistamine,but there are few studies revealing the drug's effect in pediatricmigraine.Objective To determine the effectiveness of cyproheptadine in the prophylactic treatment of childhood migraine.Methods A randomized placebo-controlled clinical trial studywas performed at Medan. One hundred children with migraineaccording to the International Headache Society criteria wereincluded in the study. Subjects were divided into two groups, andeach group was given either 4 mg cyproheptadine or placebo for 12 weeks. Headache frequency was measured in headache days per month, duration was measured in hours and functional disability was measured by Pediatric Migraine Disability Assessment (PedMID AS). The efficacy was measured before intervention; also 1, 2, and 3 months after intervention.Results A total of 100 patients, with age ranging from 11 to 18 years old (with mean, 15.5 years), were treated with cyproheptadine or placebo for headache. Compared to baseline, there was a significant difference on PedMIDAS grading of migraines in both groups (P<0.05). Headache frequency and duration per month were significantly different after treatment with cyproheptadine (P=0.009, 95% CI 0.001 to 0.030 and P= 0.029, 95% CI 0.690 to 27.510, RR=4.36), compared to placebo group (P> 0.05), but there were side effects of cyproheptadine up to 73%.Conclusion Cyproheptadine appears to be effective as analternative prophylactic treatment of childhood migraine.However, pediatricians should consider the significant side effectsof this drug.
Influence of educative game instrument on children's motor development in child day care Lucie Permana Sari; Sri Sofyani; Bistok Saing; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 48 No 6 (2008): November 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.69 KB) | DOI: 10.14238/pi48.6.2008.315-21

Abstract

Background Child day care center is an institution functioning tohelp families to fulfil their child's need by providing stimulation witheducative game instrument (EGI) while they work outside home.Objectives To evaluate motor development of children at child daycare center with EGI stimulation compared with that of childrenwithout stimulation.Methods An experimental study using pretest-posttest control groupdesign was cartied out on children aged 2 to 5 years old, at Islamic CenterDay Care Center (without EGI) and Tanah-Besi Day Care Center inTebing Tinggi (with EGI for six months). Inclusion criteria: healthy,well-nourished children aged 2 to 5 years with informed consent, nodevelopmental delay (confirmed by Denver-II developmental screeningtest). Exclusion criteria: pre term birth children. Forty subjects wereselected by means of simple random sampling. Research data weretaken with Cronbach's motor skills scale. Subjects consisted of 3 to 4years old children, mostly four years old.Results Motor skills scores (mean; SD) of the Islamic CenterDay Care Center group and Tanah-Besi Day Care Center groupbefore stimulation were 104.9; 10.37 and 104.7; 5.47 (P=0.923),respectively, and after stimulation 105.2; 9.56 and 135.3; 7.67 (P<0.001), respectively. Motor skills scores (mean; SD) of Tanah-BesiDay Care Center group before and after stimulation were 104.7; 5.4 7and 135.3; 7.67 (P< 0.001) respectively. Motor skill dimensions score(mean; SD) ofTanah-Besi Day Care Center group before and afterstimulation: speed 28.9; 1.75 and 38.8; 2.79, stability 22.3; 1.02 and30.6; 1.57, accuracy 20.3; 1.15 and 26.7; 1.63, strength 33.3; 1.55and 39.1; 1.68, respectively with P< 0.001.Conclusions There is a significant difference in motor skillsscores and motor skill dimensions of children who receive EGIstimulation compared to those who do not.
The relation of BCG vaccination and severe malnutrition with the occurrence of tuberculous meningitis Nofareni Nofareni; Bistok Saing; Ridwan M. Daulay; Bidasari Lubis
Paediatrica Indonesiana Vol 44 No 1 (2004): January 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.984 KB) | DOI: 10.14238/pi44.1.2004.12-6

Abstract

Objectives To assess BCG vaccination and nutritional states inchildren with tuberculous meningitis and their relations with theoccurrence of tuberculous meningitis.Methods A case-control study was conducted at the Divisionof Neurology, Department of Child Health, Adam Malik Hospi-tal, Medan, from January 1997 to December 2000. Subjects ofthis study were all tuberculous meningitis patients and primarytuberculosis patients as the control group. Odds ratio (OR) wasused to assess the risk of tuberculous meningitis in patientswith positive BCG vaccination and (1-OR) was used to assessthe efficacy of BCG to prevent tuberculous meningitis.Results Four out of sixteen tuberculous meningitis patients werevaccinated, while 10 of 16 primary tuberculosis patients were vac-cinated (p=0.03). OR of vaccinated patients to get tuberculousmeningitis was 0.2 (95%CI 0.04;0.91). The efficacy of BCG vacci-nation to prevent tuberculous meningitis was 1-0.2 = 0.8. The riskof severe malnourished patients to get tuberculous meningitis was2.33 (95%CI 0.52;10.48; p=0.26).Conclusion Most tuberculous meningitis patients were not BCGvaccinated. Severe malnutrition did not play role in the occurrenceof this disease
Friedreich’s Ataxia M.R. Soerjadi; A.H. Sutanto; Bistok Saing; Sahat Halim; Helena Siregar
Paediatrica Indonesiana Vol 19 No 3-4 (1979): March - April 1979
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.662 KB) | DOI: 10.14238/pi19.3-4.1979.117-22

Abstract

This is the first report on Friedreich’s Ataxia occurring in an Indonesian family from North Sumatera.
Evaluation of Neurological Deficit in Hospital Discharged Encephalitis Lubuk P. Saing; Robert MJ. Simanjutak; Manihar D. Marbun; Iskandar Z. Lubis; Bistok Saing
Paediatrica Indonesiana Vol 36 No 5-6 (1996): May - June 1996
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.041 KB) | DOI: 10.14238/pi36.5-6.1996.109-15

Abstract

A study was done on 30 encephalistis patients treated and discharged from Dr. Pimgadi Hospital Medan in the year 1990-1991, The study was conducted cross sec- tionally. The aim of the study was to find out the type and percentage of neurological deficits, including factors associated with the sequelae. Eight patients (27%) developed neurological deficit, only (3%) patient developed neurological deficits after being dis­charged until the period of evaluation. The neurological deficits encountered mostly were epilepsy, paraparesis, and right hemiparesis, each of which in 2 cases (7%), and mono­paresis of the right limb and aphasia, each in 1 case (3%). The was no significant asso­ciation of neurological deficit with prognostic factor.
Co-Authors A.H. Sutanto Abdul M. Rambe Amir Syarifuddin Bidasari Lubis Helena Siregar Iskandar Z. Lubis Johannes Saing Lubuk P. Saing Lucie Permana Sari M.R. Soerjadi Manihar D. Marbun Nofareni Nofareni Pertin Sianturi Ridwan M. Daulay Robert MJ. Simanjutak Sahat Halim Sri Sofyani Yazid Dimyati Zulkarnain Zulkarnain