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All Journal International Islamic Medical Journal Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Bonfilio Neltio Ariobimo
RSUD Ibnu Sina Kabupaten Gresik
Religion Humanities Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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ABSES SUBMANDIBULA Bonfilio Neltio Ariobimo; Nurun Nujum; Daniel Ponco Harto Saputro
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 9 No. 2 (2023)
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v9i2.686

Abstract

The purpose of this literature review is as an additional reference in diagnosing and managing submandibular abscess. The writing of this article was obtained from various sources in the form of books, scientific journals and guidelines for related institutions. Source searches were carried out on various online portals such as Medscape, NCBI Google Scholar and other health websites. Submandibular abscess is an inflammation accompanied by accumulation of pus in the potential space between deep neck fascia which is an anatomically very complex space. Nearly all odontogenic infections that cause abscesses are caused by a mixture of aerobic and anaerobic microbes. Necrosis of the dental pulp as a result of deep caries provides an entry channel for bacteria into the periapical tissues. After periapical inoculation of bacteria, infection develops which will spread in all directions, but more in areas of lowest resistance. The main priority for deep neck abscesses is to maintain airway patency, followed by intravenous antibiotics and then surgical drainage.
Case Report: Ischaemic Stroke Presented with Hemichorea-Hemiballism Bonfilio Neltio Ariobimo; Vania Ayu Puspamaniar; Nurun Nujum; Lisa Puspitorini
Jurnal Medis Islam Internasional Vol 5 No 1 (2023): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v5i1.4911

Abstract

Introduction: Movement disorders can be separated into hypokinetic disorders, which cause paucity or slowness (bradykinesia), and hyperkinetic disorders, which cause excessive, aberrant involuntary motions Less than 5% of individuals with cerebrovascular diseases presented with involuntary movement. It might be difficult to identify and diagnose hyperkinetic disorders. Case: We describe a 56-year-old man who arrived at the hospital with 5 hours of abrupt, uncontrollable movement in his right upper and lower limbs. A complete neurological evaluation revealed an uncontrolled, nonrhythmic, non-patterned, aimless, and frequently jerky movement of the right upper and lower limbs with a ballistic component that varies in amplitude and frequency. Higher psychic function and cranial nerves were normal. Chest radiography, electrocardiography were normal. Hemorrhage was ruled out by a brain non-contrast CT scan at admission. The patient was diagnosed with hemichorea-hemiballism caused by an ischemic stroke based on clinical evidence of a sudden neurological deficit of aberrant involuntary movement. After receiving medical treatment for five days, the involuntary motions stopped occurring without causing any more neurological abnormalities or weakening. Discussion: Ischemic stroke diagnosis relied on skilled clinical assessment without explicit neuroimaging. While hemiballismus is characterized by violent irregular flinging movements of the limbs brought on by contractions of the proximal muscles, hemichorea consists of continuous random, anarchic, and jerking movements involving both the distal and proximal muscles (though it is occasionally localized more distally). Conclusion : Hyperkinetic movement disorders are a rare presentation of stroke. The pathophysiology of these abnormal movements remains uncertain. Even though they are uncommon, following a stroke, aberrant motions can occur suddenly or develop gradually. Hemichorea-hemiballismus with abrupt onset should be treated as an acute stroke unless proven other causes
Co-Authors Daniel Ponco Harto Saputro Lisa Puspitorini Nurun Nujum Nurun Nujum Vania Ayu Puspamaniar