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All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J)
Fadhlan, Rais
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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Journal : Asian Australasian Neuro and Health Science Journal (AANHS-J)

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Giant Size Pilocytic Astrocytoma in Pediatric Patient : A Case Report Vegi, Oktama; Mouza, Abdurrahman; Kausar, T Akmal; Fadhlan, Rais; Arafat Husain, Syekh Ahmad
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 2 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i2.8937

Abstract

Introduction: Pilocytic astrocytomas are the most common primary tumor in children and adolescents, accounting for approximately 15.6% of all brain tumors and 5.4% of all gliomas. The incidence of tumors substantially decreases with age and diagnosis in patients older than 50 years is less common. According to the Central Brain Tumor Registry of the United States (CBTRUS), its development is more common in the first two decades of life and there are few reports in the age group over 18 years. Case Report: An 8-year-old girl was brought by her parents with complaints of loss of consciousness. This happened 2 days before admission to the hospital. The patient was prepared for craniotomy tumor removal. During the operation, the tumor specimen was sent to Anatomical Pathology for histopathological examination. The examination revealed calcified Rosenthal Fibers and eosinophilic granular bodies. Discussion : Astrocytic tumors originate from neuroepithelial tissue and are grade I because of their well-defined and slow-growing nature. They are mostly found in infratentorial structures such as the cerebellum and in the midline of brain structures such as the optic nerve, hypothalamus, and brainstem. However, it can be found anywhere on the neuroaxis. Considered relatively rare in adults, there are few publications on the most efficient treatment methods and subsequent patient outcomes. Conclusion: Pilocytic astrocytoma (PA) treated with complete or near complete tumor resection tends to have a better prognosis, recent studies recommend aggressive tumor resection without neurologic deficits.
Congenital Torticollis : Surgical Approach and Outcome Aristo, Reyhan; Fadhlan, Rais
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.10379

Abstract

Introduction. Torticollis, also known as crooked neck, is a contraction or contracture of the neck muscles that causes the head to tilt to one side. This is accompanied by rotation of the chin to the opposite side with flexion. The congenital form of torticollis usually appears within a few weeks of birth. The basis of diagnosis is clinical examination findings, and the mainstay of treatment is physical therapy. Surgical management is an option only when medical and physical treatments are not producing the desired results or for cosmetic reasons. Case Report. A-11 year young girl came with a chief complaints of a tilted head to the right, she also had difficulty shaking her head and nodding and had an asymmetrical face. This has been experienced since birth. Result. The patient underwent bipolar removal of the lower end of the sternocleidomastoideus muscle (SCM). The patient’s neck was extended with a sandbag, and then the patient’s head was turned toward the shoulder on the opposite, uninvolved side. First, the distal portion of the SCM was released by making a skin incision 3 to 5 cm long on the medial end of the clavicle, with consideration given to palpable fibrous bands, and then deepening the incision to the tendons of the sternal and clavicular attachments of the SCM. The tight band and muscle tendon were dissected to pass a right angle instrument posterior to the tendons and were then resected by electrocautery near the insertion site to the clavicle. The SCM was then carefully dissected and released near the bone, while checking the nearby nerves and vessels. Outcomes were assessed using the cervicalmandibular angle (CMA), calculated using the radiological head tilt, which was defined as the angle between the line crossing the upper border of the C7 vertebral body and another line connecting the lower border of the mandibular angle. Conclusion. Release of the bipolar CMT in the patient in this study increased head tilt, leading to a better quality of life since surgery, and the patient adapted fairly well to her new neck position.
Co-Authors Arafat Husain, Syekh Ahmad Aristo, Reyhan Kausar, T Akmal Mouza, Abdurrahman Vegi, Oktama