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Asian Australasian Neuro and Health Science Journal (AANHS-J)
Published by TALENTA PUBLISHER
ISSN : 26860848     EISSN : 26860848     DOI : https://doi.org/10.32734
Core Subject : Health, Science,
Focus and Scope Asian Australasian Neuro and Health Science Journal (AANHSJ) provides a forum for publishing the full research articles in the area of Neurosurgery and Health related to topics from the following subject areas: Neuro-Anatomy Neuro-Physiology Neuro-oncology Neuro-Spine Neuro-Pediatric Neuro-Trauma Neuro-Vascular Neuro-Fungsional Basic Science Biomoleculer in Neurology Radiology in Neurosurgery
Articles 5 Documents
Search results for , issue "Vol. 4 No. 2 (2022): AANHS Journal" : 5 Documents clear
Surgical Procedure And Future Treatment Options For Posttraumatic Syringomyelia : A Systematic Review Sigit Ananda; Iskandar; Zaini Hamzah
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.v4i2.8855

Abstract

Objectives To find the most effective surgical procedure for posttraumatic syringomyelia (PTS) in the last 1 decade. And to look for the latest therapeutic strategies that have the opportunity to be developed in the future. Background Syringomyelia related trauma is uncommon case compared to other etiology such as Chiari Malformation type 1. The management of PTS is remain unclear and debatable. The aim of this study is to review PTS regarding surgical procedure, outcomes, and potential future treatment strategies. Methods This study uses a structured analyses focused on preferred reporting items for systematic review and meta-analyzes (PRISMA). Document selection using the keywords “Postraumatic Syringomyelia” AND “Syringomyelia” and based on publication (10 years). We selected based on the 2020 PRISMA checklist and based on inclusion and exclusion criteria. A total 17 studies met the eligibility criteria. We recorded treatment strategies, level of syrinx, severity of injury, injury to symptom duration and outcomes. Results A total 264 participants with PTS from 15 observational studies and 2 clinical trials were reviewed. We recorded 68% of participants were treated surgically (n=181). The most common procedure is arachnoid lysis and duraplasty (32,5%, n= 59) followed by syrinx shunting (15,4%, n=28) and subarachnoid-subarachnoid bypass (11%, n=20). We found that the syrinx shunting was the most successful procedure with symptoms improved in 82% of patients postoperatively. Overall, symptoms improved in 60% participants who underwent surgery (n=110). We also found deterioration from surgical procedure in 18% participants (n=32). Beside of surgical strategy we also found another therapeutic option that use mesenchymal stromal cells (MSCs) that injected into the syrinx. We recorded a 100% success rate from this procedure (n=7) Conclusion Although the overall outcomes of the surgical procedure for PTS are still unsatisfactory, the syrinx shunting procedure seems to be considered as the most effective surgical procedure. Other therapeutic strategies such as MSCs is considered promising but still require further researches with larger sample sizes. Keywords : syringomyelia, syrinx shunting, trauma
Giant Size Pilocytic Astrocytoma in Pediatric Patient : A Case Report Oktama Vegi; Abdurrahman Mouza; T Akmal Kausar; Rais Fadhlan; Syekh Ahmad Arafat Husain
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.
Swimmer’s Ear: A Case Report and Literature Review Amanda Muhamad Bauzir; Arsiyoga Bimo Fadhyki; Muhammad Hanun Mahyuddin; Ulaa Haniifah
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.v4i2.9164

Abstract

Introduction: Otitis externa (OE) Circumcrypt is an inflammation accompanied by furuncle growth in the outer ear with or without infection. Circumcrypt OE events are identified with swimmers or other names Swimmer's Ear, because their ears are moist. Circumcrypt OE cases can be distinguished based on the duration of action, namely acute or chronic. Case Reports: A 21-year-old male patient came with complaints of pain in the ear, previously the patient also felt a feeling of fullness in the ear. Previously the patient had a history of swimming and cleaning the ears afterwards. Another complaint is decreased hearing and yellow discharge from the left ear. Conclusion: Otitis externa (OE) Circumcrypt or Swimmer's Ear is an inflammation of the ear caused by bacteria, fungi or their groups that grow in moist places. To make a diagnosis through anamnesis, local status examination and support. OE management can be done with pharmacology and Spooling measures to clean the ear.
Continuously Paranoid Schizophrenia in Young Man: A Case Report Era Catur Prasetya; Roni Subagyo; Muhammad Hanun Mahyuddin; Ulaa Haniifah; Maya Rafida; Anisatul Hamida; Muhammad Ramzy; Muhammad Tegar Prasetya
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.v4i2.9165

Abstract

Introduction: Schizophrenia is a chronic disorder accompanied by prominent hallucinations or delusions. The individual must be ill for at least 6 months and need not be psychotically active during that time. Schizophrenia is classified into several types. Enforcement of the type of diagnosis of schizophrenia can be established through history taking in the patient and family, then a diagnosis is made according to ICD-10. Treatment can be in the form of pharmacological or psychosocial therapy. Case Reports: A 32-year-old male patient came with his family, the patient looked anxious. The patient comes with the main complaint that he is often angry because he often hears voice whispers. The patient also complains of rapid mood changes. According to the family, this has been happening since 2015. He had been on treatment for a while but only got better shortly after that it came back again. Conclusion: Schizophrenia is a psychotic disorder in which the patient does not have contact with reality which is characterized by major disturbances in thoughts and emotions and experiences delusions and hallucinations. Schizophrenia can be treated using antipsychotics and psychosocial. The prognosis of patients with schizophrenia depends on family support.
Liver cirrhosis with its complications: Case report in a young female patient Muhammad Hanun Mahyuddin; Ulaa Haniifah
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.v4i2.9166

Abstract

Liver cirrhosis is a chronic disease characterized by the presence of fibrosis and regeneration of nodules in the liver, the consequence of which is the development of portal hypertension and liver failure. Usually associated with infectious infectious diseases such as viral hepatitis, alcohol consumption, metabolic syndrome, autoimmune processes, storage diseases, toxic substances and drugs. Major complications include gastrointestinal variceal bleeding, ascites, spontaneous bacterial peritonitis infection, hepatorenal syndrome, hepatic encephalopathy, and hepatocellular carcinoma. A 23-year-old woman comes to the ER, dr. Soegiri Lamongan with complaints of vomiting blood. The patient also complained of black bloody stools. Referred patient from Intan Medika Hospital with the initial complaint of vomiting blood more than 5 times (± equivalent to one medium drinking bottle) four days ago. On examination also found anemic conjunctiva and found splenomegaly. On abdominal ultrasound examination, the liver was shrunken, the edges were obtuse angles, partially irregular, parenchymal echo intensity was heterogeneous, v.hepatica was normal, liver fibrosis staging was 11.81 kPa, no masses or nodules were seen. The conclusion on endoscopic examination was the presence of grade III esophageal varices, congestive gastropathy, and erosive gastritis. Liver cirrhosis is a disease that has various etiologies. Early diagnosis and appropriate treatment in cirrhotic patients with complications is one way to improve patient survival

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