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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,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience
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
Arjuna Subject : Kedokteran - Neurologi Klinis
Articles 66 Documents
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Trend of Improvement in Visual Field Deficits after Transsphenoidal Endoscopic Surgery in Pituitary Tumour Patients: A Case Series Syekh Ahmad Arafat Husain; Tommy Rizky Hutagalung; Muhammad Deni Nasution
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 3 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v3i3.7608

Abstract

Abstract Introduction: Pituitary tumours account for approximately 15% of all brain tumours, and the growing tumours press against the optic chiasm, resulting in impairment of visual function manifested as visual field defects, decreased visual acuity, and decreased color vision . Compression of the optic chiasm by pituitary tumours generally results in selective loss of the temporal VFs, or bitemporal hemianopia, implying that the nasal retinal fibers are preferentially damaged. The reason for this preferential damage is not fully understood. Transsphenoidal surgery has been reported to safely reduce the pressure on the anterior visual pathway in most patients. Improvement in visual function may occur after transsphenoidal decompression of the chiasm. Because improvement in visual function may occur from a variety of proposed biologic processes. Case Series : The number of patients according to gender was 71% male (10 people) while 29% female (4 people). The age distribution was found mostly at the age of 40-50 years 36% (5 people). The most common clinical symptoms were field disturbances 85% (12 people). Patients complained of visual field disturbances for 1-2 years as many as 58% (7 people). Vision before surgery is /6 as much as 45% (4 people). Improvements in vision were found for 1 month postoperatively as much as 22% (2 people). Discussion : Compression of the optic chiasm by pituitary tumours generally results in selective loss of the temporal VFs, or bitemporal hemianopia, implying that the nasal retinal fibers are preferentially damaged. The minimally invasive transsphenoidal approach can be used effectively for 95% of pituitary tumours. Exceptions are those large tumours with significant temporal or anterior cranial fossa extension. In such circumstances, transcranial approaches are often more appropriate. Occasionally, combined transsphenoidal and transcranial approaches are used. Nevertheless, some surgeons extend the basic transsphenoidal exposure in order to remove some of these tumours and avoid a craniotomy . Potential mechanisms of axonal injury from a compressive lesion include direct disruption of conduction along the axon, impaired axoplasmic flow, demyelination with impaired signal conduction, and ischemia from compression or stretching of the blood supply of the chiasm by the tumour. An early fast phase of improvement is consistent with restoration of signal conduction along retinal ganglion cell axons after removal of a compressive lesion.In some individuals, we observed the rapid restoration of normal vision, which would be consistent with this hypothesis. In these individuals, a physiologic conduction block is presumably the main mechanism of injury. Conclusion: The pattern of improvement of visual function after decompression of the anterior visual pathways suggests three phases of improvement. Improvement in visual function may occur after transsphenoidal decompression of the chiasm. Because improvement in visual function may occur from a variety of proposed biologic processes, we sought to better define this potential for improvement.
The Neuromodulator Effect of Vagal Nerve Stimulation as the Treatment of Medically Refractory Epilepsy in Comparison with Surgical Approach: A Systematic Review Muhammad Al Anas; Dwi Herawati Ritonga
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8477

Abstract

Background: Restorative options in medically refractory epilepsy are restricted to ablative brain surgery, the trial of antiepileptic medications, or palliative procedures. Vagal nerve stimulation (VNS) is an accessible palliative method of which the mechanism of action isn't well understood, yet with set up adequacy for medically refractory epilepsy and low occurrence of incidental effects. Objectives: This systematic review aimed to evaluate the action of epilepsy treatment options. Methods: We searched for relevant studies published in 2016-2021 with PRISMA charts. For English published statistical analyses, we include all studies conducted on pediatric epileptic patients who have undergone epilepsy surgery and VNS. Results: Antiepileptic impacts of VNS incorporate expanded movement of the locus coeruleus (LC) neurons with a raised norepinephrine (NE) discharge in the hippocampus, cortex, and amygdala. VNS-modulatory consequences for other synapse frameworks such as cholinergic, GABAergic, and glutamatergic depend on the activation of the LC-NE pathway. While in pediatric epilepsy, early surgical intervention is frequently recommended to work on cognitive and behavioral outcomes that unequivocally portray the epileptogenic zone. Conclusion: The general rate of complication caused by epilepsy surgery was sensibly low (5%), suggesting that epilepsy medical procedures, particularly primarily temporal lobe resection, can be safe preferably with recent procedure options, while VNS could be more effective as therapy begins at early stages pre- or post-seizure onset to decide the preventative role of VNS in human epileptogenesis when the treatment is given promptly.
A Rare Case “Human Tail” Associated with Lipomeningocele and Tethered Cord Teguh Pangestu; Prihartomo Gatot Aji
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8479

Abstract

The human tail is perhaps the most exciting sign of a neural tube defect in the skin. From the appendix until creating a 20 cm long tail-like lesions are reported in this literature. They may occur associated with an underlying pathology condition such as a lipoma or teratoma, but mostly, they hide the underlying spinal dissrafism. Here, we are presenting a case of a 5-year-old female who presented with an 18-cm long tail, which the tail hid till this age because of social stigma and shame. This is the most extended human tail reported of our knowledge in Indonesia. Many classifications about the human tail have been suggested in history. However, regardless of the type, the primary approach to this lesson is always the same. They investigated the possibility of spinal dissrafism with pathology that occurs concurrently and planned treatment based on the patient. In neurosurgery, our goal is to determine the pathology that co-occurred accurately, fixes defects, and correct aesthetics so that the patient can be more confident and for the follow-up on pediatric patients regarding their development.
Late Presentation of Testicular Torsion : A Case Report Ottofianus Alvedo Hewick Kalangi; Muhammad Fadhil Ardiyansyah; Laurentius Andre
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8484

Abstract

Introduction: Testicular torsion is a twisting of the spermatic cord, which results in impaired blood flow to the testicle. This urological emergency occurs 3.8 per 100,000 males annually, most often observed younger than 18 years. The left testis is more frequently involved. Bilateral cases report for 2% of all torsions. We describe a male with a late presentation of more than 24 hours of acute testicular pain. Patients hesitate to seek advice from doctors for testicular pain because of unawareness. Case Reports: A 16-year-old man arrived at the Emergency Room with more than 24 hours history of sudden severe left testicular pain after taking up two gas cylinders, but he was not aware. After more than 24 hours, he came to the emergency room with worsening testicular pain. The physical examination found tender, slightly swollen, and high-riding left testes. Phren test and cremaster reflex were negative on the left testes. TWIST score of the patient was 7 (high risk for testicular torsion). We made quick order for ultrasound, which shows left testicular torsion. Emergency exploration of testes was done, found the necrotic left testes with rotation more than three times. After complete derotation of the cord, the testes were still necrotic, and we decided to do left side orchidectomy after enough observation. Conclusion: Late presentation to the hospital is one of the causes of delay in treatment and mostly leads to orchidectomy in testicular torsion. Every case of testicular pain should be treated as testicular torsion until proven otherwise. Keyword: Emergency, Late presentation, Orchidectomy, Testicular torsion.
Peripartum Cardiomyopathy: Challenges in Diagnostic and Management in Limited Resources Hospital in Kalabahi, Indonesia Laurentius Andre; Tioky Sutjonong; I Nyoman Y. D. S. Barath
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8485

Abstract

Peripartum cardiomyopathy is a rare condition of heart failure between the last month of pregnancy and the first five months post-delivery. A 22 years old female G1P0A0 was experiencing dyspnea during her labor phase. Patient was assessed with PPCM and pulmonary edema based on her signs and symptoms of heart failure with no history of cardiac abnormalities, rales on both lungs, vascular congestion bilaterally, and left ventricle ejection fraction (LVEF) of 43%. Patient was managed with heart failure management including inotropes, furosemide, ACE inhibition, and on a mechanical ventilator. Patient was extubated, and inotropic and furosemide free on the sixth day of care, but redevelop pulmonary edema. Patient then reintubated, and inotrope and furosemide were recontinued. Patient was stable and extubated on the ninth day of care and discharged on the fifteenth day of care. The diagnosis and management of PPCM can be challenging especially in limited resources hospitals. Evaluation of the clinical characteristics of the patient are the keys of this management. Keyword: [peripartum cardiomyopathy, PPCM, pulmonary edema, limited resources hospital]
The Relationship Between Mother Knowledge About Complementary Feeding To Toddler’s Nutritional Status In Playground And Kindergarten At Ketindan Village Lawang District Malang Regency Julius Albert Sugianto; Laurentius Andre; Lilik Djuari
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 1 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i1.8486

Abstract

Introduction :Nutritional status is the reflection of daily nutrient intake. Determinants affecting nutritional status are adequate dietary intake, sanitation, clean water, infectious diseases, food availability, breastfeeding, supplementary feeding, mother's knowledge and parenting. Incorrect complementary feeding can cause nutritional problems in children. Method : This research is an observational analytic study with cross sectional method. Research sample involved 39 pairs of mother and toddler. Primary data were obtained from complementary feeding questionnaires to mothers and measurement of nutritional status of toddler using weight and height measurement. The research data were processed by statistics at 5% significance level and 95% confidence interval through SPSS 23.0.0 for Windows edition 64 bit, 2015, SPSS Inc. Chicago, IL, USA and Microsoft Office 2016. Result :The results of the research data tested with chi square method, due to the unfulfilled expected value, the Fischer test is used. Research showed mothers knowledge about complementary feeding majority is good (74,4%), majority of toddlers in playground and kindergarten have good nutrition status (82,1%). Fisher exact test gave p>0.05 (p=0,242 (CI = 95%; PR 2.679 (0.482-14.893)) in determining relation between mother knowledge about complementary feeding with nutritional status of toddler at playground and kindergarten in Ketindan Village, Lawang District, Malang Regency. Conclusion : There is no relation between mother's knowledge about complementary feeding to nutritional status of toddler at playground and kindergarten in Ketindan Village, Lawang District, Malang Regency (p=0,242 (CI = 95%; PR 2.679 (0.482-14.893)). Keyword: Nutritional Status, Toddler, Complementary Feeding, Mothers’ Knowledge
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.

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