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Giant Medial Sphenoid Wing Meningioma with Hyperostosis Sphenoid Bone : A Case Report Faisal; Hutagalung, Tommy Rizky; Dharmajaya, Ridha
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.4730

Abstract

Introduction: Meningiomas of the sphenoid wing make up approximately 15–20% of total cranial meningiomas.Giant medial sphenoid involve the dura of the greater and lesser wings of the sphenoid, the anterior clinoid process,the spheno-orbital bone and the middle cranial fossa, hyperostosis bone was common to found. Surgicalmanagement of giant medial sphenoid is extremely challenging due to their intimate relationship with vital neuralstructures.Case Report : A 40-year-old woman came to the emergency room with complaints of decreased consciousness thathad been experienced since 1 week , recurrent headaches, weakness of the right limb and history of blurred vision. Anon-contrast head ct scan and MRI brain contrast revealed an extra-axial giant mass meningioma in left medialsphenoid wing with hyperostosis bone Craniectomy tumor removal was performed with a subtemporal approachcombined with cranio-orbytozygotomy.Discussion : Hyperostosis is a common phenomenon occuring in different meningiomas with incidence rangingfrom 25 to 49% of meningiomas.it is most commonly seen in sphenoid wing and convexity meningioma . The bonyhyperostosis is of neoplastic nature and is responsible for many of the clinical manifestation of such tumors andhence should be totally drilled to achieve cure and avoid recurrence.Conclusion : Sphenoid wing meningioma en plaque, mainly meningothelial meningiomas, are characterized by theassociated bony hyperostosis that gives them a distinct radiological appearance. Extensive tumor removal is crucialfor correction of proptosis and adequate visual decompression to achieve satisfactory cosmetic and functionaloutcome.
PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP GEJALA FATIGUE PADA KLIEN DIABETES MELITUS TIPE 2 Antoni, Adi; Dharmajaya, Ridha; Harahap, Ikhsanuddin A
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 1 No 1 (2016): Vol.1 No.1. April 2016
Publisher : Universitas Aufa Royhan

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Abstract

Progressive Muscle Relaxation (PMR) is a relaxation technique for muscle by tensing or tighteningone certain group of muscles and releasing the tense followed by focusing the mind to feel thesensation of relaxing. This research was aimed at observing the effect of PMR on fatigue symptom ofpeople with Type 2 Diabetes Mellitus (T2DM). Quasi experimental Pretest-Posttest Design withcontrol group was used as the design of this research. The samples were collected by employingconsecutive sampling technique with 66 respondents consisting of 33 people in intervention group andthe other 33 people in control group. The fatigue symptoms observed in this research were measuredby using Piper Fatigue Scale. It was found from the results that there were some significant differenceson the fatigue symptoms before and after giving PMR to both the intervention group with t=43,57,p=<0,001; and the control group with t=1.73, p=0.093. Furthermore, another significant differencewas also found between the intervention and control group which was t= -30.453, and p<0.001.Finally, it was concluded that PMR was effective to reduce the fatigue synptoms of people with T2DM.