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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia International Islamic Medical Journal Indonesian Journal of Cancer eJournal Kedokteran Indonesia Neurona
Aman, Renindra Ananda
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Religion Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Parasagittal Meningioma: A Comprehensive Case Series and Systematic Review Aman, Renindra Ananda; Desbassarie, Fitrie; Purwodito, Arief; Syarif, Ricky Rusydi; Calvin, Nicholas; Paat, Bipatra Einstein Yacobus
Jurnal Medis Islam Internasional Vol 6 No 2 (2024): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v6i2.6509

Abstract

Introduction: This case series included seven patients diagnosed with parasagittal meningioma, presenting their clinical histories, management, and outcomes. In parallel, a systematic review synthesized the existing literature on parasagittal meningioma. This comprehensive analysis combined the findings from both the case series and the systematic review to provide a holistic understanding of these tumors. This case series included seven patients diagnosed with parasagittal meningioma, presenting their clinical histories, management, and outcomes. In parallel, a systematic review synthesized the existing literature on parasagittal meningioma. This comprehensive analysis combined findings from both the case series and the systematic review to provide a holistic understanding of these tumors. Results: This case series highlights the clinical heterogeneity of parasagittal meningiomas and presents cases with various clinical presentations, treatment approaches, and outcomes. The systematic review consolidates existing knowledge and reveals gaps in the understanding of optimal management for these tumors. The combination of case series and systematic reviews provides valuable insights into the clinical behavior, treatment strategies, and prognostic factors associated with parasagittal meningioma. Conclusions: Parasagittal meningioma presents unique diagnostic and therapeutic challenges. This comprehensive study offers a multifaceted perspective on these tumors, enhancing our understanding of their clinical characteristics and management options. These findings can guide clinicians in making informed decisions and improving patient outcomes in the field of neuro-oncology.
The Correlation of Inflammatory Markers with Clinical Manifestation, Peritumoral Edema, and Recurrence in Meningioma Patients Aninditha, Tiara; Auliya, Putri; Mulyadi, Rahmad; Aman, Renindra Ananda; Andriani, Rini; Sofyan, Henry Riyanto
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1287

Abstract

Background: Meningiomas can induce inflammation in their tumorigenesis process, thereby linking inflammation with clinical symptoms, peritumoral edema, and recurrence of meningiomas. Easily accessible and cost-effective inflammatory markers include the neutrophillymphocyte ratio (NLR) and monocyte-lymphocyte ratio (MLR). This study aims to investigate the relationship between peripheral inflammation markers, specifically the NLR and MLR, and their association with clinical symptoms, peritumoral edema, and meningioma recurrence.Method: A retrospective cohort study was conducted at Cipto Mangunkusumo National General Hospital from January 2016 to December 2019, utilizing a consecutive non-probability sampling method. Inclusion criteria were patients aged 18 years or older with meningiomas(gradesI-III), first surgery. Peripheral inflammatory markers were derived from differential blood counts, peritumoral edema data from radiological reports, and other data from medical records. The cut-off valuesfor NLR and MLR were determined to be 2.415 and 0.295, respectively. Bivariate analyses using ChiSquare and Mann-Whitney tests were followed by multivariate logistic regression analysis. Results: 173 patients were eligible for analysis. Of these, 27 had preoperative CT scans, 126 had MRIs, and 20 had no preoperative radiology data. Clinical and recurrence analyses were performed on all 173 patients, with radiology and tumor size analyses conducted on subsets of 153 and 126 patients, respectively. The majority of meningiomasin thisstudy were grade I, found in 94.2% of subjects, with the remainder being grade II and III. Higher NLR and MLR values were significantly associated with headaches (p 0.001). Elevated NLR and MLR were also correlated with peritumoral edema (p 0.001). MLR was independently associated with recurrence, with an adjusted odds ratio (aOR) of 12.647 (95% CI 2.355–67.919); p = 0.003.Conclusion: NLR and MLR as peripheral inflammatory markers demonstrated higher median values in meningioma patients with headaches and peritumoral edema. Additionally, inflammation in meningiomas was associated with the occurrence of recurrence.
Gambaran Status Gizi Penderita Tumor Otak Primer dan Metastasis serta Faktor-faktor yang Memengaruhinya Aninditha, Tiara; Tanjung, Gloria; Andayani, Diyah Eka; Aman, Renindra Ananda; Estiasari, Riwanti; Yanuar, Ahmad; Sofyan, Henry Riyanto
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 3 (2022): Vol 39 No 3 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i3.280

Abstract

Introduction: According to the pathophysiology, weight loss is a specific marker for suspected malignancy. However, this is rarely found in cases of brain tumors. The presence of the blood brain barrier is thought to play a role in differentiating nutritional status in primary and metastatic brain tumors. Therefore, it is necessary to do this research. Aim: Knowing the description, prevalence, differences in nutritional status of patients with primary and secondary brain tumors, and the affecting factors. Methods: Cross-sectional study in patients with primary and secondary brain tumors at Cipto Mangunkusumo General Hospital in 2017-2019. Malnutrition was diagnosed using the GLIM (Global Leadership Initiative on Malnutrition) criteria. Data analysis used Chi-Square/Fisher and multivariate logistic regression. There were 333 subjects: 246 primary and 87 secondary brain tumors. Description of nutritional status of patients with primary brain tumors: 47.6% obese; 6.1% malnutrition; the rest were normal, while in secondary brain tumors: 25.3% were malnourished; 24.1% obese; the rest is normal. Secondary brain tumor at risk of malnutrition with RR 1.257 (95% KI 1.108-1.426), p<0.001. Factors influencing malnutrition were the type of primary/secondary brain tumor, gender, age, decreased consciousness, anorexia, gastrointestinal complaints, intraaxial lesions, multiple lesions, and the location of the lesions involving the frontal lobes. The independently related factor was multiple lesions with an aOR of 3,423 (95% KI 1.124-10.426), p 0.03. Conclusion: The nutritional status of patients with primary and secondary brain tumors was different, with higher levels of malnutrition in secondary brain tumors and higher obesity in primary brain tumors. The number of multiple lesions in the brain affects the occurrence of malnutrition.
Intraoperative Burden of Open Cervical Spine Surgery: A Cross-Sectional Analysis of Complex Cases Saekhu, Mohamad; Amelia, Ria; Kurniawan, Azhar Farisyabdi; Aman, Renindra Ananda; Ichwan, Syaiful; Nugroho, Setyo Widi
eJournal Kedokteran Indonesia Vol. 13 No. 2 (2025): Vol 13, No. 2 - Agustus 2025
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Open cervical spine surgery is commonly performed for complex spinal conditions requiring instrumentation or multilevel intervention. Although minimally invasive spine surgery (MISS) offers potential benefits in reducing tissue trauma, its applicability in complex cervical procedures is still unclear. This study aimed to evaluate the intraoperative burden and clinical outcomes of open cervical spine surgery in complex cases. A five-year cross-sectional analysis was conducted, including 48 patients undergoing cervical spine surgery. Data collected included operative time, estimated intraoperative blood loss (EIOBL), postoperative hemoglobin and leukocyte changes, and length of stay (LOS). Patients were stratified by the use of instrumentation and extent of surgery (≥3 versus <3 vertebral levels). The mean operative time was 256 ± 95 minutes, with a mean EIOBL of 252 ± 223 mL. Surgery involving ≥3 vertebral levels was significantly associated with longer operative time (p = 0.012), but not with increased EIOBL, laboratory changes, or LOS. Instrumentation, used in 71% of cases, was associated with increased operative time and blood loss, although these differences were not statistically significant. In conclusion, open cervical spine surgery in complex settings increases operative time but does not significantly impact perioperative morbidity. Surgical complexity likely contributes more to intraoperative burden than surgical approach.
Gambaran Klinis dan Proporsi Hipotiroidisme Sekunder pada Pasien Adenoma Hipofisis di Rumah Sakit Cipto Mangunkusumo Cahyanur, Rahmat; Soewondo, Pradana; Darmowidjojo, Budiman; Aman, Renindra Ananda; Dewiasty, Esthika
Majalah Kedokteran Indonesia Vol 68 No 6 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.6-2018-57

Abstract

Pendahuluan: Adenoma hipofisis merupakan tumor yang berasal dari jaringan hipofisis anterior. Manifestasi klinis timbul akibat pendesakan massa dan gangguan sekresi hormon. Salah satu gangguan hormonal yang ditimbulkan adalah hipotiroidisme sekunder. Hipotiroidisme sekunder terkait dengan penurunan kualitas hidup serta peningkatan risiko kardiovaskular. Tujuan: Mengetahui proporsi hipotiroidisme sekunder dan gambaran klinis pasien adenoma hipofisis. Metode: Penelitian ini adalah studi potong lintang. Data diambil dari rekam medis pasien di Rumah Sakit Cipto Mangunkusumo antara tahun 2007-2012. Data demografis (usia, jenis kelamin), karakteristik klinis, jenis adenoma, data radiologis, pemeriksaan hormon (T4 bebas dan TSH) dievaluasi pada peneltian ini. Hasil: Terdapat 45 pasien yang memenuhi kriteria penelitian ini. Sebagian besar subyek adalah wanita (62,2%). Keluhan utama subyek adalah gangguan penglihatan (55,6%). Gejala yang sering ditemukan adalah sakit kepala (86,7%), gangguan penglihatan (77,8%). Pada subyek wanita manifestasi yang pertama kali muncul adalah gangguan penglihatan dan gangguan fungsi seksual (39,3% dan 32,1%). Pada Usia muda, gejala pertama kali muncul lebih pada kelompok adenoma fungsional dibandingkan non fungsional (32,9 vs. 40,6). Hampir seluruh kasus yang ditemukan adalah makroadenoma (97,8%). Proporsi subyek yang mengalami hipotiroidisme sekunder adalah 40%. Subyek dengan hipotiroidisme sekunder lebih banyak mengeluhkan gangguan penglihatan dan gangguan ereksi. Kesimpulan: Gangguan penglihatan adalah keluhan utama yang sering ditemukan. Pada subyek wanita, keluhan gangguan fungsi seksual bersama dengan gangguan penglihatan adalah manifestasi yang pertama kali muncul. Proporsi hipotiroidisme sekunder pada penelitian ini adalah 40,0%. Subyek dengan hipotiroidisme sekunder lebih banyak mengeluhkan gangguan penglihatan, gangguan ereksi.
Co-Authors Ahmad Yanuar Amelia, Ria Andayani, Diyah Eka Aninditha, Tiara Budiman Darmowidjojo, Budiman Calvin, Nicholas Esthika Dewiasty, Esthika Fitrie Desbassarie, Fitrie Kurniawan, Azhar Farisyabdi Mohamad Saekhu Nugroho, Setyo Widi Paat, Bipatra Einstein Yacobus Pradana Soewondo Purwodito, Arief Putri Auliya, Putri Rahmad Mulyadi, Rahmad Rahmat Cahyanur Rini Andriani Riwanti Estiasari Sofyan, Henry Riyanto Syaiful Ichwan Syarif, Ricky Rusydi Tanjung, Gloria