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Gambaran Kasus Spina Bifida di RSUD Arifin Achmad Provinsi Riau Periode 2015-2017 Syntha Novianti Rahmad; Andrea Valentino; Huriatul Masdar
Jurnal Ilmu Kedokteran Vol 14, No 1 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i1.2020.52-58

Spina bifida is a fault in the development of spine and the bones around until it leaves gap or defect in the spine. About 36 cases of spina bifida were involved in this research. The characteristis of spina bifida patients, mostly occurs at the patients at the age of > 28 days (83,3%). Most of them were male (52,8%). The most frequent spina bifida patients were the second child (44,4%) and location where spina bifida occurs were at the lumbosakral (72,2%). Classified into spina bifida aperta type (86,1%). The highest age of patients’ mother suffering from spina bifida was at the age of 20-40 (80,6%). In general, rupture didn’t occur on spina bifida patients (94.4%). The weight of spina bifida patients were between 2.500-4.000 gr (94,4%) and they didn’t have other congenital abnormalities (47,2%). The most gestational age of spina bifida patients’ mothers when giving birth were, is at 28-40 weeks (94.4%).

Gambaran Kejadian Pneumonia pada Pasien Pasca Kraniotomi di Ruang Rawat Intensif RSUD Arifin Achmad Provinsi Riau Periode Januari 2015 sampai Desember 2019 Andrea Valentino; Rita Endriani; Fitria Ameini
Jurnal Ilmu Kedokteran Vol 14, No 2 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i2.2020.111-120

Operasi kraniotomi merupakan tindakan membuka sebagian tulang tengkorak hingga dapat memberikan akses langsung menuju otak. Komplikasi yang paling sering terjadi merupakan Ventilator Associated Pneumonia (VAP) dan Healthcare Associated Pneumonia (HAP). Penelitian ini dilakukan untuk melihat gambaran kejadian pneumonia pada pasien pasca kraniotomi di ICU RSUD Arifin Achmad Provinsi Riau periode Januari 2015 s/d Desember 2019. Data penelitian ini didapatkan dari rekam medik pasien pasca kraniotomi di ruang ICU RSUD Arifin Achmad Provinsi Riau, dengan total rekam medik yang ditemukan sebanyak 216 rekam medik. Hasil penelitian ini berupa, didapatkan kejadian pneumonia pada 56 pasien (26%), dengan kejadian HAP 3,7% dan VAP 22,7%. Kejadian HAP lebih banyak terjadi pada pasien perempuan (62,5%) dengan kelompok usia 56-65 tahun (50%), serta lama rawatan >5 hari (75%). Kejadian VAP memiliki distribusi yang sama antara laki-laki dan perempuan (50%) dengan kelompok usia 36-45 tahun (29,2%) dan lama rawatan >5 hari (45,8%), serta lama pemakaian ventilator mekanik <96 jam (66,7%). Kejadian pneumonia paling banyak terjadi pada pasien tanpa komorbid (71,4%) atau memiliki komorbid berupa hipertensi (21,4%) dengan diagnosis meningioma (28,6%), jumlah leukosit >11.000 (76,8%), lama pembedahan ≥2 jam (55,4%), dan patogen penyebab terbanyak berupa Acinetobacter baumanii (30,3%). Angka kematian pada penelitian ini sebesar 7,1%.

Korelasi Luaran dengan Ketebalan dan Lokasi Perdarahan Subaraknoid pada Pasien Cedera Kepala di RSUD Arifin Achmad Andrea Valentino
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Subarachnoid hemorrhage (SAH)in head injury is a very common case. Research showed that 33% moderate andsevere head injury patients had SAH during initial CT scan. A prospective study was performed on 37 head injurypatients with SAH which had been treated in Arifin Achmad Hospital during January to June 2014 period. Bivariableanalysis that was used in this research was an unpaired categorical analytic statistical test, the chi square test. Meanwhile,multivariable analysis used was multiple logistic regression test. Significance was determined based on p value,which was d”0.05, and confidence interval (CI) of 95%. There were unfavourable outcome upon head injury patientswith SAH of >5mm thickness (p=0,028) and located at cerebral hemisphere and basal cistern (p=0,001). Thicknessand SAH location was found to be associated with head injury patient outcome. SAH thickness of > 5mm againstoutcome had a stronger association than location as a factor.

Laporan Kasus: Melanoma Maligna Intrakranial Primer Andrea Valentino; Rijalun Arridho
Jurnal Ilmu Kedokteran Vol 13, No 1 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Primary intracranial malignant melanoma is an extremely rare tumor. Most of the intracranial malignant melanoma are metastatic from skin. Diagnosis needs multidisciplinary workup to exclude metastatic melanoma. We are reporting a case of young girl with decrease consciousness and tetraplegia. CT scan revealed a solitary tumor mass in the brain. Histopathological examination and confirmed by immunohistochemistry showed that the type of tumor was intracranial primary malignant melanoma and by excluding metastatic melanoma. Tumor excision was performed in patient and adjuvant chemotherapy was given, but residual tumors were present multiple.

Abses Otak Andrea Valentino; Gebby Puspita Angraini
Jurnal Ilmu Kedokteran Vol 13, No 2 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v13i2.2019.4-15

Cerebral abscess may rise from hematogenous spread, contiguous spread, or direct trauma. Some risk factors include pulmonary abcess or AV fistulas, congenital cyanotic heart disease, immune compromise, chonic sinusitis / otitis, dental problems. Symptoms are similar to any other mass lessions but tend to progress rapidly. Streptococcus is most common organism that recovered, while up to 25% of cases sterile. Staging of cerebral abcess is very important to differentiate therapeutic management based on clinical findings and imaging. Mortality and morbidity rate has been reduced due to improvement in antibiotics, surgery and ability to diagnose.

Understanding Trigeminal Neuralgia: A Comprehensive Review of Symtoms, Diagnosis, and Management Valentino, Andrea; Mardhiyah, Farah; Maspian Tjili, Tondi; Hadisi, Anthar; Aji Prihartomo, Gatot; Prastya Pardede, Jeremia; Wirdayanto, Ade
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.62

Trigeminal neuralgia (tic douloureux) is a rare and debilitating facial pain condition affecting one or more branches of the trigeminal nerve. It is frequently misdiagnosed as a dental issue or temporomandibular disorder due to overlapping symptoms, delaying appropriate treatment. Diagnosis is primarily clinical, often requiring the expertise of a neurologist to distinguish it from other causes of facial pain. Imaging studies such as MRI or CT scans are not diagnostic but play a crucial role in ruling out secondary causes and identifying pathological changes in the affected nerve root. Although not life-threatening, trigeminal neuralgia significantly impacts the quality of life, causing severe, recurrent pain episodes that can be challenging to manage. Timely and accurate diagnosis, along with the implementation of effective therapeutic strategies, is essential to alleviate symptoms and improve patient outcomes. This review highlights the clinical presentation, diagnostic approach, and current treatment modalities for trigeminal neuralgia, emphasizing the importance of a multidisciplinary approach to care.

Hyponatremia After Intracranial Hemorrhage: Cerebral Salt Wasting Syndrome (CSWS) or The Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)? Wan Novriza Wijaya; Novita Anggraeni; Sony; Andrea Valentino
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1174

Background: Hyponatremia is a common electrolyte disorder encountered in neurosurgical patients, often associated with significant morbidity and mortality. This case report highlights the importance of recognizing and appropriately managing cerebral salt wasting syndrome (CSWS), a rare but important cause of hyponatremia in neurosurgical patients, often following intracranial hemorrhage (ICH). Distinguishing CSWS from the syndrome of inappropriate antidiuretic hormone secretion (SIADH) is crucial for appropriate management. Case presentation: A 56-year-old male with a history of hypertension and diabetes mellitus presented with sudden-onset left-sided weakness and decreased consciousness following an ICH. He underwent a ventriculoperitoneal (VP) shunt placement for hydrocephalus. Post-operatively, he developed hyponatremia with elevated urine sodium levels and hypovolemia, suggestive of CSWS. The patient was treated with fluid replacement therapy, including hypertonic saline, and desmopressin, resulting in improvement in his hyponatremia. Conclusion: CSWS is an important cause of hyponatremia in neurosurgical patients. Prompt diagnosis and appropriate management, including fluid replacement and potentially desmopressin, can improve patient outcomes. This case underscores the need for a high index of suspicion for CSWS in neurosurgical patients presenting with hyponatremia and highlights the importance of careful monitoring and individualized treatment strategies.

Hyponatremia After Intracranial Hemorrhage: Cerebral Salt Wasting Syndrome (CSWS) or The Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)? Wan Novriza Wijaya; Novita Anggraeni; Sony; Andrea Valentino
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1174

Background: Hyponatremia is a common electrolyte disorder encountered in neurosurgical patients, often associated with significant morbidity and mortality. This case report highlights the importance of recognizing and appropriately managing cerebral salt wasting syndrome (CSWS), a rare but important cause of hyponatremia in neurosurgical patients, often following intracranial hemorrhage (ICH). Distinguishing CSWS from the syndrome of inappropriate antidiuretic hormone secretion (SIADH) is crucial for appropriate management. Case presentation: A 56-year-old male with a history of hypertension and diabetes mellitus presented with sudden-onset left-sided weakness and decreased consciousness following an ICH. He underwent a ventriculoperitoneal (VP) shunt placement for hydrocephalus. Post-operatively, he developed hyponatremia with elevated urine sodium levels and hypovolemia, suggestive of CSWS. The patient was treated with fluid replacement therapy, including hypertonic saline, and desmopressin, resulting in improvement in his hyponatremia. Conclusion: CSWS is an important cause of hyponatremia in neurosurgical patients. Prompt diagnosis and appropriate management, including fluid replacement and potentially desmopressin, can improve patient outcomes. This case underscores the need for a high index of suspicion for CSWS in neurosurgical patients presenting with hyponatremia and highlights the importance of careful monitoring and individualized treatment strategies.

Pancreas-Sparing Mucosectomy for a Complex Gastric Duplication Cyst: A Case Report Filza Rifqi Aufa Aslam; Ismar Ibrahim; Tubagus Odih Rhomdani Wahid; Andrea Valentino; Salamullah; Indrajaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 9 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i9.1371

Background: Gastric duplication (GD) is a rare congenital anomaly, representing 2–9% of all gastrointestinal duplications. These embryologic abnormalities are typically managed by complete surgical resection due to the risk of complications, including malignancy. However, this standard approach becomes perilous when the duplication cyst is intimately adherent to vital organs. We present a case where a large gastric duplication cyst was inseparable from the pancreas, necessitating a deviation from standard management. Case presentation: An 8-month-old female infant presented with a four-month history of non-bilious vomiting and progressive abdominal distension. A palpable, cystic, 8x5 cm mass was identified in the left upper abdomen. Abdominal ultrasound revealed a loculated, septated cystic lesion, and a barium study demonstrated a significant filling defect on the greater curvature of the stomach. Initial management was delayed as the family sought alternative medicine. Surgical exploration revealed a large gastric duplication cyst arising from the greater curvature, which was found to be densely adherent to the body and tail of the pancreas. To avoid catastrophic pancreatic injury, a complete resection was abandoned in favor of a pancreas-sparing mucosectomy. The entire mucosal lining of the duplication was excised, and the shared muscular wall was preserved and repaired. Postoperatively, the patient had a transient ileus but recovered well, with complete resolution of symptoms. At an 11-day follow-up, she was thriving, feeding well, and had gained significant weight. Histopathology confirmed a benign gastric duplication cyst. Conclusion: This case highlights that for complex gastric duplication cysts where resection would endanger vital structures, complete mucosal excision is a safe, effective, and organ-preserving surgical alternative. This technique successfully mitigates the risks of both the untreated anomaly and iatrogenic surgical complications, underscoring the importance of surgical judgment and adaptability in managing rare congenital anomalies.

Pancreas-Sparing Mucosectomy for a Complex Gastric Duplication Cyst: A Case Report Filza Rifqi Aufa Aslam; Ismar Ibrahim; Tubagus Odih Rhomdani Wahid; Andrea Valentino; Salamullah; Indrajaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 9 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i9.1371

Background: Gastric duplication (GD) is a rare congenital anomaly, representing 2–9% of all gastrointestinal duplications. These embryologic abnormalities are typically managed by complete surgical resection due to the risk of complications, including malignancy. However, this standard approach becomes perilous when the duplication cyst is intimately adherent to vital organs. We present a case where a large gastric duplication cyst was inseparable from the pancreas, necessitating a deviation from standard management. Case presentation: An 8-month-old female infant presented with a four-month history of non-bilious vomiting and progressive abdominal distension. A palpable, cystic, 8x5 cm mass was identified in the left upper abdomen. Abdominal ultrasound revealed a loculated, septated cystic lesion, and a barium study demonstrated a significant filling defect on the greater curvature of the stomach. Initial management was delayed as the family sought alternative medicine. Surgical exploration revealed a large gastric duplication cyst arising from the greater curvature, which was found to be densely adherent to the body and tail of the pancreas. To avoid catastrophic pancreatic injury, a complete resection was abandoned in favor of a pancreas-sparing mucosectomy. The entire mucosal lining of the duplication was excised, and the shared muscular wall was preserved and repaired. Postoperatively, the patient had a transient ileus but recovered well, with complete resolution of symptoms. At an 11-day follow-up, she was thriving, feeding well, and had gained significant weight. Histopathology confirmed a benign gastric duplication cyst. Conclusion: This case highlights that for complex gastric duplication cysts where resection would endanger vital structures, complete mucosal excision is a safe, effective, and organ-preserving surgical alternative. This technique successfully mitigates the risks of both the untreated anomaly and iatrogenic surgical complications, underscoring the importance of surgical judgment and adaptability in managing rare congenital anomalies.

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