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All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Ibrahim, Sabri
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Burst fracture Th 9-10 treat with Transthoracal Corpectomy and stabilization: A Cases Report Manurung, Halim Rahman; Ibrahim, Sabri; Dharmajaya, Ridha
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 1 No. 2 (2019): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhs-j.v1i2.1032

Abstract

Abstract. Spinal fracture and dislocation are among the most feared injuries by patients and physicians alike, as the consequences can be devastating, ranging from mild pain and discomfort to severe paralysis and even death. Spinal trauma is commonly found in patients admitted to level-one trauma centers after serious accidents like traffic, falling, and sports accidents.Injuries of the cervical spine account for one third of spinal fractures and half to two thirds of all spinal cord injuries.In the thoracolumbar spine, the most common unstable fracture is the burst fracture. Altogether, burst fractures have been reported to account for about 15% of spinal injuries.Incidence of burst fractures peaked at the thoracolumbar junction and between levels T5 and T8. In 10% of cases,more than one burst fracture was seen, thereof 53% on noncontiguous levels. Main accident mechanisms were falls, traffic, and sports. Neurological deficit was highest in patients with burst fractures of the cervical spine, independent of accident mechanism, and lowest in thoracolumbar junction fractures. Burst fractures occur frequently in high energy traumas and are most commonly associated with falling and traffic accidents.Multiple burst fractures occur in 10% of cases, half thereof on noncontiguous levels.Access to the anterior thoracic spine via the transthoracic approach (via thoracotomy) can be used for decompression and fusion. To perform adequate decompression and stabilization of the thoracic spine, obtaining good exposure is a must. Preservation and protection of the vascular structures in the thoracic cavity is the key to such an exposure. Preoperative workup should include imaging modalities (plain rontgens, MRI/CT scan) to specifically define the area of decompression. If a tumor is being evaluated, CT angiography and embolization are helpful in preoperative planning. Assistance by a thoracic surgeon for exposure is highly recommended.
Tuberculosis of Sacrum: A Rare Location of Spinal Tuberculosis Sinaga, Patrice LWY; Ibrahim, Sabri; Dharmajaya, Ridha
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 1 No. 1 (2019): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhs-j.v1i1.1127

Abstract

Abstract :Tuberculosis is one of the most common infectious diseases in the world. The thoracolumbar spine is the commonest form of vertebral tuberculosis, whereas isolated tuberculosis of the sacrum is rarely reported in the literature. A male patient of 22-year old had complained low back pain since 2 years before admission to hospital without history of trauma on back. He also got low-grade fever and weight loss. There was no tuberculosis contagion found, no cough or night sweat. Clinical examination revealed neurological deficit with strength of both lower extremities were 4 and hipestesia in the level of lumbal 5 and downward. Radiographs of lumbosacral showed deformity of lumbal 5. CT scans of spine showed deformity of sacrum. MRI revealed spondylolisthesis L5-S1, S1-S2, S2-S3 and mass in the anterior posterior and lateral of paralumbal 5 and parasacral. There is no involvement of gluteus muscle and the around muscle. The patient underwent surgical of sequestrectomy with drainage abscess and lumbo-sacral-illiac fusion. The culture of sacral tissue showed Mycobacterium tuberculosis. The patient was treated with combination of four antituberculosis agents.
Intradural Extramedullary Spinal En-Plaque Meningioma With Calcification: A Case Report And Literature Review siregar, rais; Ibrahim, Sabri
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.v3i3.7607

Abstract

Abstract Introduction: Intradural extramedullary (IDEM) tumors are benign neoplasms arising in the spinal canal about two-thirds of primary spinal tumors and 15% of tumors affecting the Central Nervous System. Spinal en-plaque meningioma is a type that grows in a sheet-like or collar-like, and incidence in the literature only ranging from 0.1% to 3.1%. Pain is the most clinical symptom, weakness and sensory changes also occur frequently. Magnetic resonance imaging (MRI) is the standard modality for the radiologic diagnosis of meningioma. Case Report: A patient, 35 years old man with a diagnosis of intradural extramedullary spinal meningioma (IDEM) en-plaque with calcification, confirmed by the symptoms, workups such as spinal MRI, and intra-operative findings. The patient was successfully treated surgically with laminectomy and total tumor resection with a posterior approach. Discussion: Spinal en-plaque meningioma is a type that grows in a sheet-like or collar-like manner around the spinal cord can involve dura extensively with significant neurological deficits. Patient was with lower limb weakness, and had a history of back pain radiating to the right limb for the last 1 year. Spinal meningiomas are primarily found in the Intradural Extramedullary, and the tumor diagnosis is typically fairly straight forward based on radiologic findings. Meningiomas are most commonly found in the thoracic region of the spine. In this case from MRI Imaging was revealed a mass in thoracic region of the spine pressing the spinal cord anteriorly. The management of spinal en-plaque meningioma is tumor resection surgery. A retrospective study suggested a significant improvement in neurological deficit post-tumor resection on patients with spinal IDEM tumor. Conclusion: Spinal meningioma is a reasonably frequently found case of a spinal tumor but spinal en-plaque meningiomas are rarely found. MRI scan is the radiological gold standar diagnose spinal en-plaque meningiomas. Patient was successfully treated by total tumor resection using the laminectomy method and tumor resection with a posterior approach without any postoperative complications observed.
Systematic Review of the Effectiveness of Using iPSC in Spinal Cord Injury Ibrahim, Sabri; Ramadhan, Hafiz
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.10124

Abstract

Damage to the spinal cord is the pathological condition known as spinal cord injury (SCI) or spinal cord injury. This ailment, which not only causes neurological impairments but also places a significant psychological and social burden on patients, has grown to be one of the most challenging worldwide health issues. A successful stem cell-based treatment has just been created and could be the answer to this medical issue. It has been demonstrated that iPSC-dNSC stem cells are efficient at both reducing post-traumatic inflammatory conditions and kicking off neuronal cell regeneration at the location of SCI lesions. The aim of this study to investigate the the effectiveness of using iPSC in spinal cord injury. This study used the literature review method by discovering articles using the search engine Google Scholar, and PubMed. According to the search results, 413 articles were obtained in accordance with the title of the study, but 8 articles met the inclusion criteria in this study. The findings of this study showed that the iPSC methodology was applied, as well as the advantages and results of the procedure. Using iPSCs to treat SCI is still challenging and needs additional investigation.
Comparison of Open Craniotomy vs Conservative Treatment in Minor Spontaneous Intracerebral Hemorrhage (ICH) : A Comprehensive Systematic Review Pratiwi, Riska; Ibrahim, Sabri; Kausar, Teuku Akmal
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 1 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i1.16218

Abstract

Introduction: Intracerebral hemorrhage (ICH) accounts for 10–15% of all strokes in the USA, Europe, and Australia, and 20–30% of Asian cases, with a30-day mortality rate of 35% to 52%; half of the related deaths occur in the first 2 days. Its overall incidence is 24.6 per 100,000 person-years, indicating that it represents the most fatal type of stroke around the world. Methods: The aim of study of this study is to investigate the comparison of open craniotomy vs conservative treatment in minor spontaneous intracerebral hemorrhage (ICH). This study used the systematic review method by discovering articles using the search engines PubMed, SagePub, and Science Direct, and 5 articles met the inclusion criteria in this study. Results: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: Surgical management of intracerebral hemorrhage has unique advantages as it can remove the hematoma effectively and decrease intracranial pressure and the incidence of complications. Keywords: Intracerebral hemorrhage (ICH); surgical; treatment; craniotomy;  conservative.
Transsphenoidal Approach for Sellar Region Tumor : A Case Series Ibrahim, Sabri; Savitri, Annisa Aulia; Davi, Diqqi
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 2 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i2.17722

Abstract

Introduction: Transsphenoidal approaches to the sellar region, with endoscopic or microscopic techniques, are regularly used to treat a diverse collection of pathologies. Case Description: Three patients with presenting symptoms visual disturbance and headache were evaluated with MRI that showes sellar region masses. All patients were undergo transphenoid tumor removal. Post operation evaluation show improvement in visual disturbance and headache with no adverse event after procedure. Discussion : Transsphenoidal endoscopic surgery (TSS) for functional pituitary adenomas yields better endocrinologic results for noninvasive macroadenomas. However, the rate of postoperative CSF leakage was greater with the endoscopic method. In patients with pituitary adenomas, younger age, dense visual field defect, and the preoperative absence of central or bilateral visual field abnormalities were predictive factors of visual field recovery following transsphenoidal approach-tumor excision. Overall survival rates are generally high, ranging from 91% to 98%. Conclusion: Transphenoid approach was a good surgical method for sellar region masses and show good outcomes after operation. Keyword : Sellar region masses; Surgical; Transsphenoid approach  
Challenges of Spine Surgery in Obese Patients: A Case Report with a Review of the Literature Pratiwi, Riska; Ibrahim, Sabri; Kausar, T Akmal
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 3 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i3.19136

Abstract

Introduction: Obese patients face unique challenges across all phases of spine care and surgery, including preoperative, intraoperative, and postoperative periods. Significantly higher risks are associated with spinal surgery in obese patients. This study explores the challenges of managing spinal conditions in obese patients and offers strategies to mitigate these risks. Case report: A 56-year-old female with a BMI of 42 was referred for evaluation of chronic lower back pain and radicular leg pain. Imaging results were lumbar fusion for degenerative disc disease at the L4-5 and L5-S1 levels. During surgery, the patient required a prolonged operating time due to her increased soft tissue, which made visualization more difficult. The surgical team had to use longer instruments to navigate through the deeper tissue layers. Fluoroscopy was employed to ensure accurate placement of the fusion hardware. Postoperatively, the patient developed delayed wound healing, which required close monitoring and wound care interventions. She had significant reduction in back pain and improved mobility at her 6-month follow-up. Conclusion: Obese patients present numerous challenges to spine surgeons, ie. elective and non-elective surgeries, anesthetic issues, operative challenges, post-operative issues, complications, and outcomes. To mitigate associated risks and optimize outcomes, specific precautions can be taken during the preoperative, intraoperative, and postoperative phases.
C2 Lesion in An Adolescent Resembling Chordoma : Histopathological Confirmation of Rheumatoid Pannus Following Two-Stage Decompression : A Case Report Arafat, Syekh Ahmad; Ibrahim, Sabri; Hakim, Muhammad 'Azmi
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.20438

Abstract

Introduction: Chordomas prevalence peaks in men around late middle age. Mostly occur in the sacrococcygeal and around base of the skull. Chordoma of the cervical spine is observed only in 6% of all chordoma, which grows slowly in size before becoming symptomatic and encase surrounding vascular and nerve structures. Case Presentation: A 17-years-old male with weakness in all extremities since 2 months with history of falling to the ground with his back landed first after somersault. After that, he began to felt numbness in all extremities. Urinary, fecal incontinence, and decrease of libido was found. Patient undergo CT scan and MRI that show canalis stenosis C2 d/t C2 Fracture Levine classification type 1A ASIA D dd spondilitis TB C2 dd susp. Pannus ec Rheumatoid arthritis. Patient underwent the occipitocervical fusion. He underwent the second operation which was trans-oral decompression and the pathology impression was chordoma. Discussion: Chordomas are a family of primary bone tumors, originate from undifferentiated embryonic notochord remnants presenting in the midline, extending throughout the skull base and axial skeleton. Only 6% of all chordoma cases mainly affect the cervical spine, as chordomas can often be found in the cervical vertebrae, either a new primary tumor or a metastatic tumor   Conclusion: Chordoma is a malignant neoplasm and if the site lesion was in the cervical spine, the chief complaint was the effect of spaced-occupying lesion in cervical, like weakness in all extremities
Efficacy of Endoscopic Lumbar Discectomy in Motor Deficit Recovery: A Meta-Analysis of Neurological and Functional Outcomes Ibrahim, Sabri; Rasyid, Fahmi
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 02 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i02.21661

Abstract

Background: Endoscopic Lumbar Discectomy (ELD) has gained popularity as a minimally invasive alternative for treating lumbar disc herniation. However, its safety and efficacy in patients with preoperative motor deficits remain under debate due to concerns about limited decompression and neurological recovery. This study aimed to evaluate neurological and functional outcomes following ELD in patients presenting with motor weakness. Methods: A meta-analysis were conducted on studies published between 2015 and 2025. Databases searched included PubMed, Scopus, Web of Science, and Cochrane Library. Eligible studies reported pre- and postoperative motor function (MRC scale) and/or functional disability (Oswestry Disability Index, ODI) in patients undergoing ELD. Pooled mean changes in MRC and ODI were calculated, and subgroup analysis was performed based on baseline motor strength. Results: Eight studies comprising 613 patients met inclusion criteria. The pooled mean improvement in motor strength was +1.44 on the MRC scale. Functional outcomes improved significantly, with a mean ODI reduction of −37.3 points. Patients with severe baseline deficits (MRC ≤3) demonstrated greater neurological recovery. No study reported postoperative motor deterioration, and complication rates were low. Conclusion: ELD is associated with favorable neurological and functional outcomes in patients with preoperative motor deficits. These findings suggest that motor weakness should not be considered a contraindication to ELD, and with appropriate selection and expertise, ELD offers a safe and effective surgical option.
Cauda equina syndrome successfully treated with microdiscectomy and methylprednisolone therapy: A case report Henderson, Alhoi Hendry; Ibrahim, Sabri
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 2, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss2.art16

Abstract

Cauda equina syndrome (CES) caused by lumbar disc herniation is a rare neurosurgical emergency in young adults that requires immediate decompression. A surgical delay over 48 hours may result in irreversible ramifications, underscoring a crucial timeframe for managing this condition. We presented a 26-year-old man with lower limb weakness persisting for one week, accompanied with exacerbating bowel and bladder issues after massage. The patient had a history of low back pain and tingling sensations radiating to the left leg over the past year. His physical examination showed right motor strength of 5/4 and left motor strength of 5/3, with weakened bowel peristalsis, loose anal sphincter and saddle anaesthesia. A spinal MRI revealed protruded discs extending to the intervertebral levels of L4-L5 and L5-S1, implicating herniated discs as the likely cause of CES. He underwent a microdiscectomy with a posterior approach, and intravenous methylprednisolone was administered before the procedure. The next surgery demonstrated enhancements in motor strength, bowel and bladder function, and it also reduced pain. He was discharged with persistent tingling sensations in his both legs. We concluded that CES represents a critical neurosurgical emergency, which is diagnosed through clinical symptoms and neuroimaging. Rapid decompression and intravenous administration of methylprednisolone are associated with better prognosis.
Co-Authors Arafat, Syekh Ahmad Davi, Diqqi Dharmajaya, Ridha Hakim, Muhammad 'Azmi Henderson, Alhoi Hendry Kausar, T Akmal Kausar, Teuku Akmal Manurung, Halim Rahman Ramadhan, Hafiz Rasyid, Fahmi Riska Pratiwi Savitri, Annisa Aulia Sinaga, Patrice LWY Siregar, Rais