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All Journal AKSONA Neurona
Ramadhoni, Pinto Desti
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Health Professions Medicine & Pharmacology Neuroscience

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Successfully Procedure Endovascular Carotid Angioplasty Stent in a Case of Neck Stab Wound with Pseudoaneurysm, Recurrent Transient Ischemic Attack, and Horner Syndrome: A Case Report Ramadhoni, Pinto Desti; Martanusa, Hawari
AKSONA Vol. 4 No. 1 (2024): JANUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v4i1.48951

Abstract

Highlight: Uncommon Presentation and Diagnosis: The case report presents a unique and rare clinical scenario involving a 14-year-old boy who sustained a neck stab wound, leading to the development of a pseudoaneurysm within the common carotid artery. Multidisciplinary Approach to Treatment: The case highlights the complexity of managing such casesm where a multidisciplinary approach is paramount. The manuscript underscores the significance of involving neurology, interventional neurology, and vascular surgery teams to provide comprehensive and tailored patient care Efficacy of Endovascular Intervention: The successful outcome of the endovascular carotid angioplasty stent procedure highlights its effectiveness as a treatment option for addresing complex vascular conditions like pseudoaneurysm or dissection of the carotid artery.   ABSTRACT Introduction: Neck stab wounds can lead to various vascular complications, including pseudoaneurysm or carotid artery dissection. Proper diagnosis and management can prevent recurrent strokes. Case: We reported a case of a 14-year-old boy with a previous left neck stab wound who developed recurrent transient ischemic attacks (TIAs) accompanied by Horner's syndrome and headache following a traumatic common carotid artery dissection. An angiographic examination revealed a pseudoaneurysm or dissection of the left common carotid artery. The patient was initially treated with oral anticoagulant therapy, but he continued to experience recurrent TIA. The patient was then treated endovascularly with a carotid angioplasty stent to restore the compromised carotid artery. Following the endovascular procedure, the patient experienced no complications, showed improvement in Horner syndrome, and had no headache. During the follow-up period, the patient had no more TIAs. Conclusion: Endovascular carotid angioplasty stents are an effective and safe way to treat pseudoaneurysm or dissection of the carotid artery, especially in cases presenting with recurrent TIAs and Horner syndrome. The observed clinical improvement following the procedure indicates significant benefits in enhancing the patient's quality of life and preventing complications from recurrent TIA episodes.
FAKTOR-FAKTOR YANG MEMPENGARUHI LUARAN PADA PASIEN PERDARAHAN SUBARAKHNOID: PENELITIAN COHORT PROSPEKTIF 18 BULAN Muhlisa, Safitri; Ramadhoni, Pinto Desti; Junaidi, Achmad; Octavinawaty, Lenny; Adwirianny, Ashita Hulwah
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 2 (2024): Vol 40 No 2 (2024): Volume 40, No 2 - Maret 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.451

Abstract

Introduction: Subarachnoid hemorrhage (SAH) is an acute bleeding in the subarachnoid space. The mortality rate of SAH is quite high and survivors will experience limitations in activity daily living. Identification and factors that affect SAH are needed to improve patient outcomes. Aim: to identify the factors that affect the mortality of SAH Methods: This study was an observational study with a prospective cohort approach regarding the factors that affect the outcome of subarachnoid hemorrhagic patients in Dr. Mohammad Hoesin Hospital Palembang from January 2021 to July 2022. Results: From 62 subjects, the patients were 55.35 (SD ± 12.4) years old in average, most of them were female (67.7%). About 87.1% of patients had GCS> 8 (mean 11.68, SD ± 3.273). There were 82.3% of patients with mild-moderate NIHSS (mean 11.68; SD ± 3.273). The mortality rate was 37.1% (n = 23) with associated factors such as onset of admission (p = 0.044, GCS on admission (p= 0.003), severity of stroke (NIHSS) (p = 0.013), SAH severity (Hunt and Hess scale) (p=0.00), modified fisher scale (p=0.000), and coiling (p=0.001).The factor that most influenced the outcome was modified Fisher 3-4 (OR= 12,426, CI95% = 2,239 – 68,953) and non-coiling (OR: 12,2278, CI95% = 1,716 – 87,838). Discussion: There was a significant correlation between admission onset, GCS on admission, stroke severity (NIHSS score), modified Fisher scale, SAH severity (Hunt and Hess scale), and coiling, with the mortality of subarachnoid hemorrhage. Modified fisher scale and non-coiling were the most dominant factors that affected the mortality rate. Keywords: SAH, mortality, outcome
Factor Affecting Insomnia in Ischemic Stroke Patients Fajarini, Agustina; Mukhlisa, Mukhlisa; Handayani, Sri; Ramadhoni, Pinto Desti; Irfannuddin, Irfannuddin
AKSONA Vol. 5 No. 2 (2025): JULY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v5i2.66533

Abstract

Highlight: Insomnia is prevalent in ischemic stroke patients and can hinder the recovery process. Stroke patients have a higher prevalence of insomnia and related symptoms than the general population.  This study found a complex relationship between physical, psychological, and social risk factors for insomnia following ischemic stroke.   ABSTRACT Introduction: Insomnia is common in ischemic stroke patients and can negatively impact on the post-stroke recovery process by interfering with the body's natural healing process, reducing the effectiveness of rehabilitation therapy, and affecting the recovery of cognitive function. Effective management and early intervention in  insomnia are needed to enhance health services for stroke patients, promote optimal recovery, and improve their quality of life. Objective: This study aimed to identify and analyze the various factors associated with the occurrence of insomnia among patients with ischemic stroke. Methods: This is a cross-sectional study that used secondary data from medical records and primary data gathered through questionnaire-based interviews. The subjects were 105 ischemic stroke patients at the Neurology Clinic of Dr. Mohammad Hoesin Hospital, Palembang, between May to July 2024. The data acquired for further analysis included social and demographic details, comorbid conditions, depression, anxiety, pain, insomnia, medication use, sleep hygiene, and stroke clinical features. The data was then analyzed using IBM SPSS Statistics 24 and assessed through bivariate and multivariate analyses to evaluate the relationships between variables. Results: The prevalence of insomnia in this study was 42.9%, with mild insomnia observed in 26.7%, moderate insomnia in 13.3%, and severe insomnia in 2.9% of the subjects. Obstructive sleep apnea (OSA) (OR: 22.718), sleep hygiene index (OR: 6.490), and education level (OR: 3.453) were identified as determinants related to insomnia in ischemic stroke patients. Indirect factors associated with insomnia in ischemic stroke patients include depression, the number of comorbid diseases, pain, diabetes, a history of insomnia, anxiety, and stroke onset. Conclusion: There is a complex relationship between various physical, psychological, and social factors and the incidence of insomnia after ischemic stroke.  
Co-Authors Achmad Junaidi, Achmad Adwirianny, Ashita Hulwah Fajarini, Agustina Handayani, Sri Irfannuddin Irfannuddin Martanusa, Hawari Muhlisa, Safitri Mukhlisa, Mukhlisa Octavinawaty, Lenny