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Type 1 Arnold Chiari Malformation With Syringomyelia: A Case Report Akbar, Muhammad; Armalia, Armalia; Tammasse, Jumraini; Goysal, Yudy; Basri, Muhammad I
Journal of Case Reports in Dental Medicine Vol 3, No 3 (2021)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v3i3.164

Abstract

Objective: Arnold Chiari Malformation is a pathological herniation of the hindbrain through the foramen magnum into the cervical canal, characterized by herniation of the inferior cerebellar tonsils of 3-5 mm 30-70% accompanied by syringomyelia.Methods: This case presents a 16-year-old woman who came to the Neurophysiology Section of  Wahidin Sudirohusodo Hospital with complaints of weakness and numbness in her left arm since last year. It all started with pain in the back of the head and neck after a heavy sneeze three years ago, and since then, the pain has been inconsistent. The patient has gone to the doctor and was given medication, but his symptoms are not improving. Clinical manifestations get worse after the patient uses a computer or mobile phone. Physical examination revealed atrophy of the thenar and hypothenar muscles and sensory dissociation in the left arm's 5th cervical to a first thoracic dermatome. NCV and F-wave examination showed no signs of radiculopathy, plexopathy, or neuropathy. Furthermore, cervical magnetic resonance imaging (MRI) showed Arnold Chiari Malformation Type-1 with syringomyelia extending from cervical spinal cord segment-2 to thoracic-1.Result: This patient was diagnosed based on history, physical examination, nerve conduction study, and MRI spine. There was no clinical improvement after therapy.Conclusion: The clinical picture of Arnold Chiari Malformation Type-1 is so varied that it requires detailed information to diagnose.
Impact of Spread Effect on Public Market Place (Lambaro Aceh Besar) Armalia, Armalia; Fadhly, Noer; Zukhrina Oktaviani, Cut
Journal of World Science Vol. 2 No. 11 (2023): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v2i11.485

Abstract

Aceh Besar Regency is the primary access and entrance gate to the provincial capital, directly adjacent to the city of Banda Aceh. This proximity positions Aceh Besar as a buffer from the city. The strategic location and position make Aceh Besar an opportune area for rapid growth and development. Thus, developing these strategic areas will foster the emergence of growth centers (Growth Poles). This research aims to determine and analyze the impact of the spread effect on the public market between Aceh Besar Regency and Banda Aceh City as a potential sector that can encourage economic growth and have a spreading effect on the surrounding area. The analysis method employed in this research is a quantitative approach utilizing descriptive analysis. The results of the research show that the results of the gravity analysis of sub-districts in Aceh Besar Regency and Banda Aceh City show that Want Jaya Sub-district as the primary growth center has the greatest interaction value with Darul Imarah Sub-district. The last sub-district is one of the sub-districts in Aceh Besar Regency with an interaction value of 76,525,776,000. Furthermore, the largest interaction values after Darul Imarah District are Krueng Barona Jaya District and Montasik District with interaction values of 15,062,514,047 and 11,831,506,347 respectively.