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All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J)
Mahyudanil
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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Penetrating Wooden Injury : Wooden Stick Siregar, Rais; Dharmajaya, Ridha; Mahyudanil
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.v1i2.3244

Abstract

Background : Accidental penetrating brain injury is relatively uncommon representing about 0.4% of all head injuries. Penetrating brain injury (PBI) were divided into Missile and Non missile penetrating head injuries (NPHIs). Non missile penetrating head injuries (NPHIs) are relatively rare compared with missile injuries. Wooden Penetrating Brain Injury is one of Non missile penetrating head injuries (NPHIs) Case Report : 20-year-old male presented with Decreased of Conciousness. History revealed that he was riding motorcycle and had an crash injury with other motorcycle rider from a head. He fell down and a broken wooden stick entered into his skull. Airway was clear, Breathing was spontan and respiratory rate 26 per minutes, Circulatory finding were warm skin, pulse rate of 118 per minute and blood pressure of 140/80 mm Hg, Glasgow Coma Scale (GCS) score on admission was E3M5V4. Radiology Imaging finding a foreign body in Left Frontal Lobe. Discussion : Wooden Penetrating Brain Injury was Nonmissile penetrating head injuries (NPHIs). The pathophysiology is similar to closed head injuries causing cerebral contusion or intracranial hemorrhage, but there is more chance of infection. Primary survey and stabilization of the patient with regard to the airway, breathing, cervical spine, and circulation including external hemorrhage. Computed tomography (CT) scanning of the head is primary modality . MRI can be a useful neuroradiologic modality if a penetrating object is a wood. Patient was performed Craniectomy Debridement and was treated with triple antibiotic regiment. Conclusion : The management of PBI differs considerably from nonpenetrating brain injury because of the unique mechanism of injury and pathophysiology involved in this type of trauma In this patient surgical treatment was undergoing after 12 h. Patient was treated with triple antibiotic regiment and was discharged on 7th day post operation. The recovery of the patient went uneventfull. Patient gained back his conciousness without any neurological deficit. Key words : Penetrating Brain Injury, Nonmissile, Wooden stick
Improving Motoric Outcome after Early Craniectomy in Patient with Open Depressed Fracture Involving Motoric Cortex Area : A Case Report Husain, Syekh Ahmad Arafat; Hutagalung, Tommy Rizky; Lizen, Nindi; Mahyudanil
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 1 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v3i1.5946

Abstract

Introduction : Traumatic brain injury  (TBI) remains a major public health problem worldwide. It is a leading cause of mortality and disability across the globe. Brain swelling and intracranial hypertension are well-recognized secondary insults associated with increased mortality and poorer outcomes. In majority of head injury cases, the incidence of depressed skull fracture is also increasing. When this situation involving in motoric cortex area, it can cause limb weakness and devastating effect. Case Report : We reported a 21 year old male patient came with complaints of decreased consciousness due to a motorcycle accident. On motoric examination, hemiplegia was found in the left limb. There was a open wound in the right fronto-parietal region, Head CT Scan revealed a depressed fracture in the right fronto-parietal region and  multiple contusions on the right frontal. Craniectomy procedures was performed. Post operatively there is an improvement in patient consciousness and motoric outcome. Discussion : Open depressed fracture is one of the most common traumatic brain injury (TBI). Prevent infection and saving traumatic penumbra is the main target of surgery in this case. The pathophysiological changes in the traumatic penumbra are dynamic processes, the development and outcome of TBI depends greatly on the progression of tissue damage in the traumatic penumbras. Early clinical treatment can effectively rescue the tissue which has the potential to recover and hinder the progression of secondary injury Conclusion : Traumatic brain injury (TBI) has high morbidity and mortality in worldwide. Time dependent progression has provided a window of opportunity to take interventional action and reduce secondary injury after TBI. Motoric outcome can improve with early management.
Overview of Concussion Related to Long-term Cognitive Impairment Among Traumatic Brain Injury : A Systematic Review Hasan, Muhammad Reza; Mahyudanil
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.v6i1.11832

Abstract

Abstract. Background: Discovering if the cognitive decline in later life is related to concussion. This systematic review aims to summarize the research on the link between concussion and long-term cognitive damage. Methods We offer systematic reviews that follow a standardized review methodology and are reported using the recommended reporting standards for systematic reviews and meta-analyses (PRISMA). From conception until March 2023, we conducted searches in the databases of PubMed, ScienceDirect, and British Medical Journals using the following search method. Results: Six studies were included for further analysis, which mostly showed individuals with mild Traumatic Brain Injury (mTBI) with a GCS of 13–15 revealed that cognitive impairment is a prevalent symptom with the primary cause of traffic collision. Studies on patients with mTBI demonstrated that they performed poorer in verbal memory, attention, and executive function. It has been shown in earlier investigations that microglia may be involved in ongoing neurodegeneration. Microglia response in the subcortical regions carries out the critical information and processing of spatial learning, memory, and relaying sensory and motor signals. Conclusion Concussions are one of the most frequent but also one of the hardest to recognize; in fact that even mild trauma has the potential to affect the brain's architecture and has no outward signs. Reduced cognitive function is one of the concussion's side effects, when cognitive impairment is correlated with a lower health-related quality of life.
Outcome of Subaxial Spinal Cord injury (Early vs Late Decompression surgery) Franchyeda, Bianca; Mahyudanil
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.v6i3.19135

Abstract

Introduction: Cervical spine injuries can cause severe neurological deficits, and the timing of decompression surgery is critical for influencing recovery. Early decompression, performed within hours to days, improves outcomes by preventing irreversible spinal cord damage, while delayed decompression may lead to worsened recovery due to prolonged spinal cord compression. Case Description: Two cases were discussed: Case 1 involved a 22-year-old male with severe spinal cord compression, who showed rapid improvement following immediate decompression surgery. Case 2 involved a 20-year-old male with a C3 vertebra dislocation, who underwent delayed decompression surgery three months after injury, resulting in substantial recovery after rehabilitation. Discussion: Early decompression surgery, as seen in Case 1, leads to faster recovery by minimizing spinal cord ischemia and preventing further neuronal damage, resulting in significant functional improvement. In contrast, delayed decompression, demonstrated in Case 2, results in slower recovery due to prolonged spinal cord compression, but meaningful improvement is still possible with intensive rehabilitation. The timing of decompression surgery plays a crucial role in recovery outcomes, although patient-specific factors, including injury severity and rehabilitation, also influence the extent of recovery. Conclusion: Early decompression surgery for subaxial spinal cord injuries generally results in better outcomes, with faster recovery, while late decompression can still provide significant recovery, albeit with a slower trajectory and increased risk of residual deficits.
Co-Authors Dharmajaya, Ridha Franchyeda, Bianca Hasan, Muhammad Reza Husain, Syekh Ahmad Arafat Hutagalung, Tommy Rizky Lizen, Nindi Siregar, Rais