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All Journal MNJ (Malang Neurology Journal) Jurnal Neuroanestesi Indonesia
Hermawan, Asep Nugraha
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Biochemistry, Genetics & Molecular Biology Education Medicine & Pharmacology Neuroscience Public Health

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COMPARISON OF COGNITIVE FUNCTION BETWEEN FIRST ISCHEMIC STROKE AND RECURRENT ISCHEMIC STROKE PATIENTS Rizkia, Fildza Intan; Calista, Chandra; Gunadharma, Suryani; Hermawan, Asep Nugraha; Amalia, Lisda; Ong, Paulus Anam
MNJ (Malang Neurology Journal) Vol. 8 No. 1 (2022): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.01.7

Abstract

Background: Cognitive impairment is a common condition that may affect up to 50% of stroke patients. Post stroke cognitive impairment is associated with reduced quality of life, which may increase the number of dependency. Recurrent stroke may happen in approximately 25% patients and they have higher rates of cognitive impairment.Objective: The aim of this study is to examine the comparison of cognitive function between first ischemic stroke and recurrent ischemic stroke patients in Hasan Sadikin Hospital, Bandung.Methods: This study is a retrospective, cross-sectional study using the data recruited between the year 2012 - 2016 at the Department of Neurology at the Hasan Sadikin Hospital Bandung. The data collected in this study were demographic data, including age, level of education, and residence, and the clinical data as well. Cognitive function was assessed using Mini-Mental State Examination (MMSE). The comparison between the cognitive function between both groups were analyzed using the Mann-Whitney U test.Results: There were 428 subjects eligible for this study, with 207 subjects categorized as first ischemic stroke group and 221 subjects categorized as recurrent ischemic stroke group. There was a statistically significant difference in MMSE scores between the first ischemic stroke patients (24.90 ± 4.64) and recurrent ischemic stroke patients (22.85 ± 4.64 ) with a p value of 0.002.Conclusion: Recurrent ischemic stroke patients had lower MMSE scores than the first ischemic stroke patients. Clinicians should be more aware in detecting early cognitive impairment in stroke patients and in preventing the incidence of recurrent stroke.
Diagnosis dan Tatalaksana Neuralgia Trigeminal Eksaserbasi Akut Terkini Hermawan, Asep Nugraha
Jurnal Neuroanestesi Indonesia Vol 12, No 3 (2023)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v12i3.473

Abstract

Neuralgia trigeminal (NT) ditandai oleh adanya nyeri seperti sengatan listrik singkat unilateral berulang, terbatas pada distribusi satu atau lebih cabang saraf trigeminal, onsetnya muncul dan berhenti tiba-tiba, dan dipicu oleh rangsangan yang normalnya tidak memunculkan rasa nyeri. Diagnosis NT adalah diagnosis klinis sesuai dengan kriteria diagnosis the International Classification of Headache Disorders. Pemeriksaan penunjang seperti Magnetic Resonance Imaging (MRI) dan tes elektrofisiologi diperlukan untuk menentukan etiologi. Etiologi NT penting untuk diketahui karena pendekatan terapi yang berbeda. Pada NT eksaserbasi akut terjadi peningkatan intensitas nyeri dan frekuensi serangan yang sangat tinggi. Kondisi ini menyebabkan anoreksia dan dehidrasi karena asupan makanan dan minuman akan memicu serangan nyeri. Perawatan di rumah sakit diperlukan untuk rehidrasi, pemeliharaan nutrisi, tatalaksana nyeri akut dan pengaturan dosis obat anti-konvulsan sebagai pencegahan nyeri atau sampai dilakukan tindakan lain seperti pembedahan atau neuroablatif sesuai indikasi.Acute Exacerbation of Trigeminal NeuralgiaAbstractTrigeminal neuralgia (TN) is characterized by recurrent, brief unilateral electric shock-like pain, limited to the distribution of one or more branches of the trigeminal nerve, appearing and stopping suddenly, and triggered by stimuli that are normally painless. TN is a clinical diagnosis according to the diagnostic criteria of the international classification of headache disorders. Investigations such as magnetic resonance imaging (MRI) and electrophysiological tests are required to determine the etiology. It is important to know the etiology of NT because of the different therapeutic approaches. In acute exacerbations of TN, the pain intensity increases and the frequency of attacks is very high. This condition causes anorexia and dehydration because drinking or eating will trigger pain attacks. Hospitalization is needed for rehydration, nutritional maintenance, acute pain management and dose adjustment of anti-convulsant drugs as pain prevention or until other measures such as surgery or neuroablatives are carried out as indicated.
Co-Authors Calista, Chandra Gunadharma, Suryani Lisda Amalia Ong, Paulus Anam Rizkia, Fildza Intan