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All Journal Journal of Case Reports in Dental Medicine
Basri, Muhammad I.
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Dentistry Health Professions

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Localize lesion of horner’s syndrome based on anhydrotic pattern Basri, Muhammad I.; Wardani, Emy; Basir, Hasmawaty; Wuysang, Audry D.
Journal of Case Reports in Dental Medicine Vol 1, No 2 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v1i2.94

Abstract

Objective: The current case series will discuss about two horner syndrome cases with a different pattern of anhydrotic.Methods:Male 54 years old came with punctured and burned pain sensation at left hand for the last one year which radiated along the shoulder toward the tip of left fingers. There were 10 kgs of weight loss. Neurological examination showed unequal pupil size 2.5mm/1.5mm, left ptosis, left hemifacial and left arm anhidrosis. Cervical MRI showed burstfracture involved CV T1 pedicle.Results: CaseIMSCT Thorax showed suspicious of neurogenic tumor which resulted in CV T1 destructionandcaseIIMSCT thorax showed left lung collapse due to pleural effusionConclusion: Anhidrotic pattern will be an essential factor in making a topical diagnosis for patients with Horner syndrome, which also can be a fundamental basis in choosing the next additional examinations required to find the etiology.Keywords:Anhidrotic pattern, Horner’s syndrome, Sympathetic nerve
Clinical Outcome Of Tolosa-Hunt Syndrome After Intravenous Steroid Therapy: A Case Report Bintang, Andi K.; Umbas, Juliet CG.; Basri, Muhammad I.; Tammasse, Jumraini
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.v3i3.165

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Objectives: Tolosa-Hunt syndrome (THS) is caused by an idiopathic inflammatory process in the cavernous sinus, superior orbital fissure, or orbit. THS is a rare disease. The main clinical symptoms are ophthalmoplegic pain, accompanied by ipsilateral headache, paresis of one or more ipsilateral III, IV, and or VI cranial nerves, MRI or biopsy abnormalities, and cannot be categorized as other diseases. THS resolves adequately with corticosteroids within 24-72 hours of therapy.Methods: Male, 53 years old, was admitted for painful right ophthalmoplegia, constant onset, two weeks, ipsilateral headache, accompanied by diplopia and right eyelid ptosis.  There was no history of fever, trauma, or similar illness. Neurological examination showed exotropia due to paresis of the right III and IV cranial nerves. Analgesics can not relieve the pain. Laboratory findings, CT angiography, and brain MRI were normal.Result: There was clinical improvement within 24 hours after initiation of methylprednisolone followed by tapering-off oral prednisone.Conclusion: THS is a diagnosis of exclusion and must be distinguished from other causes of painful ophthalmoplegia. Careful follow-up is required to diagnose THS. The diagnosis should not depend on MRI alone but should be adjusted according to clinical findings and therapeutic response.
Acute ischemic stroke as a rare complication of steroid resistant nephrotic syndrome in adolescent: A case report Bahar, Ashari; Akbar, Muhammad; Basri, Muhammad I.
Journal of Case Reports in Dental Medicine Vol 4, No 3 (2022)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v4i3.198

Abstract

AbstractIschemic stroke is an uncommon complication of nephrotic syndrome, but must be adressed appropriately, because of the significant health impact. We reported a case of 17-years old male with sudden onset right hemiparesis. The patient was previously diagnosed with steroid resistant nephrotic syndrome (SRNS), and was treated with pulsed cyclophosphamide. Laboratory examination showed proteinuria, hypoalbuminemia and high low density lipoprotein. Axial head CT scan showed infarction in left basal ganglia and corona radiata. Digital substraction angiography (DSA) confirmed severe stenosis in the left middle cerebral artery. The patient was treated with antiplatelet, along with treatment for SRNS and hypercholestrolemia. SNRS might increase the risk of early occurrence of stroke in young adult, throught acceleration of atherosclerosis and hypercoagulable state.
Co-Authors Bahar, Ashari Basir, Hasmawaty Bintang, Andi K. Muhammad Akbar Tammasse, Jumraini Umbas, Juliet CG. Wardani, Emy Wuysang, Audry D.