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Journal : Jurnal EduHealth

Literature Review : Relationship Between Moyamoya Disease And Cerebral Iscemic Incidents Muh. Fawwaz Irhadi; Mochammad Erwin Rachman; Cahyono Kaelan
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Moyamoya disease is a rare progressive cerebrovascular disorder characterized by blockage of arteries at the base of the brain, causing ischemic and hemorrhagic strokes. This condition is most common in children and adults in Asia, with the main symptoms being transient ischemic attacks (TIAs) or strokes. This study used a literature review method by collecting data from various medical journals related to the diagnosis and management of Moyamoya. Diagnosis is generally made through MRI, MRA, and DSA, with DSA being the best method to identify arterial stenosis and collateral formation. The results showed that treatment included medical therapy with aspirin and surgical revascularization procedures to improve cerebral blood flow, where direct revascularization provides faster results although technically more difficult. Early diagnosis and surgical intervention are essential to prevent disease progression.
Difference In Effectiveness Of Fixed Combination Of Cinnarizine 20 Mg And Dimenhydrinate 40 Mg With Betahistine Dihydrochloride 16 Mg In Patients With Meniere's Disease Nurul Wahidah Yasid; Mochammad Erwin Rachman; Ade Rahmy Sujuthi
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Meniere's disease (MD) is a disorder of the inner ear characterized by hearing loss , tinnitus , and vertigo . In most cases , the disease is slowly progressive and has a significant impact on the social functioning of the affected individual. Hearing loss , tinnitus , and vertigo is common symptomatic complaints with many potential causes , but Meniere's disease is actually quite rare and is essentially a diagnosis of exclusion . This research uses a literature review method by tracing the results of scientific publications in the time period between 2012 and 2024 using 3 databases , namely : Google Scholar , PubMed , and ScienceDirect . A search strategy based on PICO suggests that the fixed combination of cinnarizine and dimenhydrinate is a safe and possibly better treatment options for patients . a combination of cinnarizine and low dose dimenhydrinate is a good choice for treatment . Dimenhydrinate has been proven to be effective in reducing the DHI score and sub- score of GVP sufferers , meaning that combination drugs administration is considered more effective for treating Meniere's disease when compared to monotherapy .