Abdi - Reza
Department Of Neurosurgery. Faculty Of Medicine. Universitas Indonesia

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ELECTROCORTICOGRAPHY-BASED BRAIN COMPUTER INTERFACE FOR PEDIATRIC PATIENT: CHALLENGE ON THE HORIZON Abdi - Reza
JURNAL KEDOKTERAN Vol 5 No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.671 KB) | DOI: 10.36679/kedokteran.v5i1.117

Abstract

Electrocorticography-based brain computer interface has accepted recognition as modality connecting human brain to computer device for its signal recording excellence and stability. Implantation for medical purpose has welcomed this modality for bypassing existing nervous system and natural organ to create alternative solution towards previously-unsolved medical problems. Clinical trials have already initiated for Electrocorticography-based BCI implantation in adult. Therefore, bridging a direct brain to computer connectivity in pediatric patient should also become possible. However, several characteristics has made Electrocorticography-based BCI for pediatric patient more complex and should await for further technical solution rather than its adult counterparts. Penghubung otak-komputer berbasis elektrokortikografi telah diakui sebagai metode menghubungkan sinyal otak langsung ke komputer dengan kualitas dan stabilitas perekaman sinyal yang andal. Sinyal otak yang dihubungkan langsung ke komputer dapat memberikan pertolongan bagi pasien dengan kelumpuhan oleh berbagai sebab. Uji penerapan klinis dengan implantasi penghubung otak-komputer berbasis elektrokortikografi telah diujilaksanakan pada pasien dewasa (Vastenseel et al., 2016). Dimasa mendatang, kelompok pasien anak diharapkan dapat memperoleh manfaat dari terobosan teknologi kedokteran tersebut. Beberapa perbedaan karakteristik antara pasien dewasa dan anak membatasi kemungkinan implantasi jangka panjang pasien anak. Solusi bersama ilmu kedokteran dan teknik akan membuka kesempatan dimasa datang bagi implantasi elektroda pada anak.
KOMPLIKASI VENTRIKULOPERITONEAL SHUNT PADA PASIEN PEDIATRIK USIA 0-2 TAHUN DI RUMAH SAKIT UMUM PUSAT NASIONAL DR CIPTOMANGUNKUSUMO Samsul Ashari; Bhayu Rizallinoor; Hilman Mahyudin; Moh. Saekhu; Renindra Ananda Aman; David Tandian; Abdi Reza; Setyo Widi Nugroho
NEURONA Vol 38 No 2 (2021)
Publisher : PERDOSNI

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Abstract

Introduction: Ventriculoperitoneal shunt is the procedure of choice in the management of hydrocephalus. However,the ventriculoperitoneal shunt procedure also carries a risk of complications. In Indonesia, data on the incidence andprevalence of ventriculoperitoneal shunt complications have not been obtained.Aim: In this study, we examined the complications of shunts and the factors associated with the duration of timeMethods: This study is a retrospective study of pediatric patients aged 0-2 years with hydrocephalus who underwentventriculoperitoneal shunt surgery for the first time at Cipto Mangunkusumo Hospital in 2015-2020 and e????periencedcomplications. The duration of time the complications occurred was divided into before and after six months. Demographicdata, clinical data, and types of complications were analyzed descriptively.Result: From ????anuary 2015 to March 2020 at Cipto Mangunkusumo Hospital, 168 ventriculoperitoneal shuntoperations were performed at 0-2 years. It was found that 20 patients (12%) e????perienced complications with a duration offewer than si???? months by ????.8% and more than si???? months by 4.2%. The total complications that occurred were mechanicalcomplications (????.2%), infection (3.6%), and over drainage (1.2%).Discussion: The percentage of complications of ventriculoperitoneal shunt in patients aged 0-2 years at CiptoMangunkusumo Hospital, in the first si???? months was ????.8%, with the highest incidence was infection (3.6%) which waslower than the literature, while the percentage of complications of ventriculoperitoneal shunts which more than six monthswere 4.2% and caused mainly by distal malfunction (3%).Keywords: aged 0-2 years, complications, pediatric, ventriculoperitoneal shunt