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SUDDEN PROGRESSIVE LOWER LIMB WEAKNESS CAUSED BY TRANSVERSE MYELITIS, MENINGITIS, AND COMMUNICANS HYDROCEPHALUS DUE TO TUBERCULOSIS: A RARE CASE REPORT Simanjuntak, Arya Marganda; Candra, Riky; Gracia, Felicita; Maryanti, Yossi; Sucipto; Sukiandra, Riki; Juananda, Desby
MNJ (Malang Neurology Journal) Vol. 12 No. 1 (2026): 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.2025.012.01.17

Abstract

Background: This report presents a rare case of TB myelitis with concurrent TBM, emphasizing the importance of early detection and intervention due to its atypical symptoms and high risk of neurological disability. Objective: To report a rare case of tuberculous myelitis occurring concurrently with TBM and to highlight the importance of early recognition, appropriate imaging, and timely therapeutic intervention to improve neurological outcomes. Methods: A clinical case review was conducted involving a 32-year-old male presenting with progressive neurological deficits. Clinical evaluation, neuroimaging, cerebrospinal fluid (CSF) analysis, and treatment response were assessed. Management consisted of anti-tuberculosis therapy, corticosteroids, and intensive rehabilitation, with neurosurgical intervention deferred due to medical instability. Result: he patient initially developed chronic headache, fever, and cough, followed by worsening lower limb weakness, numbness, and urinary retention. Neurological examination revealed paraplegia with sensory level at T4. Imaging demonstrated hydrocephalus and pulmonary tuberculosis, while CSF analysis confirmed TBM. A diagnosis of TB myelitis with concurrent meningitis was established. Following initiation of anti-tuberculosis therapy (2RHZE/10RH), corticosteroids, and rehabilitation, the patient showed gradual neurological improvement despite the postponement of neurosurgical procedures. However, there are still few standardized protocols for diagnosing and treating TB myelitis, which calls for more research. Conclusion: Rapid diagnosis of TB myelitis, a treatable complication of CNS tuberculosis, can significantly improve patient outcomes, necessitating further research and development of new therapeutic approaches.
CLINICAL CHARACTERISTICS, MOTOR AND NON-MOTOR COMPLICATIONS, AND QUALITY OF LIFE OF PARKINSON’S DISEASE PATIENTS Maryanti, Yossi; Sukiandra, Riki; Juananda, Desby; Lestari, Enny; Octaria, Allysa; Andrilla, Faiza; Zahira, Mifta; Putri, Reta Amelia
MNJ (Malang Neurology Journal) Vol. 12 No. 1 (2026): 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.2026.012.01.14

Abstract

Background: Parkinson’s disease is a chronic and progressive neurodegenerative disorder characterized by both motor and non-motor symptoms that worsen over time, ultimately reducing patients’ quality of life. Objective: This study aimed to describe the clinical characteristics, motor and non-motor complications, and quality of life of Parkinson’s disease patients treated at Arifin Achmad Regional General Hospital, Riau. Methods: This study was a descriptive cross-sectional study conducted at the Neurology Polyclinic of Arifin Achmad Regional General Hospital, Riau, from January to August 2025. Samples were obtained using a total sampling technique. Results: A total of 31 Parkinson’s patients were included. More than half (54.8%) were aged ≥ 60 years, and 51.6% were males. Most had a high school education (32.3%), were unemployed (90.3%), and were not engaged in social activities (61.3%). The majority had no family history of Parkinson’s disease (83.9%) but presented with comorbidities (54.8%). Tremor was the predominant symptom (96.8%), while 67.7% had no motor complications. Cognitive impairment was found in 45.2%, mainly affecting the memory domain (96.8%). Poor sleep quality was common (61.3%), with nocturia as the most frequent disturbance (90.3%). Regarding quality of life, 32.3% of patients were within the acceptable range, with the mobility domain being the most affected (48.4%). Conclusion: Most Parkinson’s patients were elderly males with moderate disease progression. Comprehensive management addressing both motor and non-motor symptoms is essential to improve patients’ overall quality of life.
Quality of Life in Patients with Central Post-Stroke Pain in Riau, Indonesia: A Cross-Sectional Study Sukiandra, Riki; Haikal, M. Zacky; Hanania, Dini; Aiko, Novia; Al Rasyid, Daril; Sucipto, Sucipto; Joko, Agus Tri; Juananda, Desby; Maryanti, Yossi; Adlii, Muhammad Faa’iz
Frontiers on Healthcare Research Vol. 3 No. 1 (2026)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v3.n1.p1-7.2026

Abstract

Background: Central Post-Stroke Pain (CPSP) is a chronic neuropathic complication of stroke that substantially impairs long-term well-being. While its clinical characteristics are increasingly recognized, data regarding the multidimensional quality of life (QoL) impact of CPSP in regional Indonesian populations remain limited. This study aimed to describe the QoL profile of CPSP patients at Arifin Achmad General Hospital to provide a comprehensive understanding of the disease burden. Methods: A descriptive cross-sectional study was conducted from August to October 2025 at the Neurology Outpatient Clinic of Arifin Achmad General Hospital, Riau. Forty-four patients diagnosed with CPSP were included. QoL was assessed using the validated Indonesian version of the Stroke-Specific Quality of Life (SS-QoL) scale. Descriptive univariate analysis was performed to determine median scores across domains. Results: QoL scores demonstrated marked heterogeneity across domains. The Vision domain showed the highest median score (4.0), whereas Social Role recorded the lowest (2.7). Notable reductions were observed in Work, Upper Extremity Function, and Energy domains. In contrast, Language and Self-care domains were relatively preserved. These findings indicate that although basic functional abilities may remain intact, CPSP significantly compromises social participation, occupational capacity, and physical activity. Conclusion: CPSP imposes a substantial multidimensional burden, particularly affecting social engagement, productivity, and physical endurance. Comprehensive management strategies extending beyond pharmacological pain control are essential to address the psychosocial and functional consequences of CPSP. Further longitudinal studies with larger sample sizes are needed to clarify determinants of QoL outcomes in this population.
Successful Endovascular Coil Of Carotid Cavernosus Fistula : Case Report Mampanini, Rizky Rachmadi; Aiko, Novia; Juananda, Desby; Maryanti, Yossi; Sukiandra, Riki
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v11i4.64188

Abstract

Carotid Cavernosus Fistula (CCF) is an uncommon vascular disorder defined by an abnormal communication between the carotid arterial system and the cavernous sinus, resulting in direct arterial blood flow into the venous sinus. CCF may be classified as direct or indirect and occur either spontaneously or secondary to trauma, with varying hemodynamic patterns ranging from high-flow to low-flow lesions. A 29 year old man was admitted to Emergency Department of Arifin Achmad General Hospital with a chief complaint of severe headache that had progressively worsened over the preceding nausea. The patient also developed protrusion of the left eye accompanied by visual loss. According to his family, he had become increasingly drowsy over the past three days, although he ramained responsive when addressed. On physical examination, the left pupil was dilated to 7 mm and showed no direct or consensual light reflex. Proptosis of the left eye was evident. Cranial nerve assessment revealed paresis involving cranial nerves II,III,IV, and VI. A non-contrast head CT scan demonstrated a vascular abnormality in the left cavernous sinus region. Further evaluation with CT angiography suggested carotid cavernous fistula. Digital Subtraction Angiography (DSA) subsequently confirmed the presence of vascular malformation in the left cavernous sinus. This report presents a case study aimed at comprehensively describing the clinical characteristics, pathophysiological mechanisms, and diagnostic approach of Carotid Cavernous Fistula (CCF) in neurological practice. The diagnosis is established through the correlation of clinical findings and imaging modalities, including computed tomography (CT), CT angiography, and cerebral angiography, while taking into account the patient’s clinical condition. Therefore, careful and integrated interpretation of clinical and radiological findings is essential to establish an accurate diagnosis and determine appropriate management.