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All Journal Jurnal Ilmu Lingkungan Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Online Mahasiswa (JOM) Bidang Kedokteran MNJ (Malang Neurology Journal) Jurnal Pengabdian UntukMu NegeRI JURNAL PHOTON Bioscientia Medicina : Journal of Biomedicine and Translational Research Nusantara Science and Technology Proceedings Bioscientia Medicina : Journal of Biomedicine and Translational Research Engagement: Jurnal Pengabdian Kepada Masyarakat Neurona Frontiers on Healthcare Research
Riki Sukiandra
FAKULTAS KEDOKTERAN UNIVERSITAS RIAU
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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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.
Co-Authors - Zulkarnain - Zulkarnain . Zulfan Adlii, Muhammad Faa’iz Agus Tri Joko Ahza Chairum Mulia Aiko, Novia Al Rasyid, Daril Amru Sofian Andrilla, Faiza Ashiddiqi, Hafil Awanda Herman Bayu Fajar Pratama Candra, Riky Chatarina Umbul Wahyuni Danang Nugroho Desby Juananda, Desby Enny Lestari Enny Lestari Fajri Marindra Firdaus Gracia, Felicita Haikal, M. Zacky Hanania, Dini Hidayat, Nopian Ibnu Affan Jaro Shafi’i Johannas Luo Putra Fau, Joyada M. Irvan Noorrahman Maryanti, Yossi Mukhyarjon Muslimah Syahrianti, Ukhty Nadia Salvira Nopian Hidayat Octaria, Allysa Pratama Ananda Putri, Azzahra Nur Aulya Putri, Reta Amelia Qadriyyah, Lu’lu’ul Rahma Dani Rahmat Azhari Kemal Rahmata Illahi, Annisa Risda Selvia Saragih Risman, Salsa Wiratama Saragih, Risda Selvia Simanjuntak, Arya Marganda Siregar, Fajri Marindra Sucipto Sucipto Sucipto Trihardi, Rizfan Winarto Winarto Yossi Maryanti Zahira, Mifta Zulharman