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Komang Kari
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FIRST UNPROVOKED SEIZURE PADA ANAK Melati, Deborah; Suwarba, IGN Made; Sutriani M, Dewi; Kari, Komang
Medicina Vol 45 No 2 (2014): Mei 2014
Publisher : Medicina

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Abstract

Kejang sangat sering ditemukan pada pasien anak dengan perkiraan kejadian first unprovoked seizuresebesar 2% dan epilepsisebesar 1% pada anak sebelum berusia 16 tahun. First unprovoked seizure adalah kejang yang terjadi tanpa faktor pencetus seperti demam, infeksi sistem saraf pusat, trauma kepala, gangguan metabolik, hipoksia otak, dan obat-obatan.Berulangnya first unprovoked seizure berbeda-beda pada setiap pasien dan dipengaruhi oleh faktor risiko perorangan seperti gambaran EEG epileptiform atau adanya kelainan neurologis sebelumnya.Tatalaksana first unprovoked seizure berupa mengatasi kejang pada saat serangan.Pemberian obat anti-epilepsi pada pasien dengan first unprovoked seizure masih kontroversial.Tujuan utama pemberian obat anti-epilepsi pada pasien dengan first unprovoked seizure adalah mengoptimalisasi kualitas hidup anak dengan mempertimbangkan risiko pemberian obat dan mencegah berulangnya kejang, pemilihan keluarga serta efek samping pemberian obat. [MEDICINA. 2014;45:93-8].    
DIAGNOSIS DAN TATA LAKSANA ENSEFALITIS HERPES SIMPLEKS Yuliantini, Tri; Suwarba, IGN Made; Kari, Komang; Mahalini, Dewi Sutriani
Medicina Vol 44 No 3 (2013): September 2013
Publisher : Medicina

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Infeksi Herpes simpleks pada susunan saraf pusat (SSP) merupakan infeksi SSP yang paling beratdan sering berakibat fatal. Angka kejadiannya diperkirakan 1 kasus per 250 000 sampai 500 000orang per tahun, sepertiganya terjadi pada anak-anak. Gejala dan tanda klinis pada fase awal sangattidak khas. Pemberian terapi yang terlambat membawa dampak terjadinya kecacatan permanen.Deteksi virus Herpes simpleks (VHS) di dalam cairan serebrospinal dengan polymerase chain reactionmerupakan modalitas pilihan untuk diagnosis ensefalitis herpes simpleks (EHS). Asiklovir intravenamerupakan obat pilihan pertama. Pengobatan segera diberikan kepada pasien yang dicurigai menderitaEHS, kemudian pengobatan dapat dilanjutkan atau dihentikan sesuai konfirmasi laboratorium atauhasil biopsi otak. Pasien yang tidak diberikan antivirus atau pengobatannya terlambat angkakematiannya cukup tinggi.
Knowledge, attitude, and practices of parents with children of first time and recurrent febrile seizures Willy Gunawan; Komang Kari; Soetjiningsih Soetjiningsih
Paediatrica Indonesiana Vol 48 No 4 (2008): July 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi48.4.2008.193-8

Abstract

Background Febrile seizure is a condition of emotionally trauma-tize for most parents. It is believed that parents whose childrenexperienced febrile seizures before, have a better knowledge, at-titude, and practices (KAP) in responding to the seizure. Hencethe fear and emotional disruption that febrile seizures can causein the family, prevention should be addresses.Objective To find if there was any differences in KAP of parents ofchildren with recurrent febrile seizures compares to parents withchildren of first time febrile seizures.Methods A cross sectional study was conducted on parents whohave children aged between 6 months to 5 years old with eithersimple febrile seizures, complex febrile seizures or recurrent febrileseizures admitted to Pediatric Neurology Clinic ofSanglah Hospi-tal. Subjects were selected consecutively and were grouped intogroup of parents with children of first time seizures and parentswith children of recurrent febrile seizures group.Results Based from summated rated method, it seemed thatparents of children with recurrent febrile seizures have higherKAP of febrile seizures and was statistically different (A=O.OOO;P < 0.001). Analysis of covariance (ancova) showed that education(P=0.013) had an influence in the KAP of the parents. Otherancova revealed that children's age and sex have significantinfluence.Conclusion The KAP of parents with children of recurrent febrileseizures are higher and have statistically different compared withparents of children with first time febrile seizures.
Characteristics and prognostic factors of intracranial hemorrhage in children Made Kardana; Komang Kari; Made Widia
Paediatrica Indonesiana Vol 43 No 1 (2003): January 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.976 KB) | DOI: 10.14238/pi43.1.2003.14-9

Abstract

Objective Finding the characteristics and risk factors associatedwith prognosis in children suffering from intracranial hemorrhage.Methods This was a retrospective medical record review of chil-dren (older than 1 month old) admitted with intracranial hemor-rhage to the Department of Child Health the Sanglah Hospital,Denpasar, during the period of January 1998 to December 2000.Prognostic factors were identified by chi-square and multivariateanalysis with significance of p<0.05Results There were 56 patients eligible for the study. Among themwere 35 (63%) males and 21 (27%) females. Forty-three (77%)were less than one year of age, 40 (71%) without history of traumaand the major clinical manifestation was paleness (89%). The mostcommon location was subdural bleeding, 21 patients (38%). Fac-tors associated with prognosis was the bleeding location (p<0.05)Conclusions Intracranial hemorrhage was more common in malesand in infants. The most common clinical manifestation was pale-ness. Bleeding location was associated with prognosis
Co-Authors Deborah Melati, Deborah Dewi Sutriani Mahalini I Gusti Ngurah Made Suwarba I Made Kardana Made Widia Soetjiningsih Soetjiningsih Tri Yuliantini Willy Gunawan