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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Berkala Ilmiah Kedokteran Duta Wacana Prima: Jurnal Pendidikan Matematika Callosum Neurology Journal : Jurnal Berkala Neurologi Bali Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of Community Empowerment for Health Didaktika: Jurnal Kependidikan Indonesian Journal of Cancer Berita Kedokteran Masyarakat Academic Hospital Journal Neurona Jurnal Kedokteran Meditek Sanus Medical Journal PESHUM

Sri Sutarni

Departemen Neurologi, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Jogjakarta, Indonesia

Author-ID : 2970451

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

Published : 27 Documents Claim Missing Document

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The electroencephalography of chronically headache patients in Sardjito General Hospital, Yogyakarta Sri Sutarni, Sri Sutarni
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 22, No 01 (1990)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.843 KB)

One hundred seventy four cases of 9 - 63 year old patients with chronical headache were reported. One hundred and twelve cases (64.37%) were examined by electroencephalography from April 1, 1986 to March 31, 1987, The EEG of 51 (29.31%) patients were normal, 44 (25.29%) with irritation pattern and 17 (9.77%) with hypofunction.It is suggested that the irritation pattern in chronical headache needed more attention in order to know the etiology and the location of intracranial lesion.Key Words: chronical headache - electroencephalography - irritation pattern - intracranial lesion - slow wave focus

Seurge- Weber Disease: A case report Sri Sutarni, Sri Sutarni
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 15, No 03 (1983)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.481 KB)

Sturge-Weber Disease is one of the congenital malforMations, in which we find naevus facialis, general or focal convulsion, mental retardation, and contralateral hemiparesis; sometimes also choroid angiomata, buphthalmus and glaucoma.Skull rbntgenology, a E. G. and cerebral angiography make the diagnosis clear.We reported on a boy, 5 years old, with Sturge-Weber Disease who came to the Hospital with convulsion.Key Words: Sturge-Weber Disease - congenital malfOrmation - naevus facialis - convulsion - mental retardation

The electroencephalography of chronically headache patients in Sardjito General Hospital, Yogyakarta Sri Sutarni Sri Sutarni
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 22, No 01 (1990)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.843 KB)

Seurge- Weber Disease: A case report Sri Sutarni Sri Sutarni
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 15, No 03 (1983)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.481 KB)

Prognostic factors for mortality in patients with severe traumatic brain injury in Yogyakarta, Indonesia Desin Pambudi Sejahtera; Ismail Setyopranoto; Indarwati Setyaningsih; Sri Sutarni; Tri Ratnaningsih
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 52, No 2 (2020)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Determining an accurate prognosis in patients with severe traumatic brain injury (TBI) still becomes a difficult challenge for neurologists. Clinical and laboratory findings have been used as important parameters to establish clinical decisions or even predict future prognosis including death in these patients. We studied the clinical, laboratory and neuroimaging parameters in predicting mortality in patients with severe TBI. This study used the medical records of severe TBI cases in Dr. Sardjito General Hospital, Yogyakarta, Indonesia from January 2015 until July 2016. We evaluated the clinical, laboratory, and neuroimaging examinations of seventy patients with severe TBI in association with mortality. The result showed among 70 patients involved, 35 were dead. Clinical findings of age <40 y.o. (OR=1.143; p=0.015), multiple injuries (OR=5.712; p=0.045), and systolic blood pressure >140 mmHg (OR=3.852; p=0.008) were associated with mortality. Laboratory and neuroimaging parameters of hyponatremia (OR=3.667; p=0.027), hyperkalemia (OR=1.771; p=0.030), and the presence of traumatic subarachnoid hemorrhage (SAH) (OR=6.526; p=0.003) in head CT-scan were significantly associated with mortality. In conclusion, our study showed that productive age <40 y.o. multiple injuries, hyponatremia, hyperkalemia and the presence of traumatic SAH increase the mortality risk in patients with severe TBI.

Neurological findings in patients with COVID-19: a systematic review Mawaddah Ar Rochmah; Sekar Satiti; Ismail Setyopranoto; Indra Sari Kusuma Harahap; Desin Pambudi Sejahtera; Dhite Bayu Nugroho; Sri Sutarni
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 52, No 3 (2020): Special Issue: COVID-19
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Since the emerging of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection in Wuhan, China at the end of 2019, the coronavirus disease 2019 (COVID-19) has become pandemic for months. Due to fast increased number of the positive patients with COVID-19, SARS-CoV-2 is considered highly pathogenic virus with various clinical presentations. Apart from the typical respiratory symptoms, neurological complains in COVID-19 involving central and peripheral nervous systems have been reported. This paper aimed to review the neurological findings reported in patients with COVID-19. We qualitatively reviewed studies reporting COVID-19 patient(s) with neurological manifestations according to the recommendations of PRISMA statement.There were twelve studies included in this brief review. We found that patients with neurological findings were reported ranging from symptomatic complain of headache and dizziness to specific neurological diseases/syndromes, such as meningitis/encephalitis, acute cerebrovascular diseases, Guillain-Barré syndrome, and Miller Fisher syndrome. This review suggests the possible neurological involvement in COVID-19. We hope to raise the awareness of the health workers in taking care of the patients with COVID-19 and neurological diseases.

NITRIT OKSIDA DAN VOLUME EDEMA OTAK PADA STROK PERDARAHAN DALAM OTAK DENGAN POLIMORFISME G894T (Nitric Oxide and Cerebral Edema Volume in Intracerebral Hemorrhagic Stroke with G894T Polymorphism) Iskandar Zakaria; Arif Faisal; Sri Sutarni; Ahmad Hamim Sadewa; Imran Imran
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 22, No 1 (2015)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v22i1.1229

Nitric Oxide (NO) is a vasodilator that regulates vascular smooth muscle tone. Low levels of NO can cause vasoconstriction andhemodynamic disturbances. In stroke the levels of NO are increased. Endothelial nitric oxide synthase gene polymorphism (eNOS) isbelieved to reduce levels of NO in blood. NO levels decreased in stroke patients with G894T polymorphisms of eNOS gene. Mortality rateof hemorrhagic stroke are increased in case with increased peri focal edema volume. The mechanism of the increased of peri focal edemavolume completely unknown yet, suspected genetics factor. This study was conducted to know the correlation between the NO and perifocal edema volume in stroke with eNOS gene G894T polymorphism by determination. The study was conducted by comparing the levelsof NO and edema volume of intra cerebral hemorrhagic stroke of 46 subjects from Neurology department of dr. Zainoel Abidin generalhospital in Banda Aceh from September 2014 through January 2015 with comparison to ischemic stroke patients the same amount.NO levels checked with Cayman Systems kit following the protocol Griess. G894T polymorphism was determined by PCR-RFLP method.The volume of edema was measured with semi-automatic CT volumetry. Chi Square test was used for comparison of two variables andSpearman correlation test to assess the relationship between the NO and perifocal edema volume. The result is significant, if p valuewas <0.05. The results of these study were levels of NO decreases if there were polymorphism (p=0.001). Peri focal edema volume wasincreased if there were G894T polymorphism (p=0.038). The correlation between low levels of NO and increase of edema volume wasobtained p=0.040 and R=0.304. The researchers concluded that in intra cerebral hemorrhagic stroke the level of NO were decreasedand peri focal edema volume increased if there was G894T polymorphism of eNOS gene. There was a less correlation between low levelsof NO and peri focal edema volume.

SINDROMA VERTIGO SENTRAL SEBAGAI MANIFESTASI KLINIS STROKE VERTEBROBASILAR PADA PASIEN PEMFIGUS VULGARIS Ratih Kusumastuti; Sri Sutarni
Berkala Ilmiah Kedokteran Duta Wacana Vol 3, No 1 (2018): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Pemfigus vulgaris merupakan penyakit bula autoimun yang menyerang kulit, membran mukosa maupun keduanya, secara histologi ditandai dengan bula intraepidermal karena proses akantolisis pada lapisan suprabasal. Penatalaksanaan penyakit ini menggunakan kortikosteroid dosis tinggi dalam jangka waktu lama yang dapat berefek terhadap peningkatan kadar lemak darah, hipertensi, hiperglikemia, dan obesitas. Kadar total kolesterol dan LDL merupakan faktor resiko yang penting untuk terjadinya stroke baik stroke infark maupun perdarahan. Salah satu tampilan klinis dari stroke adalah Dizziness, yang dapat disebabkan karena gangguan peredaran darah otak. Keluhan ini dapat berupa “presyncopal light headedness”, disequilibrium, dan vertigo. Setiap ada vertigo yang dihubungkan dengan gangguan peredaran darah otak maka lokasinya adalah daerah sirkulasi vertebrobasiler. Delapan puluh persen dari penyakit serebrovasculer adalah stroke iskemia, 20 persennya melibatkan sirkulasi vertebrobasiler.

TUMOR OTAK METASTASIS DARI KANKER PAYUDARA Lothar Silalahi; Eli Rahmi; Sri Sutarni
Berkala Ilmiah Kedokteran Duta Wacana Vol 3, No 1 (2018): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Tumor intrakranial metastasis lebih banyak insidensinya dibandingkan tumor intrakranial primer. Kanker payudara merupakan penyebab ke dua terbanyak tumor otak metastasis.Melaporkan sebuah kasus tumor otak metastasis dari kanker payudara. Laporan kasus. Perempuan usia 36 tahun, dengan riwayat terdiagnosis kanker payudara, menjalani terapi pembedahan dan kemoterapi 1 tahun sebelumnya, datang dengan keluhan nyeri kepala kronik progresif.Tumor otak metastasi dari kanker payudara dapat muncul pada rentang usia produktif sampai usia tua, dengan gejala klinis paling banyak adalah nyeri kepala. Jenis histologis, jumlah lesi metastasis, performa klinis serta usia saat terdiagnosis kanker payudara dapat menjadi faktor prognosis tumor otak metastasis dari kanker payudara.

PATOFISIOLOGI TREMOR ISTIRAHAT PENYAKIT PARKINSON Komang Agus Sukendar; Sri Sutarni; Subagya Subagya
Berkala Ilmiah Kedokteran Duta Wacana Vol 1, No 3 (2016): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Tremor merupakan salah satu gerakan involunter yang paling sering ditemukan. Tremor pada penyakit Parkinson menjadi gejala kardinal yang paling membingungkan antara lain karena terpisah dari bradikinesia dan rigiditas, dapat memberat pada sisi berlawanan dari sisi bradikinesia yang dominan (wrong-sided tremor), penanda penyakit yang benigna, tidak berhubungan dengan banyaknya defisiensi dopamin di substansia nigra, serta responsnya terhadap pengobatan dopamin tidak sebaik gejala lainnya. Model klasik lebih menekankan peranan ganglia basalis dalam memodulasi fungsi kortikal melalui sirkuit striato-thalamokortikal yang mengalami disfungsi dan menyebabkan bradikinesia serta rigiditas, namun tidak dapat menjelaskan tremor istirahat pada penyakit Parkinson. Akan dikaji literatur tentang aspek patofisiologi tremor istirahat pada penyakit Parkinson. Tremor dapat disebabkan oleh adanya osilasi mekanik pada ekstremitas, refleks yang meningkat, osilasi sentral atau loop-feedback yang abnormal dalam sistem saraf pusat. Osilasi tremor dapat terjadi pada level membran neuronal, serta peningkatan eksitabilitas abnormal dan sinkronisasi pada ganglia basalis yang mempengaruhi koneksi thalamus dan kortikalnya. Dasar-dasar patofisiologi serta berbagai model hipotesis dengan strukturstruktur yang terlibat telah dibuat untuk menjelaskan patofisiologi tremor Parkinson. Kebanyakan model dibuat berdasarkan perekaman yang detail pada sejumlah neuron yang terbatas misalnya preparat ex vivo, atau set bangunan yang terbatas misalnya perekaman elektrofisiologi. Kebanyakan model berfokus pada sebuah nodus pada sirkuit tunggal dan menginterpretasikan adanya perubahan pada sirkuit lainnya sebagai akibat sekunder. Model hipotesis finger-switchdimmer merupakan model hipotesis terbaru dan memberikan sebuah sudut pandang level sistem, di mana tremor Parkinson diinduksi oleh aktivitas ganglia basalis yang abnormal (finger), diproduksi oleh thalamus (switch), dan dimodulasi atau diperkuat oleh serebelum (dimmer). Model ini dapat memberikan penjelasan bagaimana sejumlah intervensi pada network ganglia basalis-thalamus dapat menghilangkan tremor.

Co-Authors . Suhartini Abdul Gofir Agus Surono Ahmad Hamim Sadewa Alfi Rizky Medikanto Arif Faisal Astuti Prodjohardjono Budi Murtiyasa Carla Raymondalexas Machira Cempaka Thursina Desin Pambudi Sejahtera Desin Pambudi Sejahtera Dewanto Yusuf Priyambodo Dhite Bayu Nugroho Dianandha Septiana Rubi Diyan Anita Sari Eli Rahmi Erupsi Ana Febriana, Sri Awalia Gea Pandhita S Geraldine Nadita Putri Kinasih Hanifah Hayati Hemi Sinorita Hendro Widagdo IBG. Surya Putra Pidada Ida Bagus Gd. Surya Putra Pidada Indarwati Setyaningsih Indra Sari Kusuma Harahap Indri Iskandar Zakaria Ismail Setyopranoto Ismail Setyopranoto Ismail Setyopranoto Iswantuti Komang Agus Sukendar Kusumo Dananjoyo Lothar Matheus Manson Vanende Silalahi Lucas Meliala Martiana Suciningtyas Mawaddah Ar-Rochmah Muhammad Agus Muljanto Ngadikun Ngadikun Noor Alia Susanti Nurdhiyanto Pramudji Hastuti Pramudji Hastuti Prasetyastuti Probosuseno Probosuseno RA Yayi Suryo Prabandari Ratih Kusumastuti Retno Sutomo Rezky Putry Amelia Rivan Danuaji Rizaldy Pinzon Rochmadi Roto Roto Sekar Satiti Siti Aisyah Affiati Subagya Subagya Sunarti Sunarti Tasmini Tasmini Tri Ratnaningsih Umi Mahmudah Wiwik Handayani Yudha Nurhantari

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