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First Experience: The Use of Spine Navigation at Arifin Achmad General Hospital, Riau Province: A Case Report Wirdayanto, Ade; Lestari, Enny; Randa, Said Rafly Okta; Puteri, Sherly Aprilia Perel
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p48-53.2024

Abstract

Background: Neuronavigation is a navigation system that assists neurosurgeons in performing surgery using real-time three-dimensional images from CT, MRI, or C-arm, providing benefits such as shortened operation duration, increased accuracy, and reduced radiation exposure for both patients and operators. In Indonesia, the use of neuronavigation in spine surgery is still rare, and no literature explains the experience of using this technology. Case Report: We reported the first experience of using neuronavigation at Arifin Achmad General Hospital, Riau Province, in a case of thoracic canal stenosis. A 53-year-old male patient, a palm oil farmer, presented with weakness in both lower limbs, urinary and fecal incontinence, and increased physiological reflexes. MRI examination revealed spinal cord stenosis at thoracic discs VII-X. The patient underwent decompressive laminectomy and posterior stabilization assisted by neuronavigation. The use of neuronavigation allowed precise and efficient placement of surgical instruments, dynamically displayed on the monitor screen, reducing radiation exposure and increasing the accuracy of pedicle screw placement. Conclusion: The use of navigation technology in spinal surgery will be an innovation that increases efficacy and patient safety. Its adoption is expected to become more common as more literature explains its benefits, especially in spinal surgery.
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.