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All Journal e-CliniC JURNAL BIOMEDIK Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Medical Scope Journal (MSJ)
Corry N. Mahama
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Profil Kejang Pasca Stroke pada Pasien Rawat Inap Periode Juli 2018 - Juni 2019 di RSUP Prof. Dr. R. D. Kandou Manado Tombeng, Jeremia A.; Mahama, Corry N.; Kembuan, Mieke A. H. M.
Medical Scope Journal Vol 1, No 2 (2020): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.1.2.2020.27461

Abstract

Abstract: Stroke is the most common cause of seizures in elderly population. The higher the number of stroke patients, the higher the predicted level of likelihood of the prevalence of post-stroke seizures. This study was aimed to obtain the profile of post-stroke seizures among hospitalized patients from July 2018 to June 2019 at Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive and retrospective study. The results showed 24 patients who met the inclusion criteria. Post-stroke seizures were more common in males than in females. Based on age, most patients with post-stroke seizures were in the age range of 45-54 years. Many post-stroke seizure patients worked as housewives. Most post-stroke seizure patients suffered from focal seizures with impaired awareness. Among patients with post-stroke seizures, the number of patients with ischemic stroke type was higher than of patients with hemorrhagic stroke type. In conclusion, the majority of patients were males, aged 45-54 years, had focal seizures and impaired awareness, as well as ischemic stroke. The most common job of the patients was housewifery.Keywords: stroke, seizures, post-stroke seizures Abstrak: Stroke merupakan penyebab kejang yang paling umum pada populasi lansia. Semakin tinggi data yang menunjukkan jumlah pasien stroke, maka tingkat kemungkinan prevalensi terjadinya kejang pasca stroke juga diprediksi akan meningkat. Penelitian ini bertujuan untuk mengetahui profil kejang pasca stroke pada pasien rawat inap periode Juli 2018-Juni 2019 di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian memperoleh 24 pasien yang memenuhi kriteria inklusi. Jumlah pasien kejang pasca stroke lebih banyak pada laki-laki dibandingkan perempuan. Berdasarkan usia pasien kejang pasca stroke terbanyak berada dalam rentang usia 45-54 tahun. Berdasarkan pekerjaan, pasien kejang pasca stroke terbanyak bekerja sebagai ibu rumah tangga. Sebagian besar pasien kejang pasca stroke mengalami kejang fokal dengan kesadaran terganggu. Jumlah pasien kejang pasca stroke dengan tipe stroke iskemik lebih banyak dibandingkan tipe stroke hemoragik. Simpulan penelitian ini ialah mayoritas pasien dengan kejang pasca stroke berjenis kelamin laki-laki, berusia 45-54 tahun, tipe kejang fokal dengan kesadaran terganggu, dan tipe stroke iskemik. Pekerjaan yang terbanyak didapatkan ialah ibu rumah tangga.Kata kunci: stroke, kejang pasca stroke
Hubungan Disfungsi Otonom Dengan Derajat Keparahan Penderita Parkinsonisme Floransia, Imelda; Mahama, Corry N.; Khosama, Herlyani
Majalah Kedokteran Indonesia Vol 69 No 12 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.12-2019-166

Abstract

Introduction: Autonomic dysfunction is one of the non-motor symptoms of parkinsonism but has not been of clinical concern. The purpose of this study was to assess the relationship of autonomic dysfunction with the severity of parkinsonism patients.Method: A total of 121 outpatient subjects in the Neurology Clinic of Prof. Dr. R. D. Kandou Hospital Manado, sample selection is done consecutively in analytic cross-sectional studies. The patient characteristics, symptoms and examination of autonomic dysfunction are recorded. Data were analyzed using chi square, Mann Whitney U, Kruskal-Wallis and logistic regression. Result: Almost all variables measuring autonomic function tended to show a higher degree of severity of parkinsonism (p < 0.001). Each increase in the SCOPA-AUT INA score tends to increase the odds of the Hoehn and Yahr stage (OR > 1) also in the greater orthostatic blood pressure difference test, older age, longer illness, longer treatment period, and use of a combination of antiparkinson drugs.Conclusion: Autonomic dysfunction is significantly related to the severity of parkinsonism.
Co-Authors Danny J. Ngantung Denny J. Ngantung Floransia, Imelda Fonda Simanjuntak Hasibuan, Mughni H. Herlyani Khosama Kaseger, Kevin A. Kembuan, Mieke A. H. M. Kembuan, Mieke A.H. Laulo, Astrid Melke J. Tumboimbela nadia.roring@gmail.com, Junita M. Rhiza Khasanah Richie Irvanto Ciandra Rio Christanto Rizal Tumewah Roring, Nadia V. Sigar, Raymond J. Theresia Runtuwene Tirzha N. Paparang Tombeng, Jeremia A.