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Progressive Neurological Deficit in Adult Idiopathic Syringomyelia (IS): Case Report and Literature Review Farid Yudoyono; Anugrah O. Widhiatmo; Beny A. Wirjomartani
Journal of Medicine and Health Vol 1 No 3 (2016)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i3.521

Abstract

A syringomyelia is a clinical entity of any tubular fluid-filled cavity within the spinalcord that causes slowly but relentlessly progressive symptoms as well as expansion of thecavity, which is most commonly associated with Chiari malformation Type I, which due toadvancement of imaging techniques has resulted in more incidental idiopathic syringes that arenot associated with tumor, trauma, or postinfectious causes. Idiopathic syringomyelia (IS) is apathological entity in which no overt etiology is evident for a syrinx. In this study, we describe acase in a 45 year-old woman presented with progressive difficulties in walking and also hadmyelopathic signs evidenced by hyperreflexia in the lower extremities and underwent foramenmagnum decompression and C1 lamiectomy. Idiopathic syringomyelia is a pathological entityin which no overt etiology is evident for a syrinx. It can be managed succesfully byconservative treatment but if there is a progression of neurological deficit, surgicaldecompression is a mandatory.Keywords: idiopathic syringomyelia, neurological deficit
Presurgical Aspects of Nutrition in Tuberculous Spondylitis Patients Farid Yudoyono; Rully H. Dahlan; Muhammad Z. Arifin; Achmad Adam
Journal of Medicine and Health Vol 2 No 1 (2018)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v2i1.736

Abstract

Tuberculous spondylitis is a chronic infectious disease caused by Mycobacteriumtuberculosis on the vertebral bone. Involved less than 3% of all cases of TB, but the incidencevaries around the world, and is associated with the quality of public health and socioeconomicconditions.The purpose of this study is to investigate the presurgical aspects of nutrition inpatients with tuberculous spondylitis. A total of 39 consecutive patients between January 2011-December 2012 were evaluated retrospectively. All patients diagnosed with spondylitistuberculousis and treated with decompression, stabilization and fusion. All patients had beendiagnosed with Spondylitis tuberculousis based on history taking, physical examination,laboratory finding and MRI. Our study showed that of all subjects, ten male patients and eightfemale patients had cervical (n=1), thoracic (n=15), and lumbar (n=2) tuberculousspondylitis.The average age of the patients was 32.83 ± 12.25 (17-56) years old. The averagepreoperative body mass index (BMI) was 16.67 ± 1.2 kg / m2, albumin levels 3.23 ± 0.21 g / dl,total protein level 6.2 ± 0.34 g/dL. These were lower than normal value. We conclude thattuberculous spondylitis patients experience nutritional deficiencies presurgically andnutritional support should be considered pre-operatively.Keywords: Mycobacterium tuberculosis, nutritional state, presurgical aspect,tuberculousspondylitis
A Case of Giant Dermoid Cyst at Sacrococcygeal in Adult at “X” Hospital in Bandung Farid Yudoyono; Christian Ade; Dilli MA Pratama; Hasan Baraqbah; Adhitya R Yudhadi
Journal of Medicine and Health Vol 5 No 1 (2023)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v5i1.2473

Abstract

Dermoid cysts are benign tumors that can be found anywhere in the body. There is no dermoid cysts clear data yet in Indonesia. In the spine, these tumors generally occur in the lumbar region and are often accompanied by congenital spinal dysrafism and/or dermal sinus passages. Dermoid cysts arise from abnormal growth of the ectodermal folds during pregnancy. Its incidence is 0.7 – 1.8% of all central nervous system tumors. The aim of reported this case is to highlight the role of a diagnostic and evaluate the surgical outcome. A 47 year old female patient with a lump in the sacrococcygeal area measuring 20 x 18 x 16 cm, with hard and soft consistency. MRI images show a hypo and hyperintense mass without spinal deformity. After the tumor was removed, the patient was allowed to go home for the 2nd day without complications. In conclusion, extraspinal dermoid cyst is a rare case that requires special diagnostic and surgical modalities to provide better clinical results.
Percutaneous Epidural Adhesiolysis (PEA) untuk Manajemen Nyeri Pinggang Bawah Kronis Yudoyono, Farid; Ompusunggu, Sevline Estethia; Dahlan, Rully Hanafi; Avrina, Rossa; Arifin, Muhammad Zafrullah
Jurnal Neuroanestesi Indonesia Vol 4, No 2 (2015)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2616.655 KB) | DOI: 10.24244/jni.vol4i2.116

Abstract

Latar Belakang dan Tujuan: Nyeri pinggang bawah yang disebabkan oleh penekanan radik saraf tulang belakang maupun thecal sac sering dijumpai dan dapat menimbulkan kecacatan. Percutaneous epidural adhesiolysis (PEA) adalah salah satu tindakan yang dilakukan untuk mengatasi nyeri sehingga penelitian ini bertujuan untuk mengevaluasi efektifitas PEA menggunakan lidokain 2% dalam mengatasi nyeri pinggang bawah. Subyek dan Metode: Penelitian cohort retrospektif dengan lima data pasien diambil dari database bagian Bedah Saraf. Semua pasien dilakukan PEA dengan injeksi anestesi lokal menggunakan 5 mL lidokain 2%, pengukuran luaran menggunakan Visual Analog Score (VAS), Oswestry Disability Index (ODI) dan penggunaan obat opioid yang dianalisa pada bulan ke-3 dan 6 bulan setelah tindakan. Hasil: Usia tertua adalah 60 tahun dengan 80% penderita adalah laki-laki dengan nilai maksimum VAS sebelum tindakan adalah 9, VAS 3 bulan pascatindakan adalah 3 sedangkan VAS 6 bulan pascatindakan adalah 2. Sehingga terdapat perbaikan VAS dan ODI yang signifikan (Friedman test dan post hoc Wilcoxon test) dengan nilai p0,05. Satu pasien tetap menggunakan opioid hingga 6 bulan pascatindakan PEA. Simpulan: Pengurangan nyeri yang signifikan disertai dengan perbaikan status fungsional terjadi pada pasien yang diberikan PEA dengan menggunakan anestetika lokal lidokain 2%.Percutaneous Epidural Adhesiolysis (PEA) for Chronic Low Back Pain ManagementBackground and Objective: Chronic low back pain caused by compression of spinal nerves roots or thecal sac is common and can lead to disability. Percutaneous epidural adhesiolysis (PEA) is an interventional pain management to relieve the pain.This study aims to evaluate the effectiveness of the PEA using lidocaine 2% in relieving lower back pain.Material and Methods: This retrospective cohort study was done using five patients data taken from medical record, with all patients had underwent PEA using 5 mL of 2% lidocaine, outcome measurements were evaluated using Visual Analogue Score (VAS), Oswestry Disability Index (ODI) and the useage of opioid drugs at 3rd and 6th month afterward. Results: The oldest age was 60 years and 80% of patients were male with a maximum value of VAS before procedure was 9, VAS score at 3rd month was 3 and VAS score at 6th month was 2. The maximum value ODI before procedure was 90, ODI at 3rd month was 50, while the 6th month was 25. Friedman test and post hoc Wilcoxon test revealed a significant difference in VAS score between before procedure, 3rd month and 6th month post-procedure (p 0,05).Conclusion: PEA with lidocaine 2%, is an effective treatment for chronic low back pain and can reduce pain thus increase fungsional state significantly.