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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Althea Medical Journal Jurnal Riset Kesehatan Journal of Medicine and Health Indonesian Journal of Rheumatology Jurnal Ilmu Bedah Indonesia Tunas Medika Jurnal Kedokteran & Kesehatan Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Jurnal Neuroanestesi Indonesia Journal of Medicine and Health Jurnal Widya Medika

Muhammad Zafrullah Arifin

Department Of Neurosurgery Faculty Of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung, Indonesia

Author-ID : 3155041

Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 36 Documents Claim Missing Document

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Myelopathy caused by Ossification of Thoracic Ligamentum Flavum Farid Yudoyono; Rully Hanafi Dahlan; Sevline Esthetia Ompusunggu; Laniyati Hamijoyo; Muhammad Zafrullah Arifin
Indonesian Journal of Rheumatology Vol. 8 No. 1 (2016): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Hypertrophy of the posterior spinal elements leading to compromise of the spinal canal and its neural elements is a well-recognized pathological entity affecting the lumbar or cervical spine. Such stenosis of the thoracic spine in the absence of a generalized rheumatological,metabolic, or orthopedic disorder, or a history of trauma is generally considered to be rare. Spinal ligaments, such as the ligamentum flavum (LF), are prone to degeneration and can lead to back pain and nerve dysfunction. Ossification of ligamentum flavum (OLF) is a pathological condition that cause neurological symptoms and usually occurs in the thoracic spine and less frequently in the cervical spine. However the disease is now being increasingly recognized as acause of thoracic myelopathy. We report a rare case of thoracic myelopathy caused by OLF. A 48-year-old male presented with a chief complaint of weakness of bilateral lower extremities. Neurological examination revealed sensory deficit at Th 11 level below. Magnetic resonance imaging and computed tomography demonstrated OLF at the right T9â€“11 level. Thoracicmyelopathy caused by OLF was consider and surgical intervention was performed. Posterior decompression and laminoplasty has been performed for this patient.Â Keywords: ossification of ligamentum flavum, thoracic myelopathy, laminoplasty

Cedera Kepala Berat Pada Pasien Hamil M. Zafrullah Arifin; Subrady Leo SS; Firman Priguna T
Jurnal Neuroanestesi Indonesia Vol 1, No 3 (2012)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Cedera kepala pada wanita dengan kehamilan dapat meningkatkan resiko morbiditas dan mortalitas bagi ibu dan janinnya. Komplikasi yang dapat terjadi antara lain kematian ibu, syok, perdarahan intrauterin, kematian janin intrauterin, trauma janin, abruptio placenta, ruptur uterin. Penyebab tersering dari trauma tersebut antara lain kecelakaan lalulintas, terjatuh dari ketinggian, kekerasan dalam rumah tangga, dan luka tembak. Banyak penilaian dan penanganan yang unik untuk kasus ini, meskipun evaluasi awal dan resusitasi sasaran utama untuk menyelamatkan ibu. Setelah keadaan ibu stabil baru dilakukan evaluasi dan penilaian dari janin. Monitoring tokokardiografi, pemeriksaan ultrasound, CT-Scan kepala dapat dilakukan disertai dengan tindakan kraniotomi dan atau seksio sesarea. Subjek dan Metode: Penelitian observasional dari tahun 2008-2012, serial kasus, pada wanita hamil yang mengalami cedera kepala berat dan dilakukan operasi untuk evakuasi hematoma. Hasil: Selama 3 tahun terakhir telah dilakukan tindakan pembedahan untuk penderita cedera kepala dengan kehamilan sebanyak 3 kasus, dua diantaranya disertai dengan seksio sesarea. Simpulan: Kasus cedera kepala pada wanita dengan kehamilan tergolong jarang dan penanganan dini multidisiplin pada cedera kepala berat pada kehamilan dapat menurunkan risiko morbiditas dan mortalitas untuk ibu dan janin Severe Head Injury in Pregnant Patients Background and Objective: Head injury in pregnancy can increase the risks of mortality and morbidity, both for the mother and fetus. Common complications are including death, shock, intrauterine bleeding, intrauterine fetal death, fetal trauma, placental abruptio and, uterine rupture. Motor vehicle accident, falls, assault and gun shot wound are the primary cause of injury. Treatment and recognition of this cases are unique, even though the main target are early evaluation and resuscitation of the mother and afterward, the fetus. Tococardiography monitoring, ultrasound, and head CT Scan can be perform with or without craniotomy and caesarean section.Subject and Method: An observasional study taken from the year of 2008-2012, a serial case report in pregnant women with severe head injury undergoing operation for evacuation of hematoma.Result: During the last 3 years, three patients had underwent surgery for head injury with two of them underwent a sectio caesarean procedure.Conclusion: The incidence of head injury in pregnant women is considered very rare and an early multidiciplinary management for head injury in pregnancy can decrease the risk of morbidity and mortality for both the mother and the fetus.

Outcome Predictors in Patient with Traumatic Intracerebral Hemorrhage in Hasan Sadikin General Hospital Bandung Tara M Mulyawan; M Zafrullah Arifin; Firman P Tjahjono
Journal of Medicine and Health Vol 2 No 3 (2019)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v2i3.1231

Predictions about patient outcomes can help doctors make decisions. Intracerebral hemorrhage acccompanied by brain injury can increase mortality but specific studies on outcomes of patients with traumatic intracerebral hemorrhage are still rare. The purpose of this study was to determine the factors that influence the outcome of traumatic intracerebral hemorrhage patients in the RSHS period from January to December 2017. This is an observational study with cross sectional method, categorical comparative analytic. The study involved 60 traumatic intracerebral hemorrhages aged ? 15 years who were hospitalized in RSHS. The data was analyzed univariately and bivariately using Chi Square statistical test, Eta correlation test and contingency coefficient. The results showed age (p = 0.003), GCS scores assessed at admission (p <0.001), and the presence or absence of other brain hemorrhages (p = 0.050) significantly affected the patient's outcome. Gender (p = 0.932), mechanism of injury (p = 0.739), and pupillary response (p = 0.056) did not affect the outcome significantly. In conclusion, the factors that influence the outcome of traumatic intracerebral hemorrhage patients are age, GCS score, and presence or absence of other brain hemorrhages. Keywords: intracerebral hemorrhage, trauma, predictors, outcome

Evaluation Of Traumatic Brain Injuries Due To Alcohol Intoxication: Study In Central Hospital In West Java Hendrikus Masang Ban Bolly; Agung Budi Sutiono; Ahmad Faried; Trajanus Laurens Yembise; Muhammad Zafrullah Arifin; Benny Atmadja Wirjomartani
JURNAL WIDYA MEDIKA Vol. 6 No. 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v6i1.2501

Background: Alcohol intoxication is one of the predisposing factors for the incidence of traumatic brain injury (TBI). At present, there are no hospital-based specific data that provide TBI prevalence rates due to alcohol intoxication, especially in West Java. Objective: This study aims to make descriptive observations about the incidence of TBI due to alcohol intoxication in one of the central referral hospitals in West Java. Method: A retrospective cross-sectional study was carried out involving 10,662 TBI patients recorded in the emergency department database and the Department of Neurosurgery daily case database in the period 2012 to 2018. All data relating to the two items were analyzed. Alcohol intoxication is known from a history of autoanamnesis, alloanamnesis, and the subjective identification of the examiner of alcohol odor on the breath in TBI patients who enter the emergency room. Statistical cross-tabulations were performed to present clinical and demographic phenomena in TBI cases due to alcohol intoxication. Results: The analysis showed that the prevalence of alcohol intoxication in TBI cases was 4.77% (N = 507), all of which were due to motor vehicle accidents. Mean age of 26.44 ± 9.32 years (median 24 and range 12-64). The predominant age in TBI cases due to alcohol intoxication was in the age range of 20-30 years (44.2%), and male sex 92.7%. Most cases occurred in May (12%) and on Saturdays. Based on the consciousness assessment, initial Glasgow Coma Scale in emergency department were 14 (35.9%) and classified as mild TBI (69.2%). Subarachnoid hemorrhage and cerebral contusion are predominantly lesions found on CT scans of patients (2.2%), anterior skull base fractures of 8.1%, and linear fractures (5.1%) are the dominant extracranial lesions. Soft tissue lacerations are found in 16% of all cases. Craniotomy surgery was performed in 3.6% of patients for epidural, intracerebral, and subdural hemorrhage lesion evacuation as well as correction of depressed skull fractures. About 45% were treated for a minimum of three days to observe changes in their consciousness status before discharge. Conclusion: Alcohol consumption before the head injury in motor vehicle accidents has a relationship with various complications. Alcohol intoxication is a complex issue, and more research needs to be done to create comprehensive prevention programs and regulations.

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

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.

Histological Description of Meningeal and Periosteal Dural Layers at the Porus of Internal Acoustic Canal in the Vestibular Schwannoma Sutiono, Agung Budi; Arifin, Muhammad Zafrullah; Faried, Ahmad; Ohira, Takayuki
International Journal of Integrated Health Sciences Vol 1, No 1 (2013)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3168.819 KB)

Objective: To study the transformation point of meningeal and periosteal dural at the porus of internal acoustic canal (IAC) in order to verify the different thickness of meningeal and periosteal dura in vestibular schwannomas (VS). Methods: Three IAC cadaver specimens and ten samples of VS patients from porus were obtained and analyzed. Samples were stained by using Masson trichrome technique after cutting in 6 micron of thickness. The samples were then observed under light microscopes to understand the meninges pattern in the IAC. Results: The meningeal dura is becoming thin at the porus and disappears at the meatal portion to form epineurium. However, the periosteal dura is lining continuously to the fundus. In VS, the meningeal dura becomes thick and forms a pseudo-capsule in the middle of meatus, known as perineurium. The residual nerve filament was compressed by the tumor parenchyma. Between the tumor and nerve interface, three or more perineureal layers are seen. The perineurium in the cisternal portion was consistently loose and forms the tumor and arachnoid nerve interface. Almost all the nerve filaments are displaced to the tumor periphery near the pseudocapsule. In contrast, the periosteal dural of VS is becoming thin and disappear nearby the middle of meatal portion. This changing site establishes “meningo-periosteal ring” of VS because of the encircling nearby the porus. Conclusions: In IAC, the meningeal dural becomes thin. The periosteal dura is lining continuously to the fundus. In VS, the meningeal dura becomes thick, joins perineurium and forms pesudocapsule near the porus, but the periosteal dura disappeared. This changing point is called meningo-periosteal ring. Keywords: Meningeal, periosteal, porus, vestibular schwannomasDOI: 10.15850/ijihs.v1n1.104

Co-Authors Aan Nuraeni Achadiyani Achmad Adam Agung Budi Sutiono Agung Budi Sutiono Agung Budi Sutiono Agung Budi Sutiyono Ahmad Faried Ajid Risdianto Akhmad Imron Avrina, Rossa Avrina, Rossa Bayu Fandhi Achmad Benny Atmadja Wirjomartani Beny Atmadja Wirjomartani Bilzardy Ferry Danny Halim Dhuha, Alief Donny Argie Eldy Muhammad Noor Farid Yudoyono Firman Fuad Wirakusumah Firman P Tjahjono Firman Priguna Firman Priguna T Firman Priguna Tjahjono Ha Yoon Hayana Miguna Hellena Deli Hendrikus Masang Ban Bolly Ilham Bagas Setyawan Indah, Astrina Rosaria Jefri Henky Jefri Henky Jefri Henky Julius July Kahdar Wiriadisastra Kim Keung Nyun Laniyati Hamijoyo, Laniyati Melia, Regina Mirna Sobana Mirna Sobarna Noverina, Rachmawati Ong, Paulus Anam Paulus Anam Ong Petra Octavian Perdana Wahjoepramono Priandana Adya Eka Saputra Priandana Adya Eka Saputra Rully Hanafi Dahlan Sari Fatimah Setyawan, Ilham Bagas Sevline Estethia Ompusunggu Sevline Estethia Ompusunggu Sevline Esthetia Ompusunggu Sevline Esthetia Ompusunggu Sevline Esthetia Ompusunggu Shin Dong Ah Soeprajogo, Adolf Setiabudi Solly Aryza SS, Subrady Leo Subrady Leo SS T, Firman Priguna Takayuki Ohira Takeshi Kawase Tara M Mulyawan Tono Djuwantono Trajanus Laurens Yembise Tri Hanggono Achmad Wienorman Gunawan Yi Seong Yoon Do Heum

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