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Sekplin A. S. Sekeon
Neurology Consultant, Pain Division, Dept. of Neurology, Prof. Dr. R. D. Kandou Hospital, Manado, Indonesia
Education Neuroscience Public Health

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DIAGNOSIS DAN TATALAKSANA SINDROM NYERI MYOFASIAL Stella; Sekplin A. S. Sekeon; Melke J. Tumboimbela
Jurnal Sinaps Vol. 4 No. 1 (2021): Volume 4 Nomor 1, Februari 2021
Publisher : Neurologi Manado

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Abstract

Myofascial pain syndrome is characterized by regional pain originating from hyperirritable spots located within taut bands of skeletal muscle, known as palpable myofascial trigger points (MTrPs).1,2,3 It affects a majority of the general population, impairs mobility, causes pain, and reduces the overall sense of well-being4.Reliably establishing the prevalence of MPS proves to be challenging, as there are no widely accepted diagnostic criteria.5 Trigger points are thought to occur as a result of muscle overuse ormuscle trauma or psychological stress. Myofascial pain syndrome is collection of the sensory, motor, and autonomic symptoms that include local and referred pain, decreased range of motion, and weaknes4.The reliability of MTrP diagnosis has long been a debatable point in the medical literature, because there had been no laboratory or imaging technique that was capable of confirming the clinical diagnosis.3 A careful history and physical exam remain the cor­nerstone of effective diagnosis5. Reating the underlying etiology is currently the most widely accepted strategy for MPS therapy. If the root cause is not properly treated, MTrPs may reactivate and MPS may persist.1 Various methods of MTrP treatment are available but there are currently no clinical guidelines so clinicians are required to balance the evidence, their clinical experience and the patient’s preferences.6
DIAGNOSIS DAN TATALAKSANA CEDERA MEDULA SPINALIS TRAUMATIK Andika Surya Atmadja; Sekplin A. S. Sekeon; Denny J. Ngantung
Jurnal Sinaps Vol. 4 No. 1 (2021): Volume 4 Nomor 1, Februari 2021
Publisher : Neurologi Manado

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Abstract

Traumatic spinal cord injury is a trauma that affect spinal cord and or another structures around it that made temporary or permanent changes in motoric, sensory and or autonomic function. Around 15% patient with traumatic head injury also had spinal cord injury (SCI). Also, around 25% patient with SCI also had head injury. Around 55% SCI occur in cervical, 15% in thoracal, 15% in thoracolumbal, and 15% in thoracosacral. It have to be remembered that SCI could occur multiple. Around 10% patient with fracture in vertebrae cervical also had vertebral fracture in another segment. Management in SCI should be started from the accident place. It needs a right immobilization and transfer technique. Around 3-25% SCI happen after the first trauma, like in the first management or transportation. SCI patient need imaging. The Joint Section on Disorder of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons divide the patient’s condition into 3 categories, the patient without symptom and fully alert, patient with symptom and fully alert, and unconscious patient. This imaging decision is based on National Emergency X-Radiography Utilization Study Group (NEXUS). The usage methylprednisolone according to NASCIS had some controversies. Operative treatment is aimed to decompression, repair the deformity, and stabilize the vertebrae. In acute phase, operation aim to reduce compression in spinal cord and ischemic so it could make an optimal condition for neurological restoration.
Co-Authors Andika Surya Atmadja Denny J. Ngantung Melke J. Tumboimbela Stella