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Adriana Damayanti

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Author-ID : 3594303

Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Articles

Characteristics of Cardioembolic Stroke Patient in Neurologic Ward Dr. Hasan Sadikin General Hospital Bandung Adriana Damayanti; Lisda Amalia; Reza W. Sudjud
Journal of Medicine and Health Vol. 2 No. 1 (2018)
Publisher : Universitas Kristen Maranatha

Stroke is the second most common cause of death worldwide after heart disease. About80% stroke cases are ischemic stroke. One of 4 people with ischemic stroke had cardioembolicstroke. Ninety percent of cardiac emboli obstruct cerebral blood vessels and causedneurological deficit. Cardioembolic stroke may be due to abnormalities in cardiac walls,rhythm, valve, or function. Stroke patients with cardiac abnormalities have poor prognosis. Thisretrospective descriptive study was done in May-June 2017. We collected 103 medical recordsof stroke patients from Department of Neurology, Dr. Hasan Sadikin General Hospital duringJanuary 2015- March 2016. Data regarding sex, age, education level, economic status, andcardiac abnormalities were recorded. Majority of subjects were female (53.4%). The mostfrequent age group was 45-65 years old (49.51%). Most subjects had low educational level(76.7%) and low economic status (77.67%). Among subjects, 41.75% had cardiac rhythmabnormalities, 29.13% had cardiac wall abnormalities, 14.56% had cardiac valveabnormalities, and 14.56% had cardiac function abnormalities. The most common cause ofcardioembolic stroke was atrial fibrillation.Keywords: cardioembolic stroke epidemiology, patient characteristics, cardiac disease

Characteristics of Cardioembolic Stroke Patient in Neurologic Ward Dr. Hasan Sadikin General Hospital Bandung Adriana Damayanti; Lisda Amalia; Reza W. Sudjud
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.v2i1.740

Stroke is the second most common cause of death worldwide after heart disease. About80% stroke cases are ischemic stroke. One of 4 people with ischemic stroke had cardioembolicstroke. Ninety percent of cardiac emboli obstruct cerebral blood vessels and causedneurological deficit. Cardioembolic stroke may be due to abnormalities in cardiac walls,rhythm, valve, or function. Stroke patients with cardiac abnormalities have poor prognosis. Thisretrospective descriptive study was done in May-June 2017. We collected 103 medical recordsof stroke patients from Department of Neurology, Dr. Hasan Sadikin General Hospital duringJanuary 2015- March 2016. Data regarding sex, age, education level, economic status, andcardiac abnormalities were recorded. Majority of subjects were female (53.4%). The mostfrequent age group was 45-65 years old (49.51%). Most subjects had low educational level(76.7%) and low economic status (77.67%). Among subjects, 41.75% had cardiac rhythmabnormalities, 29.13% had cardiac wall abnormalities, 14.56% had cardiac valveabnormalities, and 14.56% had cardiac function abnormalities. The most common cause ofcardioembolic stroke was atrial fibrillation.Keywords: cardioembolic stroke epidemiology, patient characteristics, cardiac disease

Managing Elevated Intracranial Pressure as the Complication of Angiomatous Meningioma Adriana Damayanti; Tiara Aninditha; Henry Riyanto Sofyan; Irma Savitri; Rahmad Mulyadi; Mohamad Saekhu
Acta Neurologica Indonesia Vol. 3 No. 04 (2025): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v3i04.92

Introduction: Meningioma is the most common central nervous system primary tumor, which can grow at the cranial base. Angiomatous meningioma, with a prevalence of 2.1%, is classified as the World Health Organization (WHO) grade I meningioma. Although considered benign, it has high Vascular Endothelial Growth Factor (VEGF) activity. Case Report: A 41-year-old woman presented with clear nasal discharge upon sitting, progressive headaches, blurred vision, and right-sided hemiparesis following prior surgeries for angiomatous meningioma. Initial symptoms included episodic headaches, later worsening with visual impairment and motor deficits. She underwent decompressive craniectomy, VP shunt placement for hydrocephalus, and cranioplasty but had a functional decline. Examination revealed decreased consciousness, anisocoria, right facial nerve palsy, spastic hemiparesis, and pressure ulcers. Imaging confirmed tumor progression with uncal herniation and hydrocephalus. After infection management, VP shunt revision improved her condition, and tumor resection was planned. The prognosis remained poor regarding survival, function, and recovery. Discussion: Although considered benign, it has high activity of Vascular Endothelial Growth Factor (VEGF). Massive peritumoral edema may lead to complications by increasing intracranial pressure (ICP). The management of elevated ICP includes tumor resection, cerebrospinal fluid (CSF) diversion, and administration of anti-edema agents. Due to its challenging access and proximity to vital structures such as cranial nerves and blood vessels, determining an appropriate management strategy poses a significant challenge to avoid disability. Conclusion: Skull base meningioma in women aged 40–70 poses a high risk of complications and disability if mismanaged, especially angiomatous meningioma with high vascularity despite being WHO Grade I.

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