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I Ketut Sumada

Department of Neurology, Wangaya General Regional Hospital, Denpasar, Bali, Indonesia

Author-ID : 4268349

Health Professions Medicine & Pharmacology Neuroscience

Published : 3 Documents Claim Missing Document

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Articles

CASE REPORT: CHOREA SYDENHAM IN YOUNG ADULT FEMALE AS SYMPTOM OF RHEUMATIC FEVER Juliana Sie; I Ketut Sumada
Callosum Neurology Vol 3 No 1 (2020): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Background: Chorea Sydenham is an involuntary movement disorder due to an autoimmune process. But we must keep precaution that Sydenham chorea is part of rheumatic fever symptoms. Tthorough and complete examination is needed to create the right diagnose. This will support the success of therapy and prevent other complications. Case: 18-year-old woman was hospitalized with complaints of involuntary movement on the left side accompanied by fever, breathing problem, and nausea. Motoric weakness, tremor or other involuntary movement are not found. ASTO and CRP results were increased. The patient was consulted with cardiologist and has mild mitral regurgitation on echocardiograph. Those exams results are included in the criteria for diagnosing rheumatic fever and can be given the right therapy. Discussion: Chorea Sydenham can’t threaten patient’s life immediately. But if the examination and therapy are given incorrect, it will cause other severe complications. That is because Chorea Sydenham is part of autoimmune process which can cause other organs complication. Conclusion: Chorea Sydenham is one of the symptoms of rheumatic fever. So that a thorough and proper examination is needed to create early diagnosis. This will support the provision of therapy and accelerate the recovery of patients. Keywords: Sydenham Chorea, Rheumatic Fever, Symptoms, Diagnostic Criteria

MONOPARESIS INFERIOR POST HERPES ZOSTER Pande Komang Novi Dyantari; I Ketut Sumada
Callosum Neurology Vol 4 No 2 (2021): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v4i2.149

Background: Herpes zoster (HZ) is caused by reactivation of Varicella Zoster Virus (VZV). Segmental zoster paresis (SZP) is a rare neurological complication of HZ. Case: A 58-year-old woman came to our clinic with a complaint of a post HZ lesion accompanied by weakness, burning sensation, and paresthesia of the left lower limb. These complaints were felt suddenly about 2 weeks after the vesicles appeared. The patient had a history of diabetes mellitus (DM) and hypertension. From physical examination, there was a lesions on the L2-L3 dermatome which had dried out with hyperpigmentation and crusted. Motoric examination of the left lower limb showed weakness of the hip flexors (MRC grade 3/5). While the power of the other muscles in right lower limb and in all muscles groups was MRC 5/5. Tonus and trophic was normal. There was hyperaesthesia noted in the left thigh in the L2-L3 dermatome. Discussion: Neurological complications in HZ can occur in the central nervous system or peripheral nervous system. In this case the patient had SZP as a complication of HZ that involving the motor system. This complication was characterized by paresis of the left lower limb after developing HZ infection. The pathogenesis of SZP remains unclear. Having a history of DM increases the incidence of neurological complications in HZ. This is because the effectiveness of cellular immunity against VZV in DM patients decreases. Conclusion: Segmental zoster paresis (SZP) is a rare neurological complication of HZ. SZP involves the motor nervous system. There are several risk factors that increase the incidence of neurological complications in HZ infection. Key words: Herpes Zoster, Segmental Zoster Paresis

COVID-19 AS A POTENTIAL RISK FACTOR FOR ISCHEMIC STROKE: A CASE REPORT Orlando Pikatan; Desie Yuliani; I Ketut Sumada; Ni Ketut Candra Wiratmi
Callosum Neurology Vol 4 No 2 (2021): Callosum Neurology Journal
Publisher : The Indonesia Neurological Association Branch of Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29342/cnj.v4i2.168

Background: Corona virus disease 2019 (COVID-19) is a pandemic disease with a wide spectrum of symptoms. Neurological symptoms are often found in this disease. Stroke on the other hand is a multifactorial disease that can be caused by a lot of underlying problems. Case: We report a case of a 67 years old man with a weakness on the right side that was worsened one day before arrival in hospital and a shortness of breath. the patient had history of stroke before, and controlled hypertension. Head Ct-scan showed a stroke infarct, and Swab RT-PCR showed + SARS-CoV-2. Discussion: Infection may become the risk factor of stroke. inflammatory mediators such as TNF-a , and CRP support the procoagulant state which leads to stroke. Conclusion: COVID-19 may increase the risk of stroke due to the inflammation state that leads to procoagulant state

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