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All Journal International Journal of Integrated Health Sciences Althea Medical Journal The Indonesian Biomedical Journal Journal of Medicine and Health JBN (Jurnal Bedah Nasional) Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia Jurnal Locus Penelitian dan Pengabdian Jurnal Neuroanestesi Indonesia Journal of Medicine and Health
Achmad Adam
Faculty Of Medicine Neurosurgery Universitas Padjadjaran Bandung, Indonesia
Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Public Health

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Preoperative surgical planning for an internal carotid artery invading brain tumor Hendrikus Bolly; Bilzardy Ferry Zulkifli; Achmad Adam
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.111

Abstract

Brain tumor such as a meningioma can invade the adjacent internal carotid artery (ICA). Surgical approach to resect the tumor has to consider the level of ICA and how the depth of tumor cells invade into the artery layer. Knowledge of the basic mechanism about how the tumor cells invade the lumen and layer of the vessels is essential in perioperative preparation. Here we reported our unpredictable case findings of transient intraluminal obstruction of the arterial wall by tumor tissue in angiography examination as well as preoperative planning to resect the tumor and predictors of the patient’s outcome.
Gambaran Radiologis Pre-Operasi Sebagai Penentu Prognosis Pasien Glioma: Studi Pada Rumah Sakit Rujukan Pusat di Jawa Barat Hendrikus Masang Ban Bolly; Achmad Adam; Nina Puspitaningrum; Ahmad Faried; Muhammad Zafrullah Arifin
JBN (Jurnal Bedah Nasional) Vol 7 No 2 (2023): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2023.v07.i02.p03

Abstract

Tujuan: Untuk menilai nekrosis tumor, penyengatan zat kontras, dan edema peritumoral pada MRI pre-operasi sebagai prediktor rerata waktu kesintasan pasien glioma derajat rendah dan tinggi. Metode: Penelitian ini menggunakan desain potong lintang retrospektif yang melibatkan 26 pasien glioma derajat rendah (n=11) dan derajat tinggi (n=15) berdasarkan hasil histopatologi pasca operasi. Gambaran radiologi MRI pre-operatif dinilai menggunakan parameter nekrosis, penyengatan zat kontras dan edema peritumoral. Selain itu juga dihitung waktu kesintasan pasien pasca operasi untuk kemudian dianalisis secara statistik angka rerata kesintasan menggunakan analisis Kaplan-Meier. Hasil: Gambaran nekrosis tumor pada MRI pre-operatif memiliki pengaruh yang secara statistik bermakna terhadap rerata waktu kesintasan pasien glioma (p=0,021). Selain itu Karnofsky performance score (KPS) pasca operasi (p=0,050) dan lokasi tumor (p=0,036) juga berpengaruh pada rerata waktu kesintasan pasien glioma. Pasien glioma dalam penelitian ini memiliki rerata waktu kesintasan yang lebih pendek jika memiliki gambran nekrosis derajat II pada MRI pre operatif (14 bulan); rerata waktu kesintasan lebih panjang jika lokasi tumor di lobus oksipital (38 bulan) dan KPS pasca operasi ?70 (28,67 bulan). Kesimpulan: Pemeriksaan radiologis pre-operatif dapat berkontribusi dalam penentuan prognosis pasien glioma. Meski demikian derajat histopatologis dan pemeriksaan molekuler tetap berperan penting dalam penentuan pilihan terapi lanjutan dan prognostik pasien glioma.
Mesenchymal Stem Cell Therapy for Ischemic Stroke in Animal Model: A Systematic Review Muhammad Agus Aulia; Keri Lestari; Ahmad Faried; Cynthia Retna Sartika; Andi Wijaya; Achmad Adam; Hanna Gunawan; Rima Haifa; Nabilla Farah Naura; Billy Yosua Costantin Pongajow
The Indonesian Biomedical Journal Vol 15, No 6 (2023)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v15i6.2460

Abstract

BACKGROUND: Stroke is one of many leading causes of death and disability worldwide. Despite decades of research, treatment for stroke recovery is still inadequate. Recently, mesenchymal stem cell (MSC) therapy is considered as one of the potential treatments for stroke due to their capabilities to repair or regenerate damaged tissues, as well as immunomodulators in inflammatory conditions. Many pre-clinical and clinical trials have shown MSC therapy feasibility, safety, and efficacy in treating stroke. However, evidence regarding the optimal treatment plan and factors that can improve stem cell functional outcomes in treating stroke needs to be further explored. Therefore, a systematic review was conducted.METHODS: Recent literatures from 2015-2022 regarding stem cell therapies, specifically MSC on ischemic stroke, were collected from two reliable databases: PubMed and PubMed Central. Collected literatures were properly applied to inclusion-exclusion criteria and appraised critically. Keyword strategies on databases were employed, including both medical subject headings (MeSH).RESULTS: Five literatures from 726 were identified and used for systematic review. All animal model in the literatures were prepared to have middle cerebral artery occlusion. All studies indicated that MSC therapy is a safe and reliable procedure despite the variety of transplantation routes. No report of toxicity, rejection reaction, nor infection on MSC treated groups.CONCLUSION: Stem cell sources, dosages, and delivery routes could be resourceful for future translational studies to ensure the safety and efficacy of MSC therapy for ischemic stroke.KEYWORDS: ischemic stroke, mesenchymal stem cells, regenerative medicine, immunomodulator
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
Pre-operative Embolization as Resection Strategy in Brain Tumor with No Neurological Deficit Andi N. Sendjaja; Yogi Rosbianto; Agung B. Sutiono; Bilzardy F. Zulkifli; Roland Sidabutar; Achmad Adam; Muhammad Z. Arifin
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.v2i1.747

Abstract

Meningioma is an intracranial tumor that generally involves meninges. This tumor canbe found along the dura layers at the skull base. Meningioma has vast vascularization from thearteries near dura attachment. Pre-operative embolization technique is an effective strategy toprevent intra-operative complications and better outcomes. The patient was a 24 year-oldwoman who has been complaining of headaches since 2 months ago. The CT Scan resulted in a12 x 9 x 7 cm isodense mass in the left temporoparietal enhanced homogenously by contrast.Pre-operative embolization was performed on the tumor feeding artery as a strategy to preventintra-operative blood loss. A left frontotemporosphenoidal craniotomy was performed 10 daysafter embolization to remove the tumor. A complete resection was successfully achieved withless intraoperative blood loss and without complication. The pathology examination resulted inmeningotheliomatous meningioma. A follow-up picture showed no recurrent tumor afterresection and the patient had no symptoms and neurological deficits until 6 months after thesurgery. In conclusion, meningioma is a common intracranial tumor with a lot of blood supply.However, tumor resection can be safely and efficaciously performed with good pre-operativestrategy.Keywords: brain tumor, embolization, meningioma, resection, skullbase
Korelasi antara Nilai S100-Beta Pre dan Post Kraniotomi Evakuasi Perdarahan Intraserebral Spontan dengan Luaran Adam, Achmad; Ferry, Bilzardy; Atman, Dhira
Jurnal Neuroanestesi Indonesia Vol 6, No 1 (2017)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2109.433 KB) | DOI: 10.24244/jni.vol6i1.36

Abstract

Latar Belakang dan Tujuan: Perdarahan intraserebral/Intracerebral hemorrhage (ICH) spontan ialah penyakit luaran bervariasi yang cenderung fatal dan berbiaya tinggi. S100B ialah enzim yang dapat dinilai pada serum darah saat sel otak cedera dengan biaya lebih rendah dibanding CT-Scan kepala. Penelitian ini mencari korelasi S100B dengan luaran ICH spontan. Prediksi dini luaran buruk pada masa perawatan postoperatif akan mempermudah tenaga medis dan keluarga memutuskan terapi lebih lanjut. Subjek dan Metode: Penelitian cross sectional ini mencari korelasi dengan pengumpulan data prospektif consecutive sampling pada 40 pasien ICH spontan yang dilakukan kraniotomi evakuasi di bagian bedah saraf RSUP Hasan Sadikin Bandung periode JanuariJuli 2016.Hasil: Pasien ICH spontan menunjukkan korelasi positif signifikan S100B preoperatif dan postoperatif dengan mortalitas. Risiko relatif ICH spontan dengan S100B preoperatif 0,220 ug/L berpeluang meninggal 3,157 kali lebih besar dan S100B postoperatif 0,225 ug/L berpeluang meninggal 5,405 kali. Ada korelasi negatif signifikan antara S100B preoperatif dan postoperatif dengan Glasgow Outcome Score (GOS). Ada korelasi positif signifikan antara S100B preoperatif dan postoperatif dengan volume ICH. Tidak ada perbedaan signifikan antara nilai S100B preoperatif dan postoperatif. Simpulan: Nilai serum S100B pre dan post kraniotomi evakuasi ICH spontan berkorelasi dengan luaran mortalitas dan GOS. Nilai S100B postoperatif 0,225 ug/L dapat membantu memutuskan terapi lanjut post kraniotomi.The Correlation between S-100 Beta Level at Pre and Post Craniotomy Evacuation Spontaneous Intracerebral Hemorrhage with OutcomeBackground and Objective: Spontaneous intracerebral hemorrhage (ICH) is a disease with diverse outcome which tends to be fatal and costly. S100B is a measurable enzyme from the blood serum when astrocytes are damaged. S100B has less cost compared with head CT-Scan. This study used S100B to predict spontaneous ICH outcome. Early post operative prediction of poor outcome would help in deciding further therapy. Subject and Method: This is a cross sectional study to find a correlation between variables by collecting prospective data with consecutive sampling of 40 inpatient spontaneous ICH subjects and performed craniotomy evacuation at Hasan Sadikin hospital neurosurgery department during January-July 2016 period. Result: Spontaneous ICH patients demonstrated significant positive correlation between preoperative and postoperative S100B levels with mortality. Relative risk of spontaneous ICH with 0.220 ug/L preoperative S100B level had 3.157 higher death risk and 0.225 ug/L postoperative S100B level had 5.405 higher death risk. There was significant negative correlation between preoperative and postoperative S100B levels with ICH volume. There was no significant difference between preoperative and postoperative S100B levels. Conclusion: S100B serum levels of pre and post craniotomy evacuation of spontaneous ICH patients had correlations between mortality and GOS outcome. Postoperative S100B level 0.225 can deciding further therapy.
Building the Future of Brain Health: Establishing Neurovascular Services in Southeast Sulawesi Wibriansyah, Akbar; Adam, Achmad; Zulkifli, Bilzardy Ferry
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 8 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i8.4248

Abstract

Background: Stroke and other neurovascular diseases are leading causes of death and disability worldwide, particularly in regions with limited healthcare resources. Southeast Sulawesi faces major challenges in providing adequate neurovascular care, including shortages in diagnostic facilities, specialists, and emergency response systems. Addressing these gaps is essential to improving patient outcomes and reducing healthcare disparities. Methods: A mixed-methods approach was employed, combining qualitative data from semi-structured interviews with healthcare providers, policymakers, and patients, with quantitative analysis of official health records and facility observations. The study period spanned from July 2021 to November 2024. Results: In a population of 2.74 million, stroke emerged as the second leading cause of death (17% of total mortality). Infrastructure assessment revealed critical gaps: only 11 of 21 referral hospitals (52.4%, CI 95%: 31.0-73.8%) had CT scanners, with no MRI facilities available. Human resources were severely limited, with only three neurosurgeons (1:914,667 population ratio) and fourteen neurologists (1:196,000). For hemorrhagic stroke cases, surgical intervention showed success rates ranging from 45.8% to 63.6%, with post-operative mortality rates of 15.7-20.8%. The average time to reach CT scan facilities was 4.2 hours (SD ±1.8), significantly exceeding optimal stroke management windows. Geographic and economic barriers further complicated access, with 68% of the population residing more than two hours from neurological care. Conclusions: This study identifies critical gaps in neurovascular service delivery while highlighting potential solutions through systematic infrastructure development, capacity building, and technological integration. The findings suggest that Southeast Sulawesi could develop an effective model for neurovascular care delivery in geographically challenged regions through targeted interventions and strategic resource allocation.
Perbandingan antara Tindakan Dekompresi Hemikraniektomi Evakuasi dengan Kraniotomi Evakuasi terhadap Hasil Luaran Pasien Perdarahan Intraserebral Spontan dengan Glasgow Coma Scale < 9 Adam, Achmad; Ferry, Bilzardy; Pribadi, Muhammad Adam
Jurnal Neuroanestesi Indonesia Vol 6, No 1 (2017)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2170.212 KB) | DOI: 10.24244/jni.vol6i1.32

Abstract

Latar Belakang dan Tujuan:Prevalensi stroke di Indonesia berdasarkan data dari Kementerian Kesehatan RI tahun 2013 yang terdiagnosis tenaga kesehatan atau bergejala sebesar 12,1 per mil. Jawa barat menempati posisi ke-13 dari 33 provinsi dengan prevalensi pasien stroke 6,60/00.PIS spontan dapat sangat merusak dengan kematian yang tinggidalam 30 hari pertama pascaserangan. Pasien koma (GCS 9) dengan PIS merupakan suatu keadaan yang khusus karena angka mortalitas yang sangat tinggi dan tindakan terapi yang belum tepat.Tujuan penelitian ini adalah untuk menganalisis perbandingan tindakan dekompresi hemikraniektomi evakuasi dibandingkan kraniotomi evakuasi pada pasienPIS dengan GCS 9.Subjek dan Metode:Dilakukan penelitian ini selama bulan February-Juli 2016. Penelitian ini merupakan penelitian Kohort analitik dengan rancangan penelitian analitikkomparatif.Analisis statistik akan menggunakan uji-t tidak berpasangan jika sebaran data nomal, dilanjutkan dengan Man Whitney jika sebaran data tidak normal dengan menggunakan SPSS 17.Hasil:Didapatkan 16 sampel yang memenuhi kriteria inklusi penelitian. Didapatkan hasil perbandingan skor NIHS post operasi yang dilakukan dekompresi hemikraniektomi dengan kraniotomi yang memberikan hasil signifikan dengan p = 0,021 (p 0,05). Sedangkan untuk midline shift post operasi dan mortalitas 30 hari tidak memberikan perbedaan yang signifikan dengan p = 0.328 dan p = 1,00.Simpulan:Tindakan dekompresi hemikraniektomi evakuasi memberikan hasil luaran yang lebih baik dibandingkan kraniotomi evakuasi pada pasien PIS spontan di ganglia basal dengan GCS 9dengan tolak ukur skor NIHSComparison of Outcome between Evacuative Decompressive Hemicraniectomy and Craniotomy Evacuation Spontaneous Intracerebral Hemorraghe Patients with Glasgow Coma Scale 9Background and Objective:Indonesian stroke prevalence based upon 2013 Indonesian Health Ministry database that was diagnosed by health professionals was 12.1/mil. West Java was ranked 13 out of 33 provinces with a stroke prevalence of 6.6%. Coma patients with ICH are a special condition because of the high mortality rate and improper therapy. The aim of this study was to analyze the comparison between evacuative hemicraniectomy decompression and craniotomy evacuation upon spontaneous ICH patients with GCS 9.Subject and Method:This research was done during February-July 2016. The research used analytical cohort study with comparative analysis design. Employed statistical analysis was unpaired t-test with normal distribution or Mann Whitney if it was abnormal using SPSS ver. 17. Result:There were 16 samples that met research inclusion criteria. The results of postoperative NIHS score comparison between decompressive hemicraniectomy and craniotomy showed significant difference with p = 0.021 (p0.05). Meanwhile for postoperative midline shift and less than 30 days mortality didnt demonstrate significant difference with respective were p = 0.328 and p = 1.00.Conclusion:Evacuative hemicraniectomy decompression gave better outcome compared with craniotomy evacuation upon spontaneous basal ganglia ICH patients with GCS 9 using NIHS score assessment.
Insidensi Tumor Supratentorial berdasarkan Jenis dan Letaknya di RSUP Dr. Hasan Sadikin Tahun 20122013 M, Mutivanya Inez; Bisri, Dewi Yulianti; Adam, Achmad
Jurnal Neuroanestesi Indonesia Vol 4, No 3 (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 (2067.807 KB) | DOI: 10.24244/jni.vol4i3.126

Abstract

Latar Belakang dan Tujuan: Tumor otak adalah kumpulan sel tidak normal pada otak yang bermultiplikasi dan dapat menyebabkan kerusakan pada jaringan sekitarnya dan organ-organ terkait. Tumor supratentorial adalah tumor otak yang terletak superior terhadap tentorium serebeli. Tentorium serebeli adalah lapisan dural yang memisahkan lobus oksipital pada otak besar dengan otak kecil. Tumor supratentorial adalah 33% dari total tumor otak. Penelitian ini bertujuan untuk menggambarkan angka kejadian tumor supratentorial berdasarkan jenis dan letak tumor.Subjek dan Metode: Objek penelitian adalah rekam medis pasien dengan diagnosis tumor supratentorial yang masuk ke Rumah Sakit Hasan Sadikin Bandung pada Januari 2012 hingga Desember 2013. Penelitian ini merupakan penelitian deskriptif memakai rancangan studi kasus. Data dibagi kedalam kelompok sesuai dengan jenis dan letak tumor kemudian dilihat karakteristiknya.Hasil: Terdapat 494 pasien tumor supratentorial tapi hanya ada 168 yang memiliki informasi lengkap. Berdasarkan jenisnya, tumor dikelompokkan secara garis besar menjadi glioma (14,88%), tumor kranial dan paraspinal (0,60%), tumor meningen (70,24%), tumor pada region sella (10,12%) dan tumor metastasis (4,17%). Berdasarkan letaknya, secara garis besar tumor terletak di sisi kanan (35,12%), sisi kiri (36,90%), region sellar (13,69%), sisi tengah (4,16%) dan bilateral (10,12%)Simpulan: Jenis tumor supratentorial terbanyak adalah meningioma dan lokasi tumor supratentorial paling banyak adalah pada sisi kiri otak secara umum, atau pada lobus frontal secara spesifik.Incidence of Supratentorial Tumor based on Types and Locations of Tumor in Hasan Sadikin Hospital Year 20122013Background and Objective: Brain tumor is a group of abnormal cells in the brain which multiplies and causes damage to the surrounding tissues and related organs. Supratentorial tumor is a brain tumor which is located at superior of tentorium cerebelli. Tentorium cerebelli is the dural layer which separates the occipital lobe of cerebrum with the cerebellum. Thirty three percent of brain tumor is supratentorial tumor. This study was aimed to observe the prevalence of supratentorial tumor based on the type and location of the tumor.Subject and Method: The objects of the study were the medical records of patients diagnosed with supratentorial tumor whom admitted to Dr. Hasan Sadikin General Hospital Bandung from January 2012 until December 2013. This study was a case- descriptive study and data was divided into groups based on type and location of the tumor and then analyzed based on the characteristics.Result: There were 494 patients with supra tentarial tumor, but only 168 patients had complete infomation. Based on the type, tumors were categorized generally into glioma (14.88%), cranial and paraspinal tumor (0.60%), meningeal tumor (70.24%), sellar region tumor (10.12%) and metastatic tumor (4.17%). Based on the location in the brain, tumors were located generally in the right side (35.12%), left side (36.90%), sellar region (13.69%), middle (4.16%) and bilateral (10.12%).Conclusion: The most common type of supratentorial tumor is meningioma and most common location of supratentorial tumor is in the left side of the brain, particularly in the frontal lobe.
Co-Authors Agung B. Sutiono Agung Budi Sutiono Ahmad Faried Ajid Risdianto Akbar Wibriansyah Akhmad Imron Andi N. Sendjaja Andi Wijaya Atman, Dhira Atman, Dhira Billy Yosua Costantin Pongajow Bilzardy F. Zulkifli Bilzardy Ferry Zulkifli Bilzardy Ferry Zulkifli Bilzardy Ferry Zulkifli Christian Beta Kurniawan Cynthia Retna Sartika Dahlan, Rully H. Dewi Yulianti Bisri Donny Argie Farid Yudoyono Ferry, Bilzardy Ferry, Bilzardy Firman Priguna Hanna Gunawan Hendrikus Bolly Hendrikus Masang Ban Bolly Jefri Henky Keri Lestari M, Mutivanya Inez M, Mutivanya Inez Mirna Sobana Muhammad Agus Muljanto Muhammad Azhary Lazuardy Muhammad Z. Arifin Muhammad Z. Arifin Muhammad Zafrullah Arifin Muhammad Zafrullah Arifin Nabilla Farah Naura Nahrowi, Najmia Shabrina Najmia Shabrina Nahrowi Nina Puspitaningrum Ong, Paulus Anam Paulus Anam Ong Pribadi, Muhammad Adam Pribadi, Muhammad Adam Rima Haifa Roland Sidabutar Rully H. Dahlan Rully Hanafi Dahlan Syaiful Anwar Yogi Rosbianto Yustinus Robby Budiman Gondowardojo Yustinus Robby Gondowardojo Zulkifli, Bilzardy Ferry