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All Journal MNJ (Malang Neurology Journal) Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Prima Majalah Kedokteran Neurosains Journal of Pain, Vertigo and Headache Journal of Global Pharma Technology Journal of General Procedural Dermatology and Venereology Indonesia IJRETINA - International Journal of Retina Magna Neurologica

Shahdevi Nandar Kurniawan, Shahdevi Nandar

Neurology Department, Medical Faculty, Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia.

Author-ID : 5362994

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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COMPLICATED MIGRAINE Kadek Putri Paramita Abyuda; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 2 No. 2 (2021): September
Publisher : Journal of Pain, Headache and Vertigo

Migraine is a chronic paroxysmal neurological disease characterized by attacks of moderate or severe headache accompanied by reversible neurologic and systemic symptoms. Although not life threatening, migraine can cause disability in the productive population. Migraine sufferers generally have a family history of migraine so that migraine is considered a genetic disease. Endogenous psychological factors such as stress or fatigue are the main triggers for migraine. Migraine pathophysiology involves various parts of the brain so that migraine symptoms are complex. Management of acute migraine can be done pharmacologically and non-pharmacologically. Migraine preventive management is needed if the patient has a chronic migraine or does not respond to abortive treatment.

VESTIBULAR NEURONITIS Shahdevi Nandar Kurniawan; Afiyfah Kaysa Waafi
Journal of Pain, Headache and Vertigo Vol. 2 No. 2 (2021): September
Publisher : Journal of Pain, Headache and Vertigo

Vestibular neuronitis is an acute vestibular syndrome due to inflammation of the vestibular nerve characterized by the typical symptoms of acute rotatory vertigo accompanied by nausea, vomiting, and symptoms of balance disorders. The incidence of vestibular neuronitis is about 3.5 per 100,000 people. The exact etiology of this vestibular neuronitis is unknown. However, based on existing evidence, vestibular neuronitis is associated with viral infections of the upper respiratory tract and herpes zoster infection. The clinical manifestations of vestibular neuronitis are persistent rotatory vertigo accompanied by oscillopsia, horizontal-rotatory peripheral vestibular spontaneous nystagmus on the healthy side, and a tendency to fall on the affected side. Diagnosis of vestibular neuronitis can be made by clinical diagnosis, through history, physical examination, and special examinations. Through these examinations, the differential diagnosis of vestibular neuronitis should be excluded, such as Meniere's disease, labyrinthitis, benign paroxysmal positional vertigo, and vertigo due to central lesions such as cerebellar infarction. Management of vestibular neuronitis is in the form of symptomatic therapy with vestibular suppressants, antivertigo, and redirect to relieve the symptoms that arise, then causative therapy can be done by administering corticosteroids, and in patients, physiotherapy can be done to improve vestibular function.

HAND AND WRIST PAIN Izza Ayudia Hakim; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Hand and wrist disorder affects a patient’s overall well-being and health-status. Epidemiology of elbow pain and pain per year in 58 of 10,000 patients in the UK, and is the fourth most common musculoskeletal site in the upper extremity after the shoulder, hand and. Characteristics of pain that can arise in the form of pain isuch ias radiating, tingling, thick feeling and can be in the form of weakness when gripping. This can happen because of a movement that is not appropriate and occurs repeatedly. There is a special physical examination that can support a diagnosis of pain in the hands and hands. The therapy used initially is non-steroidal anti-pain, even if it cannot be resolved, corticosteroid injections can be given to the painful area. Keyword : hand and wrist pain, pain, upper extremity pain

ACUPRESSURE AS METHOD FOR REDUCING HEAD PAIN IN TENSION TYPE HEADACHE: CASE REPORT Wahyuni Ramadhani Suaib; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Background: Acupressure is a method that can reduce or eliminate headaches without using drugs. It works by stimulating certain points through pressure / massage on the surface of the body by using fingers or blunt objects for fitness purposes or to relieve pain in tension headaches. Tension type headache (TTH) is the most common headache that tends to be considered not serious because it causes mild symptoms in some cases. TTH is a pain that is felt in the back of the head (occipitalis) and in the front (frontalis) which is tense due to the permanent contraction of the muscles of the scalp, forehead and neck accompanied by extracranial vasoconstriction that can persist for a certain period of time. Benefits of acupressure can calm the nerves caused by discomforts such as tension which is common in tension headache. Summary of case: A 37-year-old woman presented with headaches that is described as being tied to a rope around her head and heavy in the neck area since a week ago. She is diagnosed with tension type headaches and received doctor's treatment. However, headaches are still felt sometimes when she has a lot of thoughts. Acupressure through suppression and massage has been done as a non-pharmacological treatment to reduce the patient's headache at the acupressure point for one week in 10 minutes each session, showing a decrease in pain intensity through VAS (Visual Analogue Scale) decreased pain rate from 6 to 2 after acupressure. She experienced an improvement and decreased intensity of headache attacks after undergoing acupressure. Conclusion: Acupressure can be an alternative and complementary therapy to reduce the intensity and frequency of tension type headache attacks Keyword : Acupressure, tension type headache, complementary therapy.

EFFECT OF MIRROR THERAPY THROUGH FUNCTIONAL ACTIVITIES TO IMPROVE MOVEMENT AS CENTRAL POST-STROKE PAIN TREATMENT: A CASE REPORT Wahyuni Ramadhani Suaib; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Background: Stroke patients generally have disorders related to decreased functionality, motor disturbances being the most common. One symptom of stroke is sudden weakness of one side of the body on the face, arms and legs. Central post-stroke pain is a condition of central neuropathic pain arising directly from lesions of the cerebrovascular central somatosensory nervous system. Mirror therapy is a non-pharmacological therapy in the form of imaging of the limbs, where a mirror medium is used to convey visual stimulation to the brain through observing body parts of patients who are not disabled while doing a series of movements. Mirror therapy helps in reducing disability in the limbs of stroke patients and as a treatment. for post-stroke central pain, thereby helping to improve functional limbs and shorten the rehabilitation period. Summary of case: A 54-year-old man with painful spastic left hand has been diagnosed with infarct stroke in the right thalamus 2 years ago. Mirror therapy has been done for two weeks, precisely six days per week with a duration about 30 minutes. Mirror therapy is done by using a mirror media that is placed on both arms and hands of the patient symmetrically and the patient observes the reflection of a healthy limb through flexion, extension, finger counts, and grasping objects. Visual Analogue Scale (VAS Score) is used to measure the level of pain before and after mirror therapy. After one month of mirror therapy the patient experienced an increase in motor function and decrease in pain scale. Conclusion: Mirror therapy is a promising non-pharmacological method in reducing disability and central pain after stroke. Keyword: Stroke, central post-stroke pain, mirror therapy.

PIRIFORMIS SYNDROME Hardi Adiyatma; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 1 (2022): March
Publisher : Journal of Pain, Headache and Vertigo

Abstract Piriformis syndrome is a disease characterized by inflammation of the peripheral nerves in the sciatic nerve caused by abnormal conditions in the piriformis muscle. Piriformis syndrome is caused by excessive or excessive contraction of the piriformis muscle. Piriformis syndrome is underdiagnosed and considered as common back pain and causes 6% of similar symptoms to Low Back Pain (LBP) and the incidence rates in LBP patients varying, from 5% to 36%. The incidence of PS is about 2.4 million new cases each year and it is more common in women than men. Piriformis syndrome usually happened in the 4th and 5th decades of life. There are various variations of the relationship between the sciatic nerve and the piriformis muscle where this anatomical shape is a risk factor for piriformis syndrome. The diagnosis of piriformis using functional (Fair Test, Beatty Maneuver, Modified Beatty Maneuver, Pace Test, Freiberg Test, Braggard Test, Straight Leg Raise Test, Bonnet Test, Micrine Test) and imaging modalities (USG, EMG, CT-Scan, MRI). The management of piriformis syndrome is carried out in the order of warning management, medical management, physical therapy, steroid spraying, botulinum spraying, and surgical technique. The prognosis of piriformis syndrome depends on the severe condition of each patient, a study reports that even patients who have undergone surgery can still get piriformis syndrome again Keyword : Piriformis syndrome, piriformis muscle, functional tests, management

CLUSTER HEADACHE Michelle Anisa; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 2 (2022): September
Publisher : Journal of Pain, Headache and Vertigo

Cluster headache (CH) is a trigeminal autonomic cephalgia characterized by attacks of severe unilateral headache accompanied by ipsilateral autonomic symptoms. The prevalence of cluster headache in the overall population is 1 in every 1000 people. The exact etiology of cluster headache remains unclear. However, it is thought that there is a connection between the trigeminovascular system, parasympathetic nerve fibers involved in trigeminal autonomic reflexes, and the hypothalamus. Treatment of CH has three stages, namely: abortive, transitional, and preventive. Cluster headaches tend to subside with age with less frequent attacks and longer periods of remission between attacks.

CLASSICAL MIGRAINE Shahdevi Nandar Kurniawan; Dyah Kusuma Wardhani
Journal of Pain, Headache and Vertigo Vol. 3 No. 2 (2022): September
Publisher : Journal of Pain, Headache and Vertigo

A classic migraine is a recurrent attack of visual, sensory, or other central nervous system symptoms that are unilateral and last several minutes, followed or not followed by a migraine attack. Migraine commonly occurs in 19% of women and 11% of men worldwide, with 20% of sufferers experiencing classic migraine. The etiopathophysiology of classical migraine is not known with certainty, but vascular, neurological, and genetic dysfunction are suspected to be the cause. Classical migraine pathophysiology is associated with the theory of cortical spreading depression, which can explain the process of aura. There are four phases in classical migraine, namely prodromal, aura, headache, and prodromal phases, each of which has its own symptoms. This is the basis for the diagnosis of migraine, which is established based on the history and physical examination. Migraine therapy includes preventive therapy (lifestyle changes and prophylactic administration) as well as abortive therapy (administration of specific and non-specific drugs).

TENSION TYPE HEADACHE (TTH) Auliya Nur Muthmainnina; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 2 (2022): September
Publisher : Journal of Pain, Headache and Vertigo

Tension Type Headache (TTH) is the most common type of headache in all age groups worldwide. Because of its high prevalence and possible association with medical and psychiatric comorbidities, TTH has a large socioeconomic impact. TTH is the type of headache that most patients suffer from, ranging from mild to severe pain that reduces their ability to carry out daily activities. TTH can be classified into an episodic tension-type headache (ETTH) and chronic tension-type headache (CTTH). The lifetime prevalence of TTH is high (78%). Approximately 24% to 37% experience TTH several times a month, 10% experience weekly and 2% to 3% of the population have chronic TTH disease. TTH treatment is carried out with pharmacological and non-pharmacological approaches.

PERSISTENT HEADACHE AFTER CEREBELLUM HEMORRHAGE STROKE Nata Sanjaya; Shahdevi Nandar Kurniawan
Journal of Pain, Headache and Vertigo Vol. 3 No. 2 (2022): September
Publisher : Journal of Pain, Headache and Vertigo

Cerebrovascular disease is the number one cause of epilepsy in the elderly population. Headaches are relatively common in patients with cerebrovascular disorders. The frequency of stroke-related headaches ranges from 7% to 65% with different types of headaches. The prevalence of persistent post-stroke headaches from 7-23%, with follow-up times ranging from 3 months to 3 years after stroke. Persistent headache in the population was associated with high depression and fatigue scores and significantly impacted returning to work. Most headaches at stroke onset will resolve, persistent headaches are a real entity even years after the stroke. The mechanism that might explain the relationship between headache and hemorrhagic stroke is still unclear, including changes in blood vessel walls supported by endothelial dysfunction in migraine sufferers as well as comorbid vascular risk factors such as arterial hypertension or platelet dysfunction. Headache after stroke intracerebral hemorrhage is believed to be the result of vasoconstriction that causes ischemia of the vessel wall.

Co-Authors Abdul Gofur Afiyfah Kaysa Waafi Al-Rasyid, Harun Aldita Husna Violita Aldita Husna Violita Andaru Cahya S Anggraini, Vivi Laras Anggraini, Vivid Prety Anisa Syahfitri Hanum Annisatul Hakimah Asmiragani, Syaifullah Auliya Nur Muthmainnina Badrul Munir Badrul Munir, Badrul Basya Adnani Basyar Adnani Chomsin Sulistya Widodo Chozin, Iin Noor Dalhar, Mochamad Damayanti, Ria DAMAYANTI, ZUHRIA PUSPITA Dessika Rahmawati Devi Annisa Devita Anggraeni Soeroso Dewi Permata Sari Dheka Sapti Iskandar Dhelya Widasmara Didi Candradikusuma Dini Jatiya Anggraini, Dini Jatiya Dwi, Pratiwi Suryanti Dyah Kusuma Wardhani Edi Widjajanto Eko Arisetijono Ekowati Retnaningtyas F, Fahimma Fahrani Yossa Prachika Farida Widyastuti Fitria Nikmahtustsani, Mulika Ade Gerry Gunawan, Gerry Gonius, Andry Gyang Hanandita Gusti Putri Hanestya Oky Hermawan, Hanestya Oky Hani Susianti Harbiyanti, Novita Titis Hardi Adiyatma Harun Al Rasyid Helena Era Millennie Heri, Sutanto Herwinda Brahmanti Husnul Khotimah Husnul Khotimah I Ketut Suada Irawan Satriotomo Irsyah Dwi Rohmayanti Izza Ayudia Hakim Janet, Karensa Abby Jatmiko, Sarazata Indi Rozaany Kadek Putri Paramita Abyuda Kartika Agustina Kinesya, Billi Lestari, Dwi Indriani Machlusil Husna Machlusil Husna, Machlusil Made Ayu Hariningsih Sunaga Masruroh Rahayu Masruroh Rahayu Masruroh Rahayu Masruroh Rahayu Masruroh Rahayu Masruroh Rahayu, Masruroh Masykur, Umar Jundullah Maziya, Yulianda Mega Yulia Rusmayanti Michelle Anisa Misnasari, Putri Priela Mochammad Istiadjid Eddy Santoso Mokhamad Fahmi Rizki Syaban Mondiani, Yeni Quinta Muhammad Welly Dafif Nadia Artha Dewi Nadiya Elfira Bilqis, Nadiya Elfira Nasution, Ali Napiah Nata Sanjaya Nectarine Natasya Regitta Yasmin Nidia Suriani Nurvia Andriani Petrarizky, Alfred Julius Pramesti, Fathia Annis Pratiwi, Made Dinda Pringga, Gutama Arya Pudji, Rosalyna Purbasari, Bethasiwi Putri, Dwi Sandhi Aulia Pramesti Putri, Laily Ardhianti Putri, Mutiara Kristiani R, Rahmad Rahma, Annisa Rahmasari, Herisa Rahmawati, Dessika Raisa, Neila Reza Rachmantoko Rislan Faiz Muhammad Rislan Faiz Muhammad Ristiawan Muji Laksono Rizki Rahamatullah Noer Rodhiyan Rakhmatiar Rulli Rosandi Safira Dita Arviana Sari, Atika Windra Sari, Diane Tantia Sari, Diane Tantia Sela Pricilia Siti Nurlaela Sri Budhi Rianawati Sri Budhi Rianawati, Sri Budhi Sri Budi Rianawati Suratmono, Mia Fajarningtyas Syafiatul Azizah Titin Andri Wihastuti Tri Wahju Astuti, Tri Wahju Vely Eva Meria Wa Ode Intan Nur Octina Wahyuni Ramadhani Suaib Widiatmoko, Arif Widodo Mardi Santoso Widodo Mardi Santoso, Widodo Mardi Wirathmawati, Andina Yudiansyah, Anggi Gilang Yuyun Yueniwati Zahra, Farah Shabri Alifia Zamroni Afif

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