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All Journal PRIMER (Prima Medical Journal)
Audrina Ernes
Universitas Prima Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Tuberous Sklerosis Kompleks Pada Pasien Wanita Usia 22 Tahun Desi Novianti; Audrina Ernes
PRIMER (Prima Medical Journal) Vol. 8 No. 2 (2023): Edisi Oktober
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/pmj.v8i2.4254

Abstract

Backgrounds: Tuberous sclerosis complex (TSK) is an autosomal dominant disorder that predisposes to the development of benign lesions in several organs of the body especially in the brain, kidneys, liver, skin, heart and lungs. Subependymal giant cell astrocytoma (SEGA) is a characteristic brain tumour that occurs in 10%-20% of patients with tuberous sclerosis complex and is almost exclusively associated with tuberous sclerosis complex. Objective: Demonstrate the role of radiological imaging (CT scan and MRI) in determining the diagnosis and as a reference for determining subsequent therapy in patients with seizures et causa tuberous sclerosis. Case: This case report describes a 22-year-old female patient with a main symptom of frequent headaches since the last 2 months and decreased vision and fogginess in both eyes. The patient has a history of seizures from the age of 4 years to the age of 11 years. Discussion: Four major signs of TSK were found: facial angiofibroma, tuberous sclerosis, subependymal nodule, and subependymal giant cell astrocytoma. Conclusion:  The role of radiological imaging, both CT scan and MRI in the early diagnosis of patients with TSK is very important.
Glioma Mimicking Infarct Ikhwanul Hakim Nasution; Audrina Ernes
PRIMER (Prima Medical Journal) Vol. 8 No. 2 (2023): Edisi Oktober
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/pmj.v8i2.4256

Abstract

Backgrounds: Gliomas are one of the most common primary brain tumours. Gliomas may present with imaging that can mimic other primary brain lesions. Objective: To demonstrate the role of radiological imaging (CT scan and MRI) in determining the diagnosis as well as a reference for determining subsequent therapy in patients with primary brain lesions. Case: This case report describes a 67-year-old male patient with complaints of decreased consciousness and seizures. The patient had a history of headache since 2 months ago and was not accompanied by limb weakness. Discussion: The appearance of low-grade glioma on CT scan gives an image resembling infarction where both give an appearance of hypodense lesions on non-contrast CT and do not enhance on CT with contrast. Therefore, further imaging such as MRI imaging is required. Conclusion: MRI is important modality in assisting the diagnosis of patients with primary brain lesions and can assist in selecting the appropriate treatment.
Co-Authors Desi Novianti Ikhwanul Hakim Nasution