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Characteristics of Electrodiagnosis in Drop Foot Patients at Neurological Polyclinics Elsye Anita Umsina Nauw, Haya; Arimbawa, I Komang; Dwita Pratiwi, Ni Made
Jurnal KESANS : Kesehatan dan Sains Vol 3 No 7 (2024): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v3i7.293

Abstract

Introduction: Drop foot is the inability to lift the front leg due to the dorsoflexion weakness of the foot, which causes an unsafe gait and potentially results in a fall. This weakness is often caused by compression neuropathy of the peroneal nerve and can result from injuries at various levels of the nervous system. Other causes include metabolic diseases such as diabetes mellitus as well as neurodegenerative, neuromuscular, and inflammatory conditions. The gold standard for diagnosing peroneal neuropathy is electrodiagnostic testing, including nerve conduction studies and needle electromyography, which are useful for detecting lesions and differentiating the degree of lesion in the nervous system. Objective: This study aims to determine the characteristics of drop foot patients who undergo electrodiagnostic examinations, especially the results of Compound Muscle Action Potential (CMAP) and Sensory Nerve Action Potential (SNAP), at the Neurological Polyclinic of Professor IGNG Ngoerah Hospital Denpasar, Bali. Method: This study used a cross-section descriptive study. Data was collected from the medical records of patients who underwent electrodiagnostic examinations at the neurological polyclinic of Professor IGNG Ngoerah Hospital. Data analysis was conducted to evaluate the characteristics of CMAP and SNAP in patients with drop foot complaints. Result and Discussion: the study showed that as many as 80% of drop foot patients were male, electrodiagnostic examination, in CMAP assessed the peroneal and tibial nerves, the motor nerve transmission there were 100% lesions on the peroneal nerve at all levels of lesion location.  Meanwhile, different results can be seen from the assessment of SNAP function where what is assessed is the surreal nerve in each different lesion group. Conclusion: Electrodiagnostic examinations, particularly CMAP and SNAP analysis, are effective in identifying peroneal neuropathy as the cause of foot drop. This study supports the importance of electrodiagnostic examination to determine the location of the lesion and plays a role in the treatment and prognosis of patients with drop foot complaints in the neurological polyclinic
MYASTHENIA GRAVIS WITH FEATURES OF ACUTE PONS INFARCTION: A RARE CASE REPORT Kencana Dewi, Ni Luh Diah; Arimbawa, I Komang; Dwita Pratiwi, Ni Made
MNJ (Malang Neurology Journal) Vol. 10 No. 2 (2024): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.02.19

Abstract

Background: Myasthenia gravis (MG) is an antibody-mediated autoimmune disease at neuromuscular synaptic transmission. The clinical sign of a myasthenia gravis is the presence of weakness that affects vision (ocular), bulbar and proximal skeletal muscles and also myasthenia gravis can resemble vascular disorders or any infectious diseases. Case: A 48-year-old Balinese male patient came to the emergency department of  Prof I.G.N.G Ngoerah Central General Hospital complaining of shortness of breath. Shortness of breath is said to have occurred since one month ago. Shortness of breath improves slightly when the patient rests. Another complaint felt by the patient is that the right eyelid drops, especially during the daytime, will improve in the afternoon. The patient denied any weight loss or a history of malignancy. The patient about three months ago had fallen from a motorcycle and felt numbness in his right cheek until now. The patient has been undergoing treatment at the District General Hospital and he was diagnosed with myasthenia gravis and took Mestinon. CT scan of the head showed an acute infarction of the left pons accompanied by a suspicion of acute meningoencephalitis. Discussion: From the results of the RNS (Repetitive nerve stimulation) in this patient, it was found that the neuromuscular junction lesion was supportive of the description of the myasthenia gravis case. Conclusion: Myasthenia gravis is a disease of the nervous system with various manifestations. Good clinical examination and supporting examination are very necessary to confirm the diagnosis.