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All Journal JBN (Jurnal Bedah Nasional) Jurnal Abdimas Madani dan Lestari (JAMALI) Journal of International Surgery and Clinical Medicine Journal of Medicine and Health Frontiers on Healthcare Research
Wirdayanto, Ade
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Giant Cavernoma Wirdayanto, Ade; Lestari, Enny; Randa, Said Rafly Okta; Puteri, Sherly Aprilia Perel
JBN (Jurnal Bedah Nasional) Vol 8 No 2 (2024): 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.2024.v08.i02.p05

Abstract

Latar belakang: Cerebral Cavernous Malformation (CCM) adalah suatu kondisi langka yang disebabkan oleh malformasi vena, ditandai dengan kemunculan pembuluh darah menyerupai-sinusoid dengan sirkulasi yang sangat lambat di otak. CCM memiliki dinding yang sangat lunak, sehingga mudah pecah dan menimbulkan perdarahan. Rata-rata CCM berukuran 1,5 cm, namun terdapat beberapa kasus di dunia dengan ukuran lebih dari 4 cm dan disebut sebagai giant cavernoma. Gejala klinis giant cavernoma adalah kejang epileptik, defisit neurologis fokal, serta gejala peningkatan tekanan intrakranial (TIK). Giant cavernoma diidentifikasi dengan baik melalui pemeriksaan MRI. Pemeriksaan histopatologi diperlukan untuk memastikan diagnosis serta menentukan terapi dan prognosis. Kasus: Laki-laki berusia 39 tahun diantar ke IGD oleh keluarganya dengan keluhan penurunan kesadaran sejak 12 jam sebelumnya. Pasien sebelumnya mengalami kejang berulang diseluruh tubuh dengan durasi kejang 1 menit. Pasien memiliki riwayat nyeri kepala yang tidak khas selama satu tahun terakhir. Pemeriksaan fisik didapatkan GCS 13 (E3M6V4), tekanan darah 184/110 mmHg, frekuensi napas 20x/menit, nadi 98x/menit, suhu 36,5­­oC, dan lainnya dalam batas normal. CT scan kepala menunjukkan massa pada lobus frontal dekstra. Pasien didiagnosis dengan tumor cerebri frontal dekstra dan direncanakan craniotomy removal tumor. Simpulan: Giant cavernoma adalah kasus dengan insiden yang sangat langka di seluruh dunia. MRI merupakan modalitas utama untuk mendeteksi kondisi ini. Belum ada rekomendasi prosedur untuk menangani giant cavernoma, namun reseksi total adalah tindakan yang paling sering dilakukan.
Understanding Trigeminal Neuralgia: A Comprehensive Review of Symtoms, Diagnosis, and Management Valentino, Andrea; Mardhiyah, Farah; Maspian Tjili, Tondi; Hadisi, Anthar; Aji Prihartomo, Gatot; Prastya Pardede, Jeremia; Wirdayanto, Ade
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.62

Abstract

Trigeminal neuralgia (tic douloureux) is a rare and debilitating facial pain condition affecting one or more branches of the trigeminal nerve. It is frequently misdiagnosed as a dental issue or temporomandibular disorder due to overlapping symptoms, delaying appropriate treatment. Diagnosis is primarily clinical, often requiring the expertise of a neurologist to distinguish it from other causes of facial pain. Imaging studies such as MRI or CT scans are not diagnostic but play a crucial role in ruling out secondary causes and identifying pathological changes in the affected nerve root. Although not life-threatening, trigeminal neuralgia significantly impacts the quality of life, causing severe, recurrent pain episodes that can be challenging to manage. Timely and accurate diagnosis, along with the implementation of effective therapeutic strategies, is essential to alleviate symptoms and improve patient outcomes. This review highlights the clinical presentation, diagnostic approach, and current treatment modalities for trigeminal neuralgia, emphasizing the importance of a multidisciplinary approach to care.
Intraventricular Meningioma: A Case Series Valentino, Andrea; Wahyudi; Prastya Pardede, Jeremia; Maspian Tjili , Tondi; Hadisi, Anthar; Aji Prihartomo, Gatot; Wirdayanto, Ade; Rangkuti, Ina Farida
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.61

Abstract

Introduction: Intraventricular meningiomas account for approximately 1.5% of meningiomas, 80% of these were localized in the lateral ventricles, 15% in the third ventricle (mostly in the ventricle trigone), and the remaining 5% in the fourth ventricle. This case report aims to highlight clinical findings and difficulty on removal of the tumor intraoperatively. Case description: We presented 2 cases of Intraventricular Meningioma. Both patient have a chief complaint of chronic headache since 2 years ago. Through the magnetic resonance imaging examination, we found a  solid mass at right ventricle trigone with enhance homogenously 7.3 x 5.5 x 6.5 cm  on the first patient and 6.8 x 8.4 x 3.2 cm on the second patient. Both patients went through craniotomy tumor removal. The pathology showed a Transitional Meningioma who grade I and KI-67 immunohistochemical staining result: 1-2 % on the first patien and angiomatous meningioma (WHO grade 1) on the second patient. Both patients showed improvement post-surgery Conclusion: We  have  successfully  performed  a  total  craniotomy  tumor  removal  on  the  right  trigone  intraventricular  meningioma.  However, the primary challenge lies in excising intraventricular meningiomas located in the trigone without causing injury to the geniculocalcarine tracts. Therefore, the surgical approach must be carefully planned based on the tumor's location and intraoperative monitoring as well as surgical strategy to avoid the neurological deficits.
Pemeriksaan dan Pengobatan dalam Rangka Pemberantasan Pedikulosis Kapitis pada Anak Panti Asuhan: Indonesia Maryanti, Esy; Lestari, Enny; Wirdayanto, Ade; Mislindawati, Mislindawati; Firja, Wira; Devlin, Muhammad
Jurnal Abdimas Madani dan Lestari (JAMALI) Volume 06, Issue 02, September 2024
Publisher : UII

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jamali.vol6.iss2.art4

Abstract

Pediculosis capitis is an infestation of head lice (Pediculus humanus capitis) with symptoms of itching on the head. Although it is not fatal, pediculosis capitis can interfere with daily activities, especially disrupting children's concentration and disrupting sleep quality. Head lice often affect school-aged children and people who have poor personal hygiene. An orphanage is a place where a group of children live together and is a place that is at risk of parasitic infections. This activity aims to carry out examinations for head lice to determine the incidence of pediculosis capitis, provide treatment to infested children and provide health education such as counseling and training to prevent in the context of eradicating pediculosis capitis in orphanages. This community service activity occurred at the Baiturrahmah Orphanage, Rimbo Panjang Village, Kampar Regency, Riau Province. The target audience is an orphanage, totaling 31 people, consisting of 14 (45.2%) girsl and 17 (54.8%) boys. At this activity, it was found that all the girls were infested with head lice and no boys were infected with Pediculus humanus capitis. Infected children are treated with 1% permethrin. In this activity, education was also provided to orphanage children and administrators about Pediculosis capitis including causes, clinical symptoms, treatment, prevention and eradication of infection. Each child is also given a serit comb, one child one serit comb. It is hoped that the treatment and education that has been provided can cure these diseases and improve the level of public health.
First Experience: The Use of Spine Navigation at Arifin Achmad General Hospital, Riau Province: A Case Report Wirdayanto, Ade; Lestari, Enny; Randa, Said Rafly Okta; Puteri, Sherly Aprilia Perel
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p48-53.2024

Abstract

Background: Neuronavigation is a navigation system that assists neurosurgeons in performing surgery using real-time three-dimensional images from CT, MRI, or C-arm, providing benefits such as shortened operation duration, increased accuracy, and reduced radiation exposure for both patients and operators. In Indonesia, the use of neuronavigation in spine surgery is still rare, and no literature explains the experience of using this technology. Case Report: We reported the first experience of using neuronavigation at Arifin Achmad General Hospital, Riau Province, in a case of thoracic canal stenosis. A 53-year-old male patient, a palm oil farmer, presented with weakness in both lower limbs, urinary and fecal incontinence, and increased physiological reflexes. MRI examination revealed spinal cord stenosis at thoracic discs VII-X. The patient underwent decompressive laminectomy and posterior stabilization assisted by neuronavigation. The use of neuronavigation allowed precise and efficient placement of surgical instruments, dynamically displayed on the monitor screen, reducing radiation exposure and increasing the accuracy of pedicle screw placement. Conclusion: The use of navigation technology in spinal surgery will be an innovation that increases efficacy and patient safety. Its adoption is expected to become more common as more literature explains its benefits, especially in spinal surgery.
A Rare Presentation of Hemothorax due to Left Hemithorax Penetrative Wound: An Operative Approach Requiring Segmentectomy Endrika, Adhia; Deviandri, Romy; Wirdayanto, Ade; Hendra, Fakhrul; Briliant, Briliant; Valentino, Andrea
Journal of Medicine and Health Vol 8 No 1 (2026)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v8i1.11791

Abstract

Hemothorax is a medical emergency as blood accumulates inside the pleural space due to spontaneous, iatrogenic, or traumatic etiology. In general, hemothorax has a good prognosis. But severe hemothorax, especially those in vital areas, can lead to more invasive management. This case report aims to explore the presentation of massive hemothorax due to penetrative trauma and discuss suitable management approaches. A 16-year-old patient came due to spear wound through the left shoulder without exit wound. From primary assessment we found subcutaneous emphysema in the left lung, without compensation in airway and circulation system. A thoracocentesis intervention promptly performed as initial treatment. Secondary management proceeded with surgical thoracotomy which resulted in segmentectomy. Around 2-6% of patients of hemothorax patients need surgical intervention, and less than 2% will need segmentectomy intervention due to bleeding that cannot be corrected with surgical ligation. This case is one of the rare cases of hemothorax with segmentectomy. Although this patient did not have any respiratory nor circulatory complication, laceration in proximal hilum area leads to massive bleeding that damaged the lung parenchyma. Vigilant assessment in patients with penetrative trauma, especially in the left hemithorax, is essential to diagnose possible complication and execute evidence-based management plan.
Co-Authors Adhia Endrika, Adhia Aji Prihartomo, Gatot Briliant, Briliant Deviandri, Romy Devlin, Muhammad Enny Lestari Esy Maryanti Firja, Wira Hadisi, Anthar Hendra, Fakhrul Mardhiyah, Farah Maspian Tjili , Tondi Maspian Tjili, Tondi Mislindawati, Mislindawati Prastya Pardede, Jeremia Puteri, Sherly Aprilia Perel Randa, Said Rafly Okta Rangkuti, Ina Farida Valentino, Andrea WAHYUDI