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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Health Information : Jurnal Penelitian Science Midwifery
Kristiani, Alyn
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Humanities Dentistry Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : Science Midwifery

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Case report: Dystonia and athetosis in ICH of 80 years old female patient Kristiani, Alyn; Sunarnyo, Sunarnyo
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1457

Abstract

Dystonia is defined as involuntary and persistent contraction of agonist and antagonist muscles resulting in abnormal posture, twisting and repetitive movements, or trembling. These can be initiated or worsened by attempts to make movements. Dystonia is a dynamic disorder whose severity changes based on activity and body posture. Case An 80 years-old woman was brought by her family to the emergency room at RAA Soewondo Regional Hospital, Pati with complaints of movements, such as twisting her arms and legs from the right arm and leg continuously without stopping which appeared since 2 (two) days before entering the hospital. Physical examination revealed continuous voluntary and twisting movements of the right arm and leg. There was a neurological deficit in nerve VII, namely; eyebrows, nasolabial sulcus, and corners of the mouth that deviate to the left. Moreover, there are also neurological deficits in nerve XII, namely; tongue deviation to the left side and tongue deviation during contraction to the right side. Therefore, patients receive inpatient treatment at the hospital. Conclusion: is dystonia is a clinical diagnosis made based on history, observation, and direct examination. Treatment provided depends on the patient's age, diagnosis, and distribution of dystonia, and is individualized, consisting of rehabilitation, botulinum toxin injections, oral pharmacotherapy, and DBS.
Co-Authors Arliska, Vira Geraldine Asih Wulandari, Dhea Atzmardina, Zita Hugo Auriol, Blasius Mahandra, Bryan Anggareti Odyssey Saint, Hayuningrat Sunardi, Hendry Purnomo Sunarnyo Sunarnyo, Sunarnyo Wulan Rahmadani, Anggi