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All Journal Jurnal Kedokteran Brawijaya Asian Australasian Neuro and Health Science Journal (AANHS-J)
Arsyad, Abdurrahman Mousa
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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Cerebral Abscess In A Child With Unknown Origin Of Infection: A Case Report Arafat Husain, Syekh Ahmad; Alloyna, Dhyka; Irsyad, Muhammad Ari; Tala, Ihsan Z; Arsyad, Abdurrahman Mousa
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 03 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i03.13907

Abstract

Introduction: The incidence of brain abscesses is higher in developing countries. The classic triad of fever, headache, and focal neurological signs was seen in 9–28% of the pediatric cases. Brain abscesses occur infrequently with potentially life-threatening conditions. Case Report: The patient was a child 1 year 8 months old with a main complaint of weakness in the left arm and leg progressively for one month. She had a local seizure on her left arm and leg one month before admission with a duration of 30 minutes. She was irritable for the last two weeks. The strength of the upper and lower extremities was 3 respectively. The physiology reflex was hyper-reflex on the upper and lower extremities. A Head non-contrast CT scan showed a hypodense lesion on the right parietal with a perifocal edema lesion. A head contrast CT scan showed a hypodense lesion on the right parietal with ring enhancement measuring approximately 6,2 cm x 4,5 cm. Craniotomy evacuation abscess with near total capsulectomy was done on initial and capsule resection was done. Discussion: Brain abscess is a focal pyogenic infection of the brain parenchyma, and the frontotemporal lobe is the most common site of brain abscess, followed by frontal-parietal, parietal, occipital lobes, and cerebellar. The most common risk factors that predispose a child to the formation of a brain abscess include congenital heart disease, sinus and otogenic infections, and poor dental hygiene. The triad of brain abscess, including headache, fever, and neurological symptoms is only present in (15%) of the cases reported. Medical treatment is recommended in patients without increased intracranial pressure, with symptoms of less than 1 week long and abscess of less than 2 cm seen in tomography. The suggested time of treatment is between 6 and 8 weeks with intravenously administered antibiotics. A full recovery rate from the infection of about 60–70% is reported in the case of early diagnosis and proper therapy Conclusion: Cerebral abscess in pediatrics with unknown origin of infection may happen in 12%. Early diagnosis and treatment of pediatric cerebral abscesses can reduce morbidity and mortality rates. A broadspectrum antibiotic is an optimal treatment in the postoperative evacuation of cerebral abscess cases with unknown origin infection.
Description of JA Medical Skincare Medan Beautician’s Low Back Pain Based on Duration of Work Vivienne; Arsyad, Abdurrahman Mousa; Lubis, Bastian; Lubis, Hilfan Ade Putra
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 1 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i1.14925

Abstract

Introduction: Low Back Pain (LBP) is defined as pain and discomfort located below the costal margin to the inferior gluteal fold, with or without pain in the legs. LBP is a common condition that can occur in all age groups with acute or chronic episodes. Beauticians are more susceptible to musculoskeletal disorders. This line of work tends to involve limited positions, repetitive movements, standing for more than 8 hours or sitting in a bent position during activities. This study aims to determine the characteristics of low back pain based on work duration among beauticians of the JA Medical Skincare beauty clinic Medan. Method: The method used in this research was descriptive quantitative with a total sampling technique. The research population was 60 beauticians from the JA Medical Skincare Beauty Clinic Medan. The data were collected by having the respondents fill out a questionnaire. Results: The research results revealed that beauticians at the JA Medical Skincare beauty clinic who were at risk of experiencing low back pain were individuals aged under 30 years (51.8%), those with BMI > 27 or categorized as obese (60%), and those with a working duration of more than 8 hours (49,1%). These groups exhibited higher percentages of complaints related to low back pain. In general, almost all ages have the potential to experience low back pain. Beauticians who work long hours and do not pay attention to ergonomic factors would have caused continuous static loads on their back and are at risk of experiencing complaints of low back pain. Keywords: Beautician; Duration of work; Low back pain
Correlation between Optic Nerve Sheath Diameter, Rotterdam Computed Tomography Score, and Glasgow Coma Scale in Head Injury Febrina, Debora; Lubis, Netty Delvrita; Arsyad, Abdurrahman Mousa
Jurnal Kedokteran Brawijaya Vol. 33 No. 4 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.04.2

Abstract

Increased intracranial pressure (ICP) is one of the fatal events resulting from head injury. The gold standard for diagnosing elevated ICP, external ventricular drainage (EVD), is highly invasive, unavailable in the initial assessment, and contraindicated in some patients. Optic nerve sheath diameter (ONSD) has recently emerged as a non-invasive alternative for ICP monitoring. The Rotterdam CT Score (RCTS) assesses basal cisterns, midline shift, epidural mass lesion, and intraventricular hemorrhage (IVH) and/or traumatic subarachnoid hemorrhage (tSAH) on head CT scan. High RCTS is associated with higher mortality. Clinically, it can be assessed from level of consciousness with the Glasgow Coma Scale (GCS). This cross-sectional study aims to analyze the correlation between ONSD, RCTS, and GCS in head injury patients who underwent non-contrast head CT scans at the Radiology Department of Adam Malik Hospital, Medan from May 1, 2022, to April 30, 2023. ONSD and RCTS on initial CT scan were measured by two examiners, and GCS scores were obtained from the medical record. From 42 patients, the mean ONSD was 6.26±0.80mm, the median RCTS was 3 (range: 1 to 6), and the median GCS was 14 (range: 3 to 15). There is a significant strong positive correlation between ONSD and RCTS (r=0.747) and a moderate negative correlation between ONSD and GCS (r=-0.476), with p<0.05. The larger the ONSD on the initial head CT scan, the higher the Rotterdam CT score and the lower the GCS score.
Co-Authors Alloyna, Dhyka Arafat Husain, Syekh Ahmad Bastian Lubis Debora Febrina Irsyad, Muhammad Ari Lubis, Hilfan Ade Putra Lubis, Netty Delvrita Tala, Ihsan Z Vivienne