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All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J)
Hakim, Muhammad 'Azmi
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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Frontal Sinus Mucocele Mimicking Sphenoorbital Tumor: A Very Rare Case Report Prihartomo, Gatot Aji; Sidharto, Bagus; Hakim, Muhammad 'Azmi
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.v6i1.16265

Abstract

Introduction: The paranasal sinus mucocele is a slow-growing mass that contains mucous. It can grow to vary in size, well-defined border, and fluctuating.   Case description: A 51-year-old male with the chief complaint was a mass in his left eye 9 months before. The complaint began with a small swelling and it became bigger. He had no chronic flu-like syndrome previously. He admitted that he had no complaints with his vision or his hearing. The mass is as big as eight centimeters in diameter. The physical examination revealed that his left eye was protruded with left eye acuity was 6/6. He had paresis with an upward gaze in his left eye. At the palpation examination, it was soft, elastic, and fluctuative, well-defined border with bony in its surroundings, and no pain sensation. Discussion: In this case, the frontal sinus mucocele can make the eyeball protrude because of downward development. It does not impair visual function, because it does not disturb the optic nerve. The impairment was difficult to gaze upwardly. Conclusion: Given that the lesion came from the frontal sinus, it could grow outwardly and make the eyeball protrude. Histologically, mucocele had to spread inflammatory cells and macrophages, debris cells, and necrotic mass. Keywords: Frontal sinus; mucocele; sphenoorbital tumor; paranasal sinus.
C2 Lesion in An Adolescent Resembling Chordoma : Histopathological Confirmation of Rheumatoid Pannus Following Two-Stage Decompression : A Case Report Arafat, Syekh Ahmad; Ibrahim, Sabri; Hakim, Muhammad 'Azmi
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.20438

Abstract

Introduction: Chordomas prevalence peaks in men around late middle age. Mostly occur in the sacrococcygeal and around base of the skull. Chordoma of the cervical spine is observed only in 6% of all chordoma, which grows slowly in size before becoming symptomatic and encase surrounding vascular and nerve structures. Case Presentation: A 17-years-old male with weakness in all extremities since 2 months with history of falling to the ground with his back landed first after somersault. After that, he began to felt numbness in all extremities. Urinary, fecal incontinence, and decrease of libido was found. Patient undergo CT scan and MRI that show canalis stenosis C2 d/t C2 Fracture Levine classification type 1A ASIA D dd spondilitis TB C2 dd susp. Pannus ec Rheumatoid arthritis. Patient underwent the occipitocervical fusion. He underwent the second operation which was trans-oral decompression and the pathology impression was chordoma. Discussion: Chordomas are a family of primary bone tumors, originate from undifferentiated embryonic notochord remnants presenting in the midline, extending throughout the skull base and axial skeleton. Only 6% of all chordoma cases mainly affect the cervical spine, as chordomas can often be found in the cervical vertebrae, either a new primary tumor or a metastatic tumor   Conclusion: Chordoma is a malignant neoplasm and if the site lesion was in the cervical spine, the chief complaint was the effect of spaced-occupying lesion in cervical, like weakness in all extremities
Co-Authors Arafat, Syekh Ahmad Ibrahim, Sabri Prihartomo, Gatot Aji Sidharto, Bagus