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All Journal Journal of International Surgery and Clinical Medicine
Aji Prihartomo, Gatot
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Health Professions Medicine & Pharmacology

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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.
Co-Authors Hadisi, Anthar Mardhiyah, Farah Maspian Tjili , Tondi Maspian Tjili, Tondi Prastya Pardede, Jeremia Rangkuti, Ina Farida Valentino, Andrea WAHYUDI Wirdayanto, Ade