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All Journal MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Nona Suci Rahayu
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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DIAGNOSTIC LAPAROSCOPY IN MAYER-ROKITANSKY-KÜSTER-HAUSER SYNDROME : A CASE REPORT Putri Irmayani; Nona Suci Rahayu; Zulkarnaini
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.146

Abstract

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital condition resulting from Müllerian agenesis, characterized by the absence or underdevelopment of the uterus and upper two-thirds of the vagina, while maintaining a normal female phenotype and karyotype (46,XX). This case report details the presentation, diagnosis, and management of a 24-year-old female patient with primary amenorrhea due to MRKH syndrome. The patient presented with typical secondary sexual characteristics and an absence of menstruation. Diagnostic imaging, including ultrasonography and laparoscopy, confirmed the absence of the uterus and the presence of normal ovaries and fallopian tubes, consistent with Type I MRKH syndrome. Management options, including reproductive counseling and vaginal reconstruction techniques, were discussed to address the patient’s physical and psychological well-being. Surgical exploration ruled out other associated anomalies. This case highlights the importance of early diagnosis, multidisciplinary management, and patient counseling to improve quality of life and provide clarity regarding reproductive possibilities for MRKH patients.
SILENT STROKE, LOUD SYMPTOMS : ISOLATED APHASIA IN HYPERTENSIVE EMERGENCY-INDUCED TRANSIENT ISCHEMIC ATTACK Nona Suci Rahayu; Putri Irmayani; Ari Bandana Tasrif
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.157

Abstract

Aphasia is a neurological dysfunction that arises due to disturbances in the brain regions responsible for language processing. These areas are predominantly localized within the frontal cortex and the temporoparietal regions, which regulate both motor and sensory speech functions. Disruptions in these areas may result from ischemic conditions affecting the brain. Isolated cases of aphasia without other accompanying neurological deficits are rarely reported. This article presents a case study of a 66-year-old female patient with a history of chronic hypertension who presented to the emergency unit with a sudden onset of speech difficulties without any other neurological impairments. Initial examination revealed significantly elevated blood pressure at 220/110 mmHg, accompanied by severe headache. A diagnosis of Transient Ischemic Attack (TIA) was supported by clinical findings that resolved within 24 hours and imaging from a non-contrast head CT scan, which showed normal brain parenchyma. The primary focus of initial management was the restoration of cerebral blood flow through the administration of neuroprotective agents and antiplatelet therapy, aiming to optimize cerebral perfusion and achieve clinical recovery of aphasia. This case analysis highlights the importance of prompt and appropriate management in hypertensive emergencies, emphasizing the detection of clinical signs of TIA or complete stroke, even in localized neurological deficits without additional accompanying symptoms.
MONOCULAR TEMPORAL HEMIANOPIA: IN REPEATED ISCHEMIC STROKE ATTACKS Ari Bandana Tasrif; Nona Suci Rahayu
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 1 (2025): March
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i1.184

Abstract

Hemianopsia is a visual impairment characterized by the loss of half of the visual field in one or both eyes. This condition can be temporary or permanent. Monocular temporal hemianopia is one of them, namely visual field abnormalities in one eye in the temporal part, this abnormality is located in the occipital and temporal cortex. Disorders in this area can be caused by ischemic conditions. This case is rarely reported. This article presents a case study of a 56-year-old male patient with a history of chronic hypertension who came to the emergency unit with sudden loss of visual field on the right side of the eye, the patient had a history of ischemic stroke 1 year ago and did not leave any residual symptoms. Initial examination showed blood pressure of 190/110 mmHg accompanied by severe headache. CT scan showed recurrent ischemia in the left occipital and temporal lobes. The main focus of initial treatment is to restore cerebral blood flow through the administration of neuroprotective agents and antiplatelet therapy, which aims to optimize cerebral perfusion.
Co-Authors AA Sudharmawan, AA Ari Bandana Tasrif Putri Irmayani