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All Journal Neurona
Octavinawaty, Lenny
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Health Professions Medicine & Pharmacology Neuroscience

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FAKTOR-FAKTOR YANG MEMPENGARUHI NYERI KEPALA PASKA ENDOVASKULAR COILING PADA PERDARAHAN SUBARAKHNOID Puspita Ratnasari, Nurlia; Desti Ramadhoni, Pinto; Sugiharto, Henry; Octavinawaty, Lenny; Haswatty, Bayu
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 3 (2024): Volume 40, No 3 - Juni 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i3.456

Abstract

Introduction: Post endovascular coiling headache, according to ICHD-3, defined as a new headache due to coiling embolization which is still felt by aneurysm rupture subarachnoid patients 3 months after the procedure, which other acute SAH-related headaches have been ruled out. A previous prospective study showed that 50% unruptured aneurysms patients who undergo endovascular coiling experience headache. However, there are currently no studies on headache after endovascular coiling in ruptured aneurysms. Aim: To identify the factors that influence post-endovascular coiling headache in subarachnoid hemorrhage patients with aneurysm rupture. Method: Retrospective cohort study, using medical record data at RSUP Dr. Mohammad Hoesin Palembang. Headache intensity was assessed using the Numerical Pain Rating Scale at 3 months after the procedure according to the ICHD-3 standard. Results: Most patients were > 50 years old, female (60.5%), had a history of hypertension (81.40%), Hunt and Hess grade 2 (41.9%), mFisher grade I (41.9%), located in ICA ( 34.9%), aneurysm diameter 5 mm (69.8%), onset of action at 10 days (58.1%), mRRC class I (53.5%) and Packing Attenuation 25% (53.5%). It was found that 50% of the subjects experienced mild headache after endovascular coiling. In bivariate analysis, it was found that Hunt and Hess 4-5 (p=0.048) and Packing Attenuation >25% (p=0.03) had a significant relationship with incidence of post-endovascular coiling headache. Discussion: Severe Hunt and Hess grade (4-5) and high packing attenuation (> 25%) are associated with the incidence of post-endovascular coiling headache in aneurysm rupture SAH patients Keywords: Subarachnoid haemorrhage, aneurysm rupture, Endovascular coiling, Headache
FAKTOR-FAKTOR YANG MEMPENGARUHI LUARAN PADA PASIEN PERDARAHAN SUBARAKHNOID: PENELITIAN COHORT PROSPEKTIF 18 BULAN Muhlisa, Safitri; Ramadhoni, Pinto Desti; Junaidi, Achmad; Octavinawaty, Lenny; Adwirianny, Ashita Hulwah
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 2 (2024): Vol 40 No 2 (2024): Volume 40, No 2 - Maret 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.451

Abstract

Introduction: Subarachnoid hemorrhage (SAH) is an acute bleeding in the subarachnoid space. The mortality rate of SAH is quite high and survivors will experience limitations in activity daily living. Identification and factors that affect SAH are needed to improve patient outcomes. Aim: to identify the factors that affect the mortality of SAH Methods: This study was an observational study with a prospective cohort approach regarding the factors that affect the outcome of subarachnoid hemorrhagic patients in Dr. Mohammad Hoesin Hospital Palembang from January 2021 to July 2022. Results: From 62 subjects, the patients were 55.35 (SD ± 12.4) years old in average, most of them were female (67.7%). About 87.1% of patients had GCS> 8 (mean 11.68, SD ± 3.273). There were 82.3% of patients with mild-moderate NIHSS (mean 11.68; SD ± 3.273). The mortality rate was 37.1% (n = 23) with associated factors such as onset of admission (p = 0.044, GCS on admission (p= 0.003), severity of stroke (NIHSS) (p = 0.013), SAH severity (Hunt and Hess scale) (p=0.00), modified fisher scale (p=0.000), and coiling (p=0.001).The factor that most influenced the outcome was modified Fisher 3-4 (OR= 12,426, CI95% = 2,239 – 68,953) and non-coiling (OR: 12,2278, CI95% = 1,716 – 87,838). Discussion: There was a significant correlation between admission onset, GCS on admission, stroke severity (NIHSS score), modified Fisher scale, SAH severity (Hunt and Hess scale), and coiling, with the mortality of subarachnoid hemorrhage. Modified fisher scale and non-coiling were the most dominant factors that affected the mortality rate. Keywords: SAH, mortality, outcome
Co-Authors Achmad Junaidi, Achmad Adwirianny, Ashita Hulwah Desti Ramadhoni, Pinto Haswatty, Bayu Muhlisa, Safitri Puspita Ratnasari, Nurlia Ramadhoni, Pinto Desti Sugiharto, Henry