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All Journal Cerdika: Jurnal Ilmiah Indonesia
Iridansyah Siregar, Rayhan Al-ghifari
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Humanities Economics, Econometrics & Finance Education Health Professions Public Health Social Sciences

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Journal : Cerdika: Jurnal Ilmiah Indonesia

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Case Report: Chronic Embolic Stroke With Bronchopneumonia In Geriatric Patients Andrew, Johanes; Sampurno, Dana Profit; Iridansyah Siregar, Rayhan Al-ghifari; Eric, Eric
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 3 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i3.2457

Abstract

Stroke is a neurological deficit of the central nervous system caused by vascular issues, affecting around 800,000 individuals annually. According to Riskesdas 2018, the prevalence of stroke is approximately 10.9%, with the highest rates in East Kalimantan and the lowest in Papua. In this study, we present a case of a 79-year-old male diagnosed with embolic stroke at Royal Taruma Hospital. The patient was admitted with a fever that persisted for four days prior to hospitalization. Comprehensive anamnesis, physical examination, and diagnostic tests confirmed a diagnosis of febris e.c. bronchopneumonia and hemiparesis duplex e.c. chronic CVDNH. Embolic strokes occur when a cerebral artery is occluded by a clot originating from the heart, aortic arch, or a major cerebral artery, often leading to maximal neurological deficits at the onset. This case underscores several risk factors for embolic stroke, including hypertension, dyslipidemia, and advanced age. The patient was treated with rivaroxaban (10 mg once daily) for anticoagulation and meropenem (1 g three times daily) to manage the infection. Post-treatment, a comprehensive geriatric assessment revealed no signs of urinary or fecal incontinence, and the patient did not exhibit polypharmacy. Following intervention, there was a notable improvement in neurological function and resolution of infectious symptoms. This case highlights effective management strategies for a 79-year-old male with complex medical conditions and emphasizes the necessity of timely interventions in elderly patients for better prognostic outcomes.
A 41-Year-Old-Man With Diffuse Axonal Injury: A Case Report Iridansyah Siregar, Rayhan Al-ghifari
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 3 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i3.2460

Abstract

Diffuse axonal injury (DAI) is a significant pathological feature of traumatic brain injury (TBI) and poses a considerable challenge in clinical neurology. This injury is characterized by microscopic damage to axons in neuronal tracts, especially within the corpus callosum and brainstem, leading to severe outcomes, including high morbidity and mortality. We report a case involving a 41-year-old male who presented to the emergency room of RT Hospital after a motorcycle accident, resulting in a prolonged loss of consciousness lasting over 12 days. The diagnosis of DAI was confirmed through detailed history taking, thorough physical and neurological examinations, and MRI brain imaging, which revealed characteristic axonal damage. This case underscores the prevalence of DAI among motorcycle accident victims, regardless of age, and the typical presentation of prolonged unconsciousness. The patient was treated with an intensive regimen aimed at reducing injury effects and promoting neurological recovery. This included mannitol to lower intracranial pressure, nimodipine for neuroprotection, and phenytoin to prevent seizures. Additionally, amantadine and alinamin F were used to enhance cognitive recovery. Supportive therapies comprised paracetamol for fever, ceftriaxone and levofloxacin as antibiotics, and pantoprazole for gastrointestinal protection. Despite these comprehensive efforts, the prognosis remains poor, with a high risk of lasting neurological deficits. This case highlights the critical implications of DAI in TBI management and underscores the need for early diagnosis and ongoing research to better understand and treat this severe condition.
Co-Authors Andrew, Johanes Eric, Eric Sampurno, Dana Profit