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All Journal Asian Australasian Neuro and Health Science Journal (AANHS-J) Jurnal Sosial dan Sains
Harefa, Armellia Solida
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Astronomy Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Neuroscience Physics

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Association Between Head Computed Tomography Scan Images and Electroencephalogram with Outcome In Post Stroke Seizure Patients Harefa, Armellia Solida; Cut Aria, Arina; Aida, Fithrie
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.v7i01.19794

Abstract

Background: Seizures that occur after a stroke and have no previous history of epilepsy are referred to as post stroke seizures (PSS). Post stroke seizure increases patient mortality, disability at hospital discharge, as well as prolongation of hospital stay. Patients with post stroke seizure show poor functional outcome (mRS >2). Objective: To determine the association between head CT scan images and electroencephalogram (EEG) with outcomes in post-stroke seizure patients at Adam Malik Hospital Medan. Methods: This study is an observational analytic study with prospective cohort research methods with primary data sources obtained consecutively from all PSS patients who were hospitalized at Adam Malik Hospital Medan and had undergone head CT scan and EEG examinations. The outcome of PSS patients was assessed by mRS score on day 14 since seizure. Results: There were 24 research subjects who met the inclusion and exclusion criteria aged between 18-74 years and consisted of 18 male subjects and 6 female subjects. There is a association between head CT scan images and clinical outcomes of post-stroke seizure patients based on the results of the chi square test with p value = 0.041 (<0.05) for lesion location and p = 0.018 (<0.05) for lesion size. There is a association between EEG and clinical outcomes of post-stroke seizure patients based on the results of the Chi Square test with p value = 0.001 (<0.05). Conclusion: There is a significant association between head CT scan images and EEG images and patient outcomes. Keyword: Post Stroke Seizure, Head CT Scan, EEG, outcome, mRS
Hubungan Antara Gambaran Head Computed Tomography Scan dan Elektroensefalogram Dengan Luaran Pada Pasien Post Stroke Seizure Harefa, Armellia Solida; Arina, Cut Aria; Fithrie, Aida
Jurnal sosial dan sains Vol. 5 No. 5 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i5.32136

Abstract

Seizure yang terjadi setelah stroke dan tidak memiliki riwayat epilepsi sebelumnya disebut sebagai post stroke seizure (PSS). Post stroke seizure dapat dibagi menjadi early seizure dan late seizure. Post stroke seizure meningkatkan mortalitas pada pasien, disabilitas pada saat keluar dari rumah sakit, dan juga perpanjangan masa rawat inap di rumah sakit. Pasien dengan post stroke seizure menunjukkan hasil fungsional yang buruk (mRS >2). Mengetahui hubungan antara gambaran head CT scan dan elektroensefalogram (EEG) dengan luaran pada pasien post stroke seizure di RS Adam Malik Medan. Penelitian ini bersifat analitik observasional dengan metode penelitian secara kohort prospektif dengan sumber data primer yang diperoleh secara konsekutif dari semua pasien PSS yang dirawat inap di RS Adam Malik Medan dan telah dilakukan pemeriksaan head CT scan dan EEG. Luaran pasien PSS dinilai dengan skor mRS pada hari ke-14 sejak seizure. Terdapat 24 subjek penelitian yang memenuhi kriteria inklusi dan eksklusi yang berusia antara 18-74 tahun dan terdiri dari 18 subjek laki-laki dan 6 subjek perempuan. Terdapat hubungan antara gambaran head CT Scan dengan luaran klinis pasien post stroke seizure berdasarkan hasil uji chi square yang dilakukan dengan nilai p = 0,041(<0,05) untuk lokasi lesi dan p = 0,018 (<0,05) untuk luas lesi. Terdapat hubungan antara EEG dengan luaran klinis pasien post stroke seizure berdasarkan hasil uji Chi Square yang dilakukan didapati nilai p = 0,001 (<0,05). Terdapat hubungan bermakna antara gambaran Head CT Scan dan EEG terhadap luaran pada pasien.
Co-Authors Aida, Fithrie Cut Aria Arina Cut Aria, Arina Fithrie, Aida