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All Journal Jurnal Kedokteran Syiah Kuala Journal of Health Sciences Narra J Britain International of Exact Sciences Journal (BIoEx Journal) KESANS : International Journal of Health and Science JK Jurnal Kesehatan
Nasrul Musadir
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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TUMOR SUDUT SEREBELLOPONTIN Nasrul Musadir
Jurnal Kedokteran Syiah Kuala Vol 15, No 1 (2015): Volume 15 Nomor 1 April 2015
Publisher : Universitas Syiah Kuala

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Abstract

Tumor pada sudut serebellopontin (CPA) merupakan massa abnormal yang sering terjadi. Sudut serebellopontin merupakan sudut pada fossa posterior yang terbentuk antara tulang temporal, serebellum dan pons. Tumor pada sudut serebellopontin mencapai 5-10 % dari seluruh tumor intrakranial yang terjadi. Jenis tumor yang paling sering didapati masa daerah tersebut adalah Acoustic Neuroma (vestibular schwannoma). Tumor yang berada pada daerah tersebut mempunyai manifestasi klinis yang bervariasi. Gejala yang sering dialami awalnya berupa gangguan pendengaran, gangguan keseimbangan dan kelainan nervus kranialis. Pada tahap lanjut, penderita tumor CPA bisa mengalami hidrosefalus dan akan mengalami gejala-gejala akibat peningkatan tekanan intrakranial. Penanganan tumor CPA terus mengalami kemajuan. Selain dengan pembedahan untuk mengangkat tumor, kemajuan teknik radiasi semakin menggembirakan. Ada dua cara untuk melakukan radiasi yaitu dengan Fractioned stereotactic radiotherapy dan stereotactic radiosurgery. Penggunaan Gamma Knife radiosurgery semakin berkembang dan menunjukkan hasil yang baik.
The Clinical Characteristics of Patients with Embolic Strokes among Indonesian Subjects Syahrul; Imran; Farida; Suherman; Nasrul Musadir; Nurul Fajri; Endang Mutiawati; Nova Dian Lestari
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 3 (2020): Britain International of Exact Sciences Journal, September
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i3.296

Abstract

Stroke accounts for 10% of the world's deaths and causes severe long-term disabilities. Twenty-six million people world wide experience a stroke each year. Two-thirds represents cerebral ischemia. Age, a history of stroke or transient ischemic attack, hypertension, diabetes and heart failure characterize a stroke. Early detection with a proper treatment could improve clinical outcomes in such cases.
The Relationship of Myofascial Trigger Points (MTrPs) Pain to Headache: Type, Location, and Intensity of Headache Novita Nurul K; Dessy Rakhmawati E.; Reza Maulana; Nasrul Musadir; Sofia Sofia
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 6 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i6.66

Abstract

Headaches are one of the most common nervous system disorders with a major impact on public health. They can be caused by various etiologies, and some of them are symptoms of serious pathology. The location and intensity of the headache are related to the etiology of the headache. In some cases, headaches can be accompanied by pain due to myofascial trigger points (MTrPs), which are small hyper-irritating spots located centrally within bands that have been injured or overworked. The purpose of this study was to determine the relationship between Myofascial Trigger Points (MTrPs) Pain and the Type, Location, and Intensity of Headaches. This type of research is analytic observational with a cross-sectional design. Data were collected in October and December of 2014, and a sample of 50 people was drawn using a consecutive sampling technique.Data were gathered through neurologists' history-taking and physical examinations, as well as interviews using a numerical pain scale (NPS), and then analyzed using Fisher and Mann Whitney.The results showed that MTrPs were positive for M. sternocleidomastoid in 38 people, M. trapezius in 36 people, M. temporalis in 31 people, M. masseter superficialis in 20 people, M. suboccipital in 18 people, M. levator scapulae in 34 people, and M. obliquus superior in 20 people. The highest number of active MTrPs was 4 in 15 people, and referred pain from MTrPs was present in only 5 people. It can be concluded that there is no relationship between Myofascial Trigger Points (MTrPs) pain and the type of headache, but there is a relationship between Myofascial Trigger Points (MTrPs) pain and the location and intensity of the headache.
A comparison study of headache characteristics and headache-associated quality-of-life of COVID-19 and non-COVID-19 patients Endang Mutiawati; Hendrix Indra Kusuma; Raisha Fathima; Syahrul Syahrul; Nasrul Musadir
Narra J Vol. 2 No. 3 (2022): December 2022
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v2i3.93

Abstract

Headache is prevalent in coronavirus disease 2019 (COVID-19) patients. The main objective of this study was to compare the characteristics of COVID-19-associated headache to non-COVID-19 headache. The quality-of-life (QoL) and its associated determinants between COVID-19 and non-COVID-19 patients were also compared. A cross-sectional study was conducted in Banda Aceh, Indonesia. Headache and QoL were assessed using the International Classification of Headache Disorders, version 3 (ICHD-3), and the 36-item Short Form Health Survey (SF-36), respectively. Factors associated with poor QoL in COVID-19 and non-COVID-19 patients were examined using logistic regression. A total of 356 headache patients were included: 215 COVID-19 and 141 non-COVID-19 patients. Our data suggested that the headache in COVID-19 patients was bilateral; pain centered on one specific area with a pulsating or pressing sensation; pain intensity ranging from moderate to severe; and the frequency ranging from more than twice per week to every day. Non-COVID-19 headache was bilateral; pain centered on one side of the head resembling a migraine with pulsating or pressing sensation; mild to moderate pain intensity; and the frequency of one or two times per month. In COVID-19, low QoL was associated with unemployment status, having non-health-related jobs, having used painkillers to reduce the pain, having long duration of headache, having more frequency of attacks, and having headaches that were worsened by activities or light, and having additional symptom during a headache attach. In non-COVID-19 patients, poor QoL was associated with the use of painkillers, long duration of headache, and having conditions that aggravate the headache. To prevent long-term effects of headache associated with COVID-19, studies exploring the photobiology of headache are  needed, along with the necessity of having standardised guideline on headache prevention.
Incidence of Pneumonia among Stroke Patient in Zainoel Abidin Hospital Banda Aceh – A Descriptive Study Sofia, Rosa Emelda; Musadir, Nasrul; Danial, Dini Raaikhani
Jurnal Ilmiah Kesehatan Vol 17 No 02 (2024): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v17i02.6053

Abstract

Background: Stroke is an acute and focal neurological deficit syndrome resulting from vascular injury (infarction, bleeding) in the central nervous system. Apart from that, stroke causes the second number of deaths in the world with the highest morbidity and the incidence increases in young and middle age (<55 y.o). In 2018, the prevalence of stroke in Aceh was 13.389 people. On the other hand, pneumonia is the most common non-neurological complication in the acute phase of stroke. In severe brain injury, it causes sympathetic overactivity which causes Systemic Inflammatory Response Syndrome (SIRS). The aim of the research is to provide a descriptive overview of the incidence of pneumonia in stroke patient including gender, onset, stroke classification, complications/comorbidities, use of antibiotics and length of treatment. Method: Quantitative research type with a descriptive design with a cross-sectional study and purposive sampling approach. The population is medical records of stroke patients who experienced pneumonia during the treatment period for the period January-December 2023 and samples were taken in the Medical Records Room at RSUD dr. Zainoel Abidin Banda Aceh. Results: This study showed that the dominant age of SAP was over 55 years and 60 cases of ischemic stroke (77.9%) and 17 cases (22.1%) of hemorrhagic stroke was male patient. The highest stroke onset is 1-7 days. The main comorbid factors were hypertension and diabetes mellitus. The use of antibiotics was 3rd generation cephalosporins. Conclusion: the incidence of pneumonia in stroke sufferers was influenced by age, gender and comorbid factors.
Cerebral artery stenosis and neurological outcomes after anticoagulant and antiplatelet therapy in acute ischemic stroke: A digital subtraction angiography-based study in Indonesia Musadir, Nasrul; Syahrul, Syahrul; Imran, Imran; Fiqri, Aidil; Danial, Dini R.
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2919

Abstract

Acute ischemic stroke (AIS) is a leading cause of morbidity and mortality, with cerebral artery stenosis serving as an important prognostic factor. While revascularization therapies benefit selected patients, most rely on pharmacological strategies. However, evidence regarding the effect of sequential anticoagulant–antiplatelet therapy on vascular stenosis and neurological outcomes remains limited. The aim of this study was to evaluate changes in cerebral artery stenosis, assessed using digital subtraction angiography (DSA), and neurological deficits, assessed by the National Institutes of Health Stroke Scale (NIHSS), in patients with first-onset AIS treated with anticoagulant and antiplatelet therapy. A prospective cohort study was conducted involving 35 patients who received low-molecular-weight heparin or warfarin for seven days, followed by 90 days of oral antiplatelet therapy (aspirin or clopidogrel). Sixteen patients consented to repeat DSA at 90 days. Among these, the median stenosis decreased from 44.5% (30–90%) to 44.0% (20–90%) (p=0.003). In the full cohort (n=35), the median NIHSS improved from 10 (5–17) at baseline to 9 (2–14) at 90 days (p<0.001). Correlation analysis demonstrated a positive but non-significant association between stenosis reduction and NIHSS improvement (r=0.474, p=0.064). These findings suggest that sequential anticoagulant–antiplatelet therapy in first-onset AIS was associated with a modest but statistically significant reduction in arterial stenosis and meaningful improvement in neurological function. Although vascular and clinical outcomes were not significantly correlated, the observed trend highlights the importance of structured pharmacological therapy and the potential role of serial vascular imaging in follow-up care.
KETIDAKSEIMBANGAN ELEKTROLIT PADA KEGAWATDARURATAN NEUROLOGI Khairunnisa; Erisa Aulia; Nasrul Musadir
Jurnal Kesehatan Vol. 2 No. 12 (2024): Desember
Publisher : CV. ADIBA AISHA AMIRA

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Abstract

Kegawatdaruratan neurologi dapat didefinisikan sebagai suatu kondisi di bidang neurologi yang memerlukan tindakan segera dan bila tidak dilakukan dapat menimbulkan morbiditas bahkan mortalitas. Diagnosa kegawatdaruratan ini ditegakkan atas dasar anamnesis, pemeriksaan fisik dan penunjang. Keadaan darurat dalam neurologi ini juga sering disertai dengan penyulit lain, salah satunya gangguan elektrolit. Konsekuensi neurologis dari gangguan elektrolit biasanya bersifat fungsional, manifestasi neurologis dari gangguan elektrolit bersifat reversibel. Identifikasi kelainan elektrolit yang meliputi natrium, kalium, kalsium, dan magnesium harus segera ditinjau agar bisa memberikan tatalaksana yang komprehensif dan tepat.
Co-Authors Danial, Dini R. Danial, Dini Raaikhani Dessy Rakhmawati E. Dian Lestari, Nova Endang Mutiawati Rahayuningsih* Erisa Aulia Farida Fiqri, Aidil Hendrix Indra Kusuma Imran Imran Imran Imran Khairunnisa Novita Nurul K Nurul Fajri Raisha Fathima Reza Maulana Sofia Sofia Sofia, Rosa Emelda Suherman Syahrul Syahrul Syahrul Syahrul Syahrul