Putri, Stefanie Karina
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Spinal Cord Compression Due to Intradural Extramedullary Hematopoiesis in a Young Adult with Cooley’s Anemia Mesiano, Taufik; Rasyid, Al; Kurniawan, Mohammad; Hidayat, Rakhmad; Pangeran, David; Lubis, Anna Mira; Saekhu, Mohamad; Gunawan, Kevin; Putri, Stefanie Karina; Rahmana, Arizari Haj; Harris, Salim
Acta Neurologica Indonesia Vol. 1 No. 01 (2023): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v1i01.4

Abstract

Cooley's anemia, also known as beta thalassemia major, is an inherited multisystemic disorder characterized by skeletal and non-skeletal complications resulting from hemoglobinopathies. Extramedullary Hematopoiesis (EMH) is a complication of thalassemia major due to insufficient erythropoiesis expansion. The incidence rate of paraspinal EMH in beta-thalassemia is rare but tends to be on the rise. We present a case of spinal cord compression due to intradural EMH in a 21-year-old man with Beta Thalassemia major, who exhibited acute lower motor, sensory, and autonomic disorder, along with severe anemia, and electrolyte imbalance. Patients were treated with corticosteroids, blood transfusions, electrolyte correction and pain medications. Several days later, the patient experienced clinical improvement in reduced pain and motor improvement. The patient was planned to undergo elective surgery and radiotherapy after reaching the stabilized condition. Management options of spinal cord compression due to EMH include corticosteroids, adequate blood transfusion, hydroxyurea, radiotherapy, surgical decompression, exchange transfusion, or a combination of these approaches. The choice of therapy should be based on the patient's clinical condition, diagnostic evaluations, and the size of the mass exerting pressure on the spinal cord. The optimal management of EMH remains uncertain. We need further research to establish effective treatment strategies of spinal cord compression due to EMH in Cooley’s Anemia.
A Comprehensive Approach to Ending Bullying in Indonesia's Medical Residency Programs: A Policy Brief Pujiwati Permata Rima, Siti; Bumantari, Annisa Fitri; Nabillah, Bayuni Izzat; Malufti, Chandrika Najwa; Adhiguna, Gunawan; Hadianto, Henry; Kakisina, Jurika; Ikhromi, Noryanto; Amalia, Nur Izzaty; Fathana, rezka dwi; Jaehan, Risa; Putri, stefanie karina; Setiawan, Yosia Putra
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.40

Abstract

Bullying is a pervasive issue in medical education and practice, affecting educators, residents, nurses, and students. In Indonesia, it has emerged as a significant concern, particularly within medical residency programs. Often described as a chronic problem, bullying in medicine negatively impacts patient care and is difficult to eradicate. It occurs both in professional settings and through digital platforms like WhatsApp and Telegram. Bullying in medical education takes various forms, including physical and non-physical, and often escapes the attention of faculty, universities, teaching hospitals, and victims' families. These acts, typically carried out by senior students in an organized manner, may be falsely perceived as part of the mentoring process, masking the harmful behavior.1