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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Frontiers on Healthcare Research
Aiko, Novia
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Humanities Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

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Quality of Life in Patients with Central Post-Stroke Pain in Riau, Indonesia: A Cross-Sectional Study Sukiandra, Riki; Haikal, M. Zacky; Hanania, Dini; Aiko, Novia; Al Rasyid, Daril; Sucipto, Sucipto; Joko, Agus Tri; Juananda, Desby; Maryanti, Yossi; Adlii, Muhammad Faa’iz
Frontiers on Healthcare Research Vol. 3 No. 1 (2026)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v3.n1.p1-7.2026

Abstract

Background: Central Post-Stroke Pain (CPSP) is a chronic neuropathic complication of stroke that substantially impairs long-term well-being. While its clinical characteristics are increasingly recognized, data regarding the multidimensional quality of life (QoL) impact of CPSP in regional Indonesian populations remain limited. This study aimed to describe the QoL profile of CPSP patients at Arifin Achmad General Hospital to provide a comprehensive understanding of the disease burden. Methods: A descriptive cross-sectional study was conducted from August to October 2025 at the Neurology Outpatient Clinic of Arifin Achmad General Hospital, Riau. Forty-four patients diagnosed with CPSP were included. QoL was assessed using the validated Indonesian version of the Stroke-Specific Quality of Life (SS-QoL) scale. Descriptive univariate analysis was performed to determine median scores across domains. Results: QoL scores demonstrated marked heterogeneity across domains. The Vision domain showed the highest median score (4.0), whereas Social Role recorded the lowest (2.7). Notable reductions were observed in Work, Upper Extremity Function, and Energy domains. In contrast, Language and Self-care domains were relatively preserved. These findings indicate that although basic functional abilities may remain intact, CPSP significantly compromises social participation, occupational capacity, and physical activity. Conclusion: CPSP imposes a substantial multidimensional burden, particularly affecting social engagement, productivity, and physical endurance. Comprehensive management strategies extending beyond pharmacological pain control are essential to address the psychosocial and functional consequences of CPSP. Further longitudinal studies with larger sample sizes are needed to clarify determinants of QoL outcomes in this population.
Successful Endovascular Coil Of Carotid Cavernosus Fistula : Case Report Mampanini, Rizky Rachmadi; Aiko, Novia; Juananda, Desby; Maryanti, Yossi; Sukiandra, Riki
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v11i4.64188

Abstract

Carotid Cavernosus Fistula (CCF) is an uncommon vascular disorder defined by an abnormal communication between the carotid arterial system and the cavernous sinus, resulting in direct arterial blood flow into the venous sinus. CCF may be classified as direct or indirect and occur either spontaneously or secondary to trauma, with varying hemodynamic patterns ranging from high-flow to low-flow lesions. A 29 year old man was admitted to Emergency Department of Arifin Achmad General Hospital with a chief complaint of severe headache that had progressively worsened over the preceding nausea. The patient also developed protrusion of the left eye accompanied by visual loss. According to his family, he had become increasingly drowsy over the past three days, although he ramained responsive when addressed. On physical examination, the left pupil was dilated to 7 mm and showed no direct or consensual light reflex. Proptosis of the left eye was evident. Cranial nerve assessment revealed paresis involving cranial nerves II,III,IV, and VI. A non-contrast head CT scan demonstrated a vascular abnormality in the left cavernous sinus region. Further evaluation with CT angiography suggested carotid cavernous fistula. Digital Subtraction Angiography (DSA) subsequently confirmed the presence of vascular malformation in the left cavernous sinus. This report presents a case study aimed at comprehensively describing the clinical characteristics, pathophysiological mechanisms, and diagnostic approach of Carotid Cavernous Fistula (CCF) in neurological practice. The diagnosis is established through the correlation of clinical findings and imaging modalities, including computed tomography (CT), CT angiography, and cerebral angiography, while taking into account the patient’s clinical condition. Therefore, careful and integrated interpretation of clinical and radiological findings is essential to establish an accurate diagnosis and determine appropriate management.
Co-Authors Adlii, Muhammad Faa’iz Agus Tri Joko Al Rasyid, Daril Desby Juananda, Desby Haikal, M. Zacky Hanania, Dini Mampanini, Rizky Rachmadi Maryanti, Yossi Riki Sukiandra Sucipto Sucipto