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Jurnal Sinaps
Published by Universitas Sam Ratulangi
ISSN : 26152002     EISSN : 26152002     DOI : -
Core Subject : Health, Science, Education,
Education Neuroscience Public Health
Sinaps: Jurnal Neurologi Manado (Nomor ISSN online 2615-2002)adalah Jurnal terbitan dari Perhimpunan Dokter Spesialis Saraf Cabang Manado dan Bagian/KSM Neurologi FK Unsrat/RSUP Prof. Dr. R.D Kandou Manado
Arjuna Subject : Ilmu Syaraf - Neorologi
Articles 85 Documents
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LAPORAN KASUS : TATALAKSANA DRY NEEDLING PADA KASUS SINDROM NYERI MYOFASCIAL: CASE REPORT : DRY NEEDLING TREATMENT IN MYOFASCIAL PAIN SYNDROME CASE Wijaya FP; Tumewah R; Sekeon SAS
Jurnal Sinaps Vol. 3 No. 2 (2020): Volume 3 Nomor 2, Juni 2020
Publisher : Neurologi Manado

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Abstract

Sindrom nyeri myofascial adalah sebuah kondisi nyeri baik akut maupun kronik dari otot ataupun fascia yang akan mempengaruhi sensorik, motorik, ataupun otonom; nyeri myofascial bisa bersifat aktif atau laten. Banyak kasus sindrom nyeri myofascial sering tidak terdiagnosa secara tepat sehingga tatalaksana yang diberikan kurang maksimal. Tatalaksana dari sindrom nyeri myofascial dapat berupa famakologis dan non farmaklogis, untuk terapi non farmakologis dapat dibagi menjadi invasif dan non invasif. Seorang rohaniawan laki-laki 46 tahun datang ke poli nyeri dengan keluhan nyeri punggung belakang sejak tahun 2015 yang timbul semakin lama semakin memberat. Hasil pemeriksaan fisik generalis dan neurologis dari pasien normal. Pada pemeriksaan didapatkan numeric rating scale (NRS) saat statis (berdiam) 6 dan NRS saat dinamis (bergerak) 4. Pemeriksaan tanda-tanda vital dalam batas normal. Pemeriksaan fisik generalis dan neurologis dalam batas normal. Pada status lokalis didapatkan palpasi jump sign positif di regio multifidus bilateral, longisimus dextra dan quadratus lumborum dextra. Salah satu terapi invasif yang cukup efektif adalah dry needling. Dry needling baik yang superfisial maupun yang dalam terbukti efektif mengurangi nyeri akibat MTrPs Kata Kunci : Kasus SIndrom Nyeri Myofascial
KASUS RECURRENT PAINFUL OPTHTHALMOPLEGIC NEUROPATHY : KONDISI YANG JARANG DITEMUKAN: (CASE OF RECURRENT PAINFUL OPTHTHALMOPLEGIC NEUROPATHY : A RARE CONDITION) Whisnu Nalendra Tama; Fahreza Hanifa Akbar; Indra Sari Kusuma Harahap; Desin Pambudi Sejahtera; Sekplin Sekeon; Yudiyanta
Jurnal Sinaps Vol. 3 No. 1 (2020): Volume 3 Nomor 1, Februari 2020
Publisher : Neurologi Manado

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Abstract

Recurrent Painful Opthalmoplegic Neuropathy (RPON), formerly called opthalmoplegic migraine, has been described as recurrent attacks of headache followed by ophthalmoplegia. This is a rare condition and its pathophysiology is still under debate. Many authors report the use steroid as the main therapy, although its effectiveness is only found in a few cases. Steroid-non-responsive condition is a challenge in the management of RPON especially related to headache and perceived diplopia. This case report described a patient diagnosed with RPON and its management complexity. Keywords: Recurrent Painful Opththalmoplegic Neuropathy
PERAN DEKSTROSA HIPERTONIK DALAM TATALAKSANA PROLOTERAPI UNTUK OSTEOARTRITIS LUTUT Sekplin A. S. Sekeon; Sarita Sharchis
Jurnal Sinaps Vol. 2 No. 2 (2019): volume 2 Nomor 2, Juni 2019
Publisher : Neurologi Manado

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Abstract

Osteoarthritis (OA) is a degenerative joint disease that involves damage to cartilage and surrounding tissue. In addition to damage and loss of articular cartilage, there is subarticular bone damage, osteophyte formation, ligament weakness, weakening of the periarticular muscles and, in some cases, synovial inflammation. Management of osteoarthritis consist of both pharmacological and non-pharmacological. Pharmacological treatments consist of invasive and non-invasive modalities. One of the most effective invasive therapies is prolotheraphy. Prolotheraphy is one of the treatment options for musculoskeletal injuries, including knee osteoarthritis
INJEKSI KORTIKOSTEROID PADA SINDROMA TEROWONGAN KARPAL Sekplin A. S. Sekeon; Agus S. Wijaya
Jurnal Sinaps Vol. 2 No. 2 (2019): volume 2 Nomor 2, Juni 2019
Publisher : Neurologi Manado

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Abstract

Carpal tunnel syndrome is one of the most common compression neuropathies of the upper limbs. This syndrome is known primarily in occupational health, especially in industries where workers are involved in the use of repetitive hands and tools with strong vibrations. Symptoms may include pain or tingling in the distribution of the median nerve, weakness in grasping and other hand functions. Conservative management is given to patients with mild and moderate degrees, while in patients with severe stage, surgery is recommended. One of the most effective conservative therapies is Ultrasound-guided local injection of corticosteroids. It is a proven and effective treatment in reducing complaint, and can also delay the need for surgery.
PERAN HERNIASI LUMBAL TERHADAP TERJADINYA SINDROMA KAUDA EKUINA DAN TINJAUAN TATA LAKSANANYA Sekplin A. S. Sekeon; David Susanto
Jurnal Sinaps Vol. 2 No. 1 (2019): volume 2 Nomor 1, Februari 2019
Publisher : Neurologi Manado

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Abstract

Cauda equina syndrome is a relatively rare neurological disease. This condition is commonly caused by hernia nucleus pulposus. Most of the cauda equina syndrome occurred in lumbar area. Pain is the main symptom with the possibility to be accompanied with autonom disorders such as mixturition and sexual function. Further examination included neuroimaging. The severity of caude equina syndrome depend on the stage of compression level. Management consist of conservative and surgical modalities. In severe cases, early diagnosis and surgery has improved the outcome.
APLIKASI INTERVENSI NYERI PADA ARTRITIS SENDI FASET LUMBALIS Sekplin A. S. Sekeon; Sandi Kumala
Jurnal Sinaps Vol. 2 No. 1 (2019): volume 2 Nomor 1, Februari 2019
Publisher : Neurologi Manado

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Abstract

Lumbal faset joint pain is a common cause of low back pain. The incidence is increasing with age. The prevalence of faset joint pain is 27-40% of chronic low back pain. Faset joint osteoarthritis is the most common etiology of faset pain. History taking and physical examination can suspect a faset pain but cannot determine the cause of pain originating from the faset joint. Therefore, the diagnosis of faset joint pain can also be confirmed if there is improvement after faset joint injection (FJI). FJI is a pain intervention management by injecting local anesthetics and steroids in the faset joints under fluoroscopy or ultrasonography guided. This treatment is relatively has relatively minimal side effects compared to other intraspinal injection techniques because it only injects directly into the faset joint through the paraspinal muscles.
MIGREN: PATOMEKANISME, DIAGNOSIS, DAN PENATALAKSANAAN Aprilia E. J. Tuda; Natanael Ritung; Arthur H. P. Mawuntu
Jurnal Sinaps Vol. 3 No. 3 (2020): Volume 3 Nomor 3, September 2020
Publisher : Neurologi Manado

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Abstract

Migraine is a neurovascular headache disorder, which often causes disability, recurrent, and some are hereditary. This condition manifests as headache, hypersensitivity to visual, auditory, olfactory, or somatosensory stimuli, and also nausea and vomiting. Migraine has a complex process but is related to the activation of the trigeminovascular system. The classification of migraine based on International Classification of Headache Disorder version 3 (ICHD-3) consists of migraine without aura, migraine with aura, chronic migraine, complicated migraine, probable migraine, and episodic syndromes that may be associated with migraine. The management has a multifactorial nature. We will further discuss the patho-mechanism, diagnostic criteria, and management of migraine.
EDEMA SEREBRI: PENEGAKKAN DIAGNOSIS DAN TATALAKSANA Dewi Purnama Sari Ismy; Nuzul Fahmi
Jurnal Sinaps Vol. 3 No. 1 (2020): Volume 3 Nomor 1, Februari 2020
Publisher : Neurologi Manado

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Abstract

Edema serebral merupakan pembengkakan atau edema dari otak sebagai fenomena yang relatif umum dengan banyak etiologi. Edema serebral dapat dikategorikan berdasarkan prosesnya, antara lain vasogenik, seluler, osmotik, dan interstisial.Edema serebral dapat asimtomatik, hanya terlihat pada pencitraan, atau dapat menyebabkan komplikasi yang mengancam jiwa. Riwayat penyakit sebelumnya dapat membantu memberikan wawasan mengenai etiologi edema serebral. Pemeriksaan CT scan harus dilakukan untuk mengkonfirmasi kejan edema serebri. Manitol dan salin hipertonik adalah 2 agen osmotik paling ekstensif dipelajari dan paling sering digunakan dalam praktek untuk memperbaiki edema otak dan hipertensi intrakranial.
TATALAKSANA STENTING PADA CAROTID ARTERY DISEASE SERTA PEMANTAUANNYA : SERIAL KASUS Gilbert Tangkudung; David Wyanto; Mieke A.H.N Kembuan
Jurnal Sinaps Vol. 3 No. 3 (2020): Volume 3 Nomor 3, September 2020
Publisher : Neurologi Manado

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Abstract

Stroke is one of the leading causes of morbidity and mortality.1 According to Riskesdas there is an increase of stroke incidence ranging from 7 per 1000 population in 2013 to 10.9 per 1000 population in 2018.2 Extracranial internal carotid artery stenosis accounts for about 10-15% of ischemic strokes.3Case 1, 51 years old male came with chief complaint of recurrent weakness of his right extremities. Physical examination revealed right hemiparesis with NIHSS score of 3. Brain CT scan showed multiple lacunar infarcts. Angiography results showed intracranial atheroscleroris lesions of the right internal carotid artery, bifurcation of the left internal carotid artery and left verterbralis artery.Case 2, 57 years old woman came with chief complaint of weakness in her left extremities. Physical examination showed left hemiparesis with NIHSS score of 1. Brain MRI and MRA revealed multiple chronic infarcts and thrombus in the right and left external carotid arteries. Angiography results showed a stenotic lesion in the left internal carotid bifurcation.Revascularization measures were taken to reduce the risk of developing further ischemia. Both patients had recurrent one-sided weakness and treated with carotid artery stenting (CAS), pharmacotherapy and lifestyle modification. After CAS the patient did not complain of recurrent weakness and carotid doppler results revealed no restenosis.
PENGARUH PEMBERIAN SUPLEMENTASI VITAMIN B PADA PENCEGAHAN DAN PENYEMBUHAN STROKE Peter; Felisia; Joshua Ashley; Tonam
Jurnal Sinaps Vol. 3 No. 3 (2020): Volume 3 Nomor 3, September 2020
Publisher : Neurologi Manado

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Abstract

Stroke is the second leading cause of death and the third leading cause of disability worldwide. Approximately 85-90% of stroke are ischemic. Ischemic stroke is characterized by a reduction in cerebral blood flow resulting in poor glucose and oxygen delivery to the brain, leading to neuronal cell death. Time until treatment is critical. Rapid injury progression, neurovascular management, limitation to the access of recombinant tissue plasminogen activator (rtPA) for thrombolysis, anticoagulation and antiplatelet intervention, and neuroprotection all affect outcome. Supplementation with vitamin B have been proved to reduce the risk of stroke and improve post-stroke recovery.

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