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Neurologico Spinale Medico Chirurgico
Published by Universitas Udayana
ISSN : -     EISSN : 26212064     DOI : https://doi.org/10.36444/nsmc
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
Neurologico Spinale Medico Chirurgico (NSMC) is an open-access, single-blind peer-reviewed journal, published by Indonesian Neurospine Society (INSS) under the flag of Indonesian Neurosurgery Society (INS) and Faculty of Medicine, Udayana University. NSMC publishes articles which encompass all aspects of basic research/clinical studies. The journal facilitates, bridge and integrate the intellectual, methodological, and substantive diversity of medical knowledge, especially in the field of surgery, neurology, neurosurgery, spine, neuroanesthesia, medicine, and health. The journal appreciates any contributions which promote the exchange of ideas between practising educators and medical researchers all over the world.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 11 Documents
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Search results for , issue "Vol 3 No 2 (2020)" : 11 Documents clear
Open craniotomy surgery for subacute spontaneous subdural hemorrhage with anticoagulation therapy in cardiac arrhythmia Achmad Adam; Bilzardy Ferry Zulkifli; Yustinus Robby Gondowardojo
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.95

Abstract

Subdural hemorrhages (SDH) are an important bleeding complication of anticoagulation therapy. It’s increasing in population with the use of total anticoagulant therapy. The gold standard management for SDH is surgery. From the neurosurgery view, we cannot treat SDH and arrhythmia alone with the use of anticoagulant therapy, therefore simultaneously requires good interprofessional collaboration and teamwork. In this study, we report a further case from the neurosurgery field. A fifty-two-year-old man had a history of progressive headache, vomiting, facial asymmetries, and drowsiness resulting in a decrease of consciousness. The patient had history diagnosed with arrhythmia by a cardiologist and routinely consume anticoagulant drug therapy warfarin since three months ago. CT-scan without contrast shows isohyperdens mass with a crescent-shaped appearance at right frontotemporoparietooccipital with thickness >10 mm with midline shift >5 mm to the left. Craniotomy evacuation was performed to completely evacuate the clot instead of burrhole drainage. Further treatment is collaborated with a cardiologist to treat arrhythmia in this patient. General conditions, symptoms, and subdural thickness in this patient decide the management of surgical evacuation. Management of subdural hemorrhage with cardiac complications and the use of anticoagulant therapy requires attention because of the complication may happen. For subacute cases, usually a burrhole drainage is adequate, however, in this patient, we use open craniotomy surgery for CT-scan features consideration. Simultaneously, the anticoagulation therapy was temporarily stopped and going for further echocardiography examination. The patient underwent open craniotomy surgery, followed by good result after surgery. Further follow up to prevent rebleeding is required.
Surgically treated symptomatic calcified chronic subdural hematoma Achmad Adam; Syaiful Anwar; Muhammad Azhary Lazuardy; Bilzardy Ferry Zulkifli
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.96

Abstract

Calcified chronic subdural hematoma (SDH) or armoured brain is especially rare with only slight pathophysiology understanding. It happened after head trauma, subdural effusion, meningitis, or as a sequel of VP Shunt. But there is no definite mechanism of neither the pathogenesis nor the management. Because these patients have a thick calcified inner membrane, the optimal surgical procedure for armoured brain’s patient has not been established. Moreover, it is also difficult to obtain good re-expansion of the brain after surgery. A calcified chronic subdural hematoma is less likely happened in adults or elder rather than children or young adults. Management of calcified chronic subdural hematoma is mostly individualized. With seizures, careful monitoring of the anticonvulsant therapy is required. The indications of surgical procedure can be features of raised intracranial pressure, headache, or neurological deterioration. The surgical strategies depend on calcification’s thickness and extension. This study was a preliminary study of Achmad Adam’s research project. This was a descriptive observational research with a case report design. We report a rare case of calcified chronic subdural hematoma in the elderly, presenting with progressive neurological deficit and acute raised intracranial pressure, which was managed surgically to facilitate cerebral re-expansion and inhibit probable brain atrophy. Therefore, authors intended to share a case report regarding a rare chronic subdural hematoma and its management, so hopefully it could be acknowledged by other surgeons as something to learn from.
Smith-Peterson osteotomy and lordotic posterior column compressive screw fixation proceed by postural pillow reduction improved realignment for unstable lumbar burst fracture Farid Yudoyono; Hasan Baraqbah; Deasy Herminawaty
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.106

Abstract

Lumbar burst fractures (LBF) is a common trauma case of the spine, recently still a difficult problem to solve. Experts have published the approaches and techniques, but there is still a high incidence of morbidity and mortality, unsatisfactory clinical and radiological results especially in developing countries. The minimal tissue destruction approach with rigid screw-rod construction allowed to lowering surgical costs and earlier patient recovery with successfully clinical and radiological results in the short term follow up.
Correlation of total ischemic time to creatinine serum level and resistive index value in kidney transplant Putu Astri Novianti; Gede Wirya Kusuma Duarsa; Gede Andi Aditya; Anak Agung Gde Oka; Kadek Budi Santosa; I Wayan Yudiana; Pande Made Wisnu Tirtayasa; Ida Bagus Putra Pramana; Yenny Kandarini; Wayan Sudana; Djodi Sidartha; Raka Widiana
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.109

Abstract

Background: The transient period when the kidney donor was extracted until being anastomosed (total ischemic time) will aggravate many putative molecular ischemic-reperfusion injury mechanisms. Several studies have reported the risk of delayed graft function development, which can be reflected by creatinine serum (Cr) level and resistive index (RI) value. This study aims to determine the correlation of total ischemic time to Cr levels reduction in one-month post-transplantation and RI value. Methods: This was a cross-sectional retrospective study involving subjects who underwent kidney transplantation in Sanglah General Hospital. In this study, the primary parameters were total ischemic time, Cr level, and RI value. The total ischemic time is calculated using a stopwatch intraoperatively. Cr level was obtained from blood examination, and RI value was obtained from the ultrasonography test. Data analysis was analyzed statistically using SPSS 24.0, and p < 0.05 was considered significant. Results: About 17 kidney transplant subjects were included in this study. The mean total ischemic time was 105 minutes and 43 seconds. There was an insignificant negative correlation between Cr level reduction and total ischemia time (r = -0.36; p = 0.89). An analysis of the correlation of total ischemic time and RI value, there was a linear correlation, but statistically insignificant (r = 0.11; p = 0.66). Conclusion: Total ischemic time has a negative correlation with post-transplant creatinine serum level and a positive correlation with the post-transplant resistive index value, but these results are not statistically significant.
Wider pelvic transverse and intertuberum diameter are risk factors for pelvic organ prolapse Kadek Fajar Marta; Ketut Suwiyoga; I Wayan Megadhana
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.110

Abstract

Background: Pelvic floor’s shape and size are suspected of having associations with the occurrence of pelvic organ prolapse (POP). However, these relationships are not definitive and have never been evaluated. This study aims to identify the relationship between POP and pelvic floor size. Methods: This is a cross-sectional study involving women with or without POP who underwent gynecologic visits at the outpatient clinic. POP was diagnosed using the POP-Q questionnaire, whereas pelvic floor diameter was measured from the x-ray, comprising anteroposterior (AP), transverse (TS), interspinous (IS), and intertuberous (IT) diameters. Results: The TS and IT diameter of subjects with POP are significantly wider (p<0.001 and p=0.016), on the other hand, the AP and IS diameter were similar among two groups (p=0.36 and p=0.58). The subjects who have TS and IT diameter each above 12.185 and 10.140 cm have a higher risk of POP when compared to those who have TS and IT diameter lesser than the corresponding values (PRTS 3.85, 95% CI1.47-20.11; p<0.001; PRIT 2.49, 95% CI 1.12-5.53; p=0.013), with both, have partial correlation but TS more significant (Lambda 0.7; p-value 0.001 and Lambda 0.4; p-value 0.075). There was a relationship between a pelvic floor with POP. Subjects with POP have wider TS and IT diameters when compared to non-POP subjects. Conclusion: TS and IT diameters above 12.185 cm and 10.140 cm increase the risk of POP.
Preoperative surgical planning for an internal carotid artery invading brain tumor Hendrikus Bolly; Bilzardy Ferry Zulkifli; Achmad Adam
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.111

Abstract

Brain tumor such as a meningioma can invade the adjacent internal carotid artery (ICA). Surgical approach to resect the tumor has to consider the level of ICA and how the depth of tumor cells invade into the artery layer. Knowledge of the basic mechanism about how the tumor cells invade the lumen and layer of the vessels is essential in perioperative preparation. Here we reported our unpredictable case findings of transient intraluminal obstruction of the arterial wall by tumor tissue in angiography examination as well as preoperative planning to resect the tumor and predictors of the patient’s outcome.
Posterior surgical approach and stabilization procedure with “free-hand” technique in a 17-year-old patient with burst type fracture of the L1 vertebra and incomplete spinal cord injury (ASIA Impairment Scale C) Christopher Lauren; Samuel Edhi Suranta; Elric Brahm Malelak; Donny Argie
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.112

Abstract

Burst type fracture is commonly involved in the thoracolumbar spine, causing a spinal cord injury (SCI). This case represents a 17-year-old female patient presents with a complaint of cannot move both legs and experience a shearing-like pain in the low back. Five days prior, she falls from a 4-meter height abyss, and after that, she cannot move both legs. On the physical examination, both lower extremities muscles are paralyzed, decreased in pain and temperature sensation in both lower extremities, preserved sacral function, and the neurological level of injury (NLI) is located on the L1 vertebra. The American Spinal Injury Association (ASIA) impairment scale is C. The plain X-ray and computed tomography (CT) scan of the thoracolumbar spine show compression of the L1 vertebra and narrowing of the spinal canal caused by retropulsion bone fragment. We treated the patient with laminectomy decompression and posterior stabilization with pedicle screw and rod instrumentation, which is done without the use of a C-arm and performed with a free-hand technique using the anatomical landmark. No complication found with this procedure. After periodically follow up, the neurological examination, either the motoric and sensory function, is improved.
The effect of early exercise on intracranial pressure in neurocritical patients: a systematic review Sayu Aryantari Putri Thanaya; Putu Eka Mardhika
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.113

Abstract

Background: Neurocritical patients commonly present with increased intracranial pressure and are regularly treated with physiotherapy through exercise early after admission to the intensive care unit. However, the effect of exercise on intracranial pressure is minimally investigated, and there appears to be no systematic reviews or meta-analyses addressing this topic in the published literature. This study aimed to determine the effect of exercise on the intracranial pressure of neurocritical patients. Methods: Through a systematic review, literature searches on PubMed, PEDro, and CENTRAL were conducted in January 2020. The keywords used were: “physical therapy”, “physiotherapy”, “exercise”, “range of motion”, “intracranial pressure”, and “ICP”, combined using Boolean operators “OR” and “AND”. Only studies published in the English and Indonesian language were considered. Results: A total of five studies involving 193 patients (mean age 41-56 years old) were included in this review. Most included studies reported that intracranial pressure did not change significantly after passive range of motion exercise, and some studies found that intracranial pressure actually decreased significantly during and after passive range of motion and active exercise. An additional finding was that isometric exercise significantly increased mean intracranial pressure in patients with normal intracranial pressure. All studies reported that exercise could be used safely in patients. Conclusion: Exercise, in particular passive range of motion, does not increase the intracranial pressure of neurocritical patients and does not lead to any adverse effects, as long as isometric or Valsalva-like maneuvers are avoided.
Correlation between waist circumference and glycated haemoglobin (HbA1c) among type 2 diabetes mellitus patients in Diabetic Polyclinic Sanglah General Hospital Wan Muhamad Syafiq; I Made Pande Dwipayana; Made Ratna Saraswati; Wira Gotera
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.116

Abstract

Background: Diabetes mellitus (DM) is an interminable issue that can modify glucose, protein, and fat digestion caused by the absence of insulin discharge due to either the dynamic or checked powerlessness of the β-Langerhans islet cells of the pancreas to create insulin. The prevalence of type 2 diabetes mellitus parallels the expanding prevalence of obesity and central obesity. The prevalence of obesity and central obesity in Indonesian among the adult populations are 23.1% and 28%, respectively. Obesity and central obesity are associated with a higher risk of DM. The accumulation of adipose tissue in certain parts of the body, such as in the abdominal cavity, causes an increased risk of insulin resistance until the onset of the metabolic syndrome. This study aims to determine the correlation between waist circumference and glycated haemoglobin (HbA1c) among type 2 DM patients in Diabetic Polyclinic Sanglah General Hospital. Methods: This study was an observational analytic study using a cross-sectional method. Samples selected using consecutive sampling, which determined based on inclusion and exclusion criteria from the population. The total of study subject was 70 respondents. Result: The results of the study showed a significant relationship between waist circumference and HbA1c among type 2 diabetes mellitus patients (p = 0.012) with a low correlation (r = 0.300). Conclusion: Conclusion of this study that there is a relationship between waist circumference and HbA1c among type 2 diabetes mellitus patients in Diabetic Polyclinic Sanglah General Hospital.
Prevalence of occupational contact dermatitis in cleaning service in the Sudirman campus of Udayana University Jihan Prani Wibowo; Nyoman Suryawati; I Gusti Agung Ayu Elis Indira; I Gusti Agung Ayu Praharsini
Neurologico Spinale Medico Chirurgico Vol 3 No 2 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i2.117

Abstract

Introduction: Occupational contact dermatitis is contact dermatitis caused by work-related exposures. While doing their work, cleaning service workers are facing various risks of occupational diseases, one of which is occupational contact dermatitis. The purpose of this study is to determine the prevalence and characteristics of occupational contact dermatitis in cleaning service workers at the Sudirman Campus of Udayana University.Methods: This research is a descriptive study using a cross-sectional method and uses 47 samples. Results: The prevalence of occupational contact dermatitis in cleaning services in Sudirman Campus of Udayana University is 10.6%, with the characteristics of age mostly found in 21 – 30 years (9.5%) and 31 – 40 years (18.2%), dominated by men (16.7%), working period <4 years (12.5%), duration of contact ≥3 hours (14.3%), without a history of allergies (10%), with a history of disease other skin (23.5%), good personal hygiene (7.5%), and using Personal Protective Equipment (7.3%). The dominant chemical that is used is acid (11.1%) though workers can contact more than one type of substance. The most common symptoms complained of include itching, burning or burning, redness of the skin, and peeling skin. Conclusion: The prevalence of occupational contact dermatitis in cleaning service workers at Sudirman Campus of Udayana University is 10.6% and the factors contributing are the duration of contact, gender, age, contact with chemicals, years of service, history of allergies, history of other skin diseases, personal hygiene, and the use of personal protective equipment.

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