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Adinda Putra Pradhana
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INDONESIA
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 134 Documents
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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.
Cervical spine instability and canal stenosis caused by rheumatoid arthritis Eko Agus Subagio; Seok Woo Kim
Neurologico Spinale Medico Chirurgico Vol 3 No 3 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i3.115

Abstract

Rheumatoid arthritis (RA) is an inflammatory autoimmune disease that impacts on weakening ligaments, synovial arthritis and cartilage damage. The effect that can occur is instability and neural compression in the upper and sub-axial cervical. The prevalence of atlantoaxial instability (AAI) is around 40-80% among rheumatoid patients, but it is interesting to examine the clinical symptoms that are not so visible despite radiological instability confirmed on the cervical spine. However, once the clinical symptoms of myelopathy occur, the mortality rate will increase sharply. We report a case of a 66-years old female who was admitted to our hospital with gait disturbance and weakness of her lower extremities. Radiographic evaluation of the cervical spine showed erosive destruction of the odontoid process of C2, anterior atlantoaxial subluxation, and thickened yellow ligaments from C3 to C7. Surgery was performed by removal of the posterior arch of C1 and laminectomy C3 to C7, posterior occipito-cervical screw fixation from C3 to C7, combined with atlantoaxial transpedicular screw fixation. A sterno sub-occipitomandibular immobilization (SOMI) orthosis was applied for postoperative immobilization for 12 weeks. Improvement of motoric status noted after surgery.
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.
Thoracic myeloradiculopathy due to multilevel ossification of ligamentum flavum Yunus Kuntawi Aji; Abdul Hafid Bajamal; Rizki Meizikri; Muhammad Faris
Neurologico Spinale Medico Chirurgico Vol 3 No 3 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i3.118

Abstract

Ossification of ligamentum flavum (OLF) is calcification of the ligamentum flavum, which might narrow the spinal canal and causes myeloradiculopathy. This condition mainly affects the lower thoracal segment. Published reports on OLF are mostly from East Asia. There was only one Indonesian OLF case that had been published. The majority of OLF involves a single level only. This is the first Indonesian case-report on multilevel OLF. Through this case report, we aim to describe the natural history of the patient and our treatment strategy in managing the multilevel OLF case. Delayed time to surgery is the key contributory factor in unfavorable surgical outcome in thoracic OLF. Choosing an appropriate surgical procedure is important. The neurological symptoms of the patient may not improve or worsen when an inadequate surgical procedure is used.
The Adjustment of Neurosurgery Practices During COVID-19 “Adapting to New Habits” Era in East Nusa Tenggara Christopher Lauren; Angel Iskandar; Samuel Edhi Suranta; Reza Mawardy; Elric Brahm Malelak; Donny Argie
Neurologico Spinale Medico Chirurgico Vol 3 No 3 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i3.119

Abstract

N/A
A rare presentation of superficial, inter-muscular, cystic, extra-spinal schwannoma over upper back Srinjoy Saha
Neurologico Spinale Medico Chirurgico Vol 3 No 3 (2020)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v3i3.120

Abstract

Schwannomas are rare tumours arising from peripheral nerve sheath and are usually related to the spinal cord and spinal nerves. Contrast magnetic resonance imaging (MRI) usually helps in establishing a pre-operative diagnosis. Rarely, their manifestation may be surprisingly new. Here, a 44-year-old lady came to our clinic with a painless asymptomatic progressively enlarging swelling over her upper back. It was fluctuant, with absent neural signs and symptoms. MRI showed a benign, purely-cystic, superficial-intermuscular, extra-spinal swelling near the upper thoracic vertebrae. However, classical diagnostic signs of schwannoma were absent. Complete surgical excision was performed with smooth dissection through a well-defined plane between the lesion and surrounding muscles. A 6.5x5.0x2.5 cm oval lesion with a glistening whitish-grey capsule was excised, and the deep wound was reconstructed in multiple layers. Interestingly, it was not attached to any identifiable nerves. Histopathology showed typical hallmarks like Antoni A regions and Verocay bodies. Positive S-100 staining during immunohistochemistry established its diagnosis as schwannoma. The postoperative one-and-half-year follow-up period was uneventful. Cystic schwannomas can surprise and confuse clinicians by arising anywhere in the body and with atypical manifestations. Surgeons need to consider it in the differential diagnoses of any undiagnosed slowly-growing swelling, including purely-cystic ones and perform careful surgical dissection to avoid any inadvertent nerve damage.
Infectious diseases as complications following spinal cord injury John Nolan; Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 4 No 1 (2021)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v4i1.122

Abstract

Background: Infectious complications in spinal cord injury (SCI) patients can increase the mortality and morbidity of the patients. The inability to do daily activity is the main cause of the occurrence of infectious complications. Good understanding and high awareness are needed to notice some infectious complications which are difficult to be diagnosed. Method: This paper is a literature review which was done by reviewing and searching journals with “infectious complication”, “spinal cord injury”, “infection” on the search engines. The authors found 52 articles are suitable to be composed as references for this paper. Outcome: Several infectious complications may occur following the incidence of SCI and have a lot of disadvantages. The causes of these infections are multifactorial. Urinary tract infection, infected pressure ulcer, pneumonia, and some other infectious diseases may appear as complications. Extra care in hygiene and sanitation is needed, besides, high awareness is needed to discover these complications. Conclusion: Monitoring post-SCI complications are complex and difficult. A high level of suspicion should be raised with frequent aseptic actions and procedures. Appropriate management including non-surgical or surgical procedures can be chosen to achieve the best outcomes. Early diagnosis and management are critical for the best treatment results.

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