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Asian Australasian Neuro and Health Science Journal (AANHS-J)
Published by TALENTA PUBLISHER
ISSN : 26860848     EISSN : 26860848     DOI : https://doi.org/10.32734
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience
Focus and Scope Asian Australasian Neuro and Health Science Journal (AANHSJ) provides a forum for publishing the full research articles in the area of Neurosurgery and Health related to topics from the following subject areas: Neuro-Anatomy Neuro-Physiology Neuro-oncology Neuro-Spine Neuro-Pediatric Neuro-Trauma Neuro-Vascular Neuro-Fungsional Basic Science Biomoleculer in Neurology Radiology in Neurosurgery
Arjuna Subject : Kedokteran - Neurologi Klinis
Articles 95 Documents
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Planum Sphenoidale Meningioma: A Rare Location of Skull Base Meningioma Sinaga, Patrice LWY; Faisal; Dharmajaya, Ridha
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.4558

Abstract

Background: Meningioma is common primary central nervous system tumors. Twenty-five percent of all meningioma consist of skull base meningioma. Planum sphenoidale meningiomas are rare. Planum sphenoidale meningiomas can extend into adjacent areas. Approximately two thirds of patients complain of failing vision in one eye as the first symptom. Case Report: A 32-year-old woman presented with 6-month history of progressively worsening blurred of both of vision. She also complained her smell ability was reduced for 3 months. She had headache for 6 months. The pain was worsening in the morning. She is conscious. A neurologic examination revealed bilateral hyposmia and visual deficits but no weakness. Visus of oculo dextra was 1/300 and visus of oculo sinistra was no light perception. Magnetic resonance imaging (MRI) intravena contrast of brain revealed a large extra-axial mass measured ±6,2x5,9x6 cm centred on planum sphenoidale displacing both frontal lobes. She had an operation of tumor removal with cranio-orbito-zygotomy approach. The tumor, which measured ±7cmx7cmx6 cm, was succesfully removed completely. She gets improvement of smell ability and both visual postoperatively. The histopathology of the tumor revealed meningioma WHO grade I. Discussion: Planum sphenoidale meningiomas present a frequently encountered pathology of the anterior skull base. These meningiomas give rise to an early visual disturbance with relatively slow progression. Displacement of the olfactory tracts and optic chiasm occur when the meningioma extends into the paranasal sinuses and nasal cavity. Clinical presentation and diagnosis often occur in the late stage. Anosmia is one of common finding on physical examination. Postoperative improvement of visual symptoms depends on the preoperative duration of those symptoms.
Nasofrontal Mucocele Following after Craniotomy Procedure Hutagalung, Tommy Rizky; Mouza, Abdurrahman
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.4623

Abstract

Introduction : Mucocele is a chronic, expanding, mucosa-lined lesion of the paranasal sinus characterized by mucous retention that can be infected becoming a mucopyocele. They originate from obstruction of the sinus ostium by congenital anomalies, infection, inflammation, allergy, trauma (including surgery) or a benign or malignant tumor. The frontal sinuses are most commonly affected, and subsequently ethmoidal sinuses. Case Report : A 56 years old man, presented with a lump on the left and right forehead accompanied by a protruding left eye since 6 months and is getting wors. Patient with a history of craniectomy debridement surgery indicated for open depressed fracture due to an accident 12 years ago, then underwent a titanium mesh cranioplasty 11 years ago. From examination of the head CT scan revealed a solid mass lesion filling the left and right frontal sinuses expands into the left orbital cavity. Bifrontal craniotomy was performed on the patient. Discussion : Mucoceles are mucous-secreting expansive pseudocystic formations, and capable of expansion by virtue of a dynamic process of bone resorption and new bone formation. They result from obstruction of a sinus ostium and frequently are related to a previous condition as chronic sinusitis, trauma, surgery or expansible lesion. With continued secretion and accumulation mucus, the increasing pressure causes atrophy or erosion of the bone of the sinus, allowing the mucocele to expand in the path of less resistance. This may be into the orbit, adjacent sinuses, nasal cavity, intracranial or through the skin; intracranial and orbital extension were demonstrated in this patient. Conclusion : Frontal mucoceles are benign and curable, but early diagnosis and treatment of them is important. Open surgery remains a valid procedure in frontal mucoceles with orbital and/or intracranial extension and in cases where the district anatomy is unfavourable for a purely endonasal approach.
Giant Medial Sphenoid Wing Meningioma with Hyperostosis Sphenoid Bone : A Case Report Faisal; Hutagalung, Tommy Rizky; Dharmajaya, Ridha
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.4730

Abstract

Introduction: Meningiomas of the sphenoid wing make up approximately 15–20% of total cranial meningiomas.Giant medial sphenoid involve the dura of the greater and lesser wings of the sphenoid, the anterior clinoid process,the spheno-orbital bone and the middle cranial fossa, hyperostosis bone was common to found. Surgicalmanagement of giant medial sphenoid is extremely challenging due to their intimate relationship with vital neuralstructures.Case Report : A 40-year-old woman came to the emergency room with complaints of decreased consciousness thathad been experienced since 1 week , recurrent headaches, weakness of the right limb and history of blurred vision. Anon-contrast head ct scan and MRI brain contrast revealed an extra-axial giant mass meningioma in left medialsphenoid wing with hyperostosis bone Craniectomy tumor removal was performed with a subtemporal approachcombined with cranio-orbytozygotomy.Discussion : Hyperostosis is a common phenomenon occuring in different meningiomas with incidence rangingfrom 25 to 49% of meningiomas.it is most commonly seen in sphenoid wing and convexity meningioma . The bonyhyperostosis is of neoplastic nature and is responsible for many of the clinical manifestation of such tumors andhence should be totally drilled to achieve cure and avoid recurrence.Conclusion : Sphenoid wing meningioma en plaque, mainly meningothelial meningiomas, are characterized by theassociated bony hyperostosis that gives them a distinct radiological appearance. Extensive tumor removal is crucialfor correction of proptosis and adequate visual decompression to achieve satisfactory cosmetic and functionaloutcome.
Comparative between Syndromic and Nonsyndromic Craniosynostosis: A Literature Review Rasyid, Fahmi; Mouza, Abdurrahman
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.4779

Abstract

Craniosynostosis (CS) refers to the premature fusion in the perinatal stage of one or multiple skull sutures, also denominated synostoses (sagittal, metopic, uni and bilateral coronal, and lamboidal), which are commonly accompanied by facial, trunk, and limb deformities. During normal human body and head development, cranial growth achieves approximately 80% of the adult size at birth and its definitive size between 2.5 and 3 years of age. In the fetal or newborn skull, the flat bones are separated by four fontanelles and six major cranial sutures that participate in this process. Hereby presented the literature review of syndromic and non-syndromic craniosynostosis.
Prevalence and Demographic of Spontaneous Intracerebral Hemorrhage Cases In Haji Adam Malik Hospital From 2018-2019 Irsyad, Muhammad Ari; Hutagalung, Tommy Rizky; Farhan, luthfi; Tala, Muhammad Ihsan Zulkarnain
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 2 No. 3 (2020): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v2i3.5003

Abstract

Introduction: Spontaneous intracerebral hemorrhage (ICH) represents as cerebral parenchymal bleeding that may also extend into ventricular (IVH). ICH, as a stroke subtype, is associated with poor neurological outcome as well as high mortality in 40% cases. Hypertension is the main and the most common risk factor in the development of ICH, particularly in the basal ganglia, thalamus, pons and deep cerebellar white matter. Hypertensive ICH in these localizations are particularly common in patients with chronic hypertension and they are not in compliance with blood pressure management. Other risk factor such as smoking and diabetes meilitus. Case Report: This retrospective study reviewed patient who were diagnosed with spontaneous intracerebral hemorrhage from January 2018 until December 2019 at the Haji Adam Malik General Hospital Medan,Indonesia. The patient’s demographic data and number of cases are collected. There were 163 cases of pure spontaneous ICH and 159 cases of Spontaneous ICH with IVH were among the total cases of ICH from 2018 to 2019. Discussion: Based on data at the Haji Adam Malik General Hospital Medan from 2018 to 2019,there are differences in the number of men and women proportion in the incident of pure ICH , for men who are 110 people around 67% while in women it is 53 people or about 32%. The incidence also higher in diabetes meilitus and smoking patient. Conclusion: We reported 163 cases of pure ICH and 159 cases of ICH with IVH. Based on demographic examination, male are dominant about 67% of total cases. Based on the biggest risk factors in patients with spontaneous ICH are hypertension, in the case of spontaneous ICH with IVH the biggest risk factor was smoking.
Efficacy Comparison of Ventriculoperitoneal Shunt and Endoscopic Third Ventriculostomy as Treatment of Hydrocephalus in Children in Developing Countries: A Meta-Analysis Rasyid, Fahmi; Mouza, Abdurrahman
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 1 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v1i1.5887

Abstract

Introduction: In Indonesia, cases of hydrocephalus in children are found in 40% to 50% of medical visits or neurosurgical operations. Endoscopic third ventriculostomy was one of choices for treat the patient but efficacy and effects still unknown. Purpose of this study is to broadly assess the outcome of treatments and review evidence that one treatment may have greater efficacy than another. Method: Researchers develop PICO questions. Demographic information, detailed methods, interventions, and results were extracted from the selected manuscripts. Of the 122 articles identified using optimized search parameters, 52 were withdrawn for full-text review. In total, 6 articles were accepted for inclusion in the evidentiary table and 8 were excluded for various reasons. Result: The tabulated evidence provides sufficient data to allow our evaluation of the CSF versus ETV shunt. Conclusion: CSF shunt and endoscopic third ventriculostomy (ETV) are options in the management of hydrocephalus in children
Short Latency Period of Radiation Induced Meningioma in Adult Patient Following High Dose Irradiation: A Case Report Wicaksana, Aditya; Manusubroto, Wiryawan; Tamba, Daniel Agriva; Pangaribuan, Vega
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 1 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v3i1.5888

Abstract

Introduction: We present a case of adult onset Radiation-Induced Meningioma (RIM) following resection of astrocytoma with short latency period of only 18 months. Case Report: A 44-year old man who had high dose irradiation following astrocytoma resection came to our institution due to the appearance of intracranial tumor in the field of radiation in the follow-up MRI. Observation was done and a head CT scan was done 6 months later, where intracranial tumor was doubled in size. Surgical resection was done and histopathological result of high-grade meningioma confirming the diagnosis of RIM. Most RIM are usually presenting in children receiving high dose radiotherapy with mean latency period of 26.2 ± 9.3 years. Result: Our patient is older at presentation; he underwent astrocytoma resection previously and was receiving high dose irradiation of 46 Gy. Conclusion: In astrocytoma patients receiving adjuvant radiotherapy, physician must be aware of RIM; in addition to the recurrence of the high-grade gliomas.
Intraventricular Fluid Injection as a Novel Treatment of Subdural Fluid Collection after VP Shunt Overdrainage: A Case Report Budiwaluyo, Christian; Morota, Nobuhito; Yudhadi, Adhitya Rahadi; Yamamoto, Aya; Ihara, Satoshi; Tsuda, Kyoji
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 1 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v3i1.5899

Abstract

Introduction: Subdural fluid collection is one of many complications of ventriculoperitoneal (VP) shunt. Variety of surgical procedures have been applied for the treatment of the post VP shunt subdural fluid collection, but the ideal surgical treatment remains controversial. Case Report: This is a case report of 14 years old boy who had a history of multiple VP shunt revisions for post hemorrhagic hydrocephalus with subdural fluid collections due to cerebrospinal fluid (CSF) overdrainage. Result: The author performed intraventricular fluid injection via shunt valve to expand the brain mantle and drain the subdural fluid through a small craniotomy. This is the first case report using the novel “fluid infusion” technique for the treatment of intractable subdural fluid collection after the VP shunt overdrainage. Conclusion: The technique can bring potentially great impact for the future treatment of symptomatic subdural fluid collection associated with CSF overdrainage after VP shunt.
Surgery of Left Temporal Region Arachnoid Cyst with Neuroendoscopy: A Case Report Wiwoho, Yudi Yuwono; Rolian, Danu; Ichwan, Syaiful; Mulyawan, Wawan
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 1 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v3i1.5935

Abstract

Introduction: Today, the development of minimally invasive neurosurgery technique, has become a choice of treatment for many neurosurgical disease.  Dr.Suyoto Hospital, Rehabilitation Center, Ministry of Defence of the Republic of Indonesia and Indonesian Airforce Hospital Dr. Esnawan Antariksa, Halim Perdanakusuma, Jakarta, Indonesia, has responsibility in public health services for military and civilian community. This paper has an objective to share experience in giving treatment with intracranial neuroendoscopy technique for patient with left temporal region arachnoid cyst. Case Report: Case Report 1 : Girl, 17 years old, with headache. There was no neurological deficit, and from brain CT Scan, there was a cystic lesion at the left temporal region. The diagnosis was arachnoid cyst. She performed neuroendoscopic cystotomy and insertion of Omaya reservoir. After surgery, she had no headache, and there were no post-operative complications. Histopatology finding was arachnoid cyst. From follow up of brain CT Scan, there was improvement. We used intracranial neuroendoscopy device from B-Braun Aesculap, Germany, 2015. Case Report 2 : Boy, 8 years old, with seizure and headache. There was no neurological deficit, and from brain CT Scan, there was a cystic lesion at the left temporal region. The diagnosis was arachnoid cyst. He performed neuroendoscopic cystotomy and insertion of Omaya reservoir. Dicussion: After surgery, he had no headache and also had no seizure, and there were no post-operative complications. Histopatology finding was arachnoid cyst. From follow up of brain CT Scan, there was improvement. We used intracranial neuroendoscopy device from B-Braun Aesculap, Germany, 2015. Conclusion: Intracranial neuroendoscopy technique can be applied for the treatment of many special and selective neurosurgical diseases, including arachnoid cyst. In this patient, intracranial neuroendoscopy had good result. We still need more many of cases for determine the success rate of this intracranial neuroendoscopy technique statistically
The Role Of Ventriculoatrial Shunts For The Shunt Placement In Modern Medicine : A Case Report Yudhadi, Adhitya; Budiwaluyo, Christian; Morota, Nobuhito; Ihara, Satoshi; Tsuda, Kyoji
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 3 No. 1 (2021): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v3i1.5945

Abstract

Introduction: Although Ventriculoatrial (VA) shunt is one of the oldest solution for hydrocephalus, after the recognition of serious complication and operative difficulties, VA shunt procedure has fallen into disrepute. Since 1970s, most of neurosurgeons has changed their practice from VA shunt to ventriculoperitoneal (VP) shunt. It provides a prolong relief of intracranial pressure and easy to be performed. However, shunt revision may still be expected due to shunt infection, obstruction, migration and so on. When the peritoneum is precluded and no more available owing to the intra-abdominal adhesions, local sepsis and scarring from the previous surgery, VA shunt can be one of the choices to do the shunt revision. Whenever laparotomy for VP shunt has high possibility of serious complications and operative difficulties due to preexisting peritoneal compolication, VA shunt can be a safe and effective alternative in the neurosurgeon’s armamentarium for the cerebrospinal fluids (CSF) drainage. Case Report: In this case report, we described a case of premature 6-month-old baby boy with hydrocephalus, whose abdominal cavity had the previous history of peritonitis and stoma placement.   Result: Because his abdominal condition excluded placement of a distal catheter for VP shunt, VA shunt was planned as alternative procedure for VP shunt. Conclusion: Role of VA shunt in the era of modern neurosurgery is also discussed based on the literature review.

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