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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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Liver cirrhosis with its complications: Case report in a young female patient Muhammad Hanun Mahyuddin; Ulaa Haniifah
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 2 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i2.9166

Abstract

Liver cirrhosis is a chronic disease characterized by the presence of fibrosis and regeneration of nodules in the liver, the consequence of which is the development of portal hypertension and liver failure. Usually associated with infectious infectious diseases such as viral hepatitis, alcohol consumption, metabolic syndrome, autoimmune processes, storage diseases, toxic substances and drugs. Major complications include gastrointestinal variceal bleeding, ascites, spontaneous bacterial peritonitis infection, hepatorenal syndrome, hepatic encephalopathy, and hepatocellular carcinoma. A 23-year-old woman comes to the ER, dr. Soegiri Lamongan with complaints of vomiting blood. The patient also complained of black bloody stools. Referred patient from Intan Medika Hospital with the initial complaint of vomiting blood more than 5 times (± equivalent to one medium drinking bottle) four days ago. On examination also found anemic conjunctiva and found splenomegaly. On abdominal ultrasound examination, the liver was shrunken, the edges were obtuse angles, partially irregular, parenchymal echo intensity was heterogeneous, v.hepatica was normal, liver fibrosis staging was 11.81 kPa, no masses or nodules were seen. The conclusion on endoscopic examination was the presence of grade III esophageal varices, congestive gastropathy, and erosive gastritis. Liver cirrhosis is a disease that has various etiologies. Early diagnosis and appropriate treatment in cirrhotic patients with complications is one way to improve patient survival
Bilateral Femoral Agenesis in 3-Month-Old Baby: : A Case Report Foris, Emiliana Susanti; Mario Realino Nara; Defranky Theodorus
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.9648

Abstract

Background Bilateral congenital femoral agenesis is a rare congenital anomaly. To the best of our knowledge, only three cases of simple congenital anomaly, three cases associated with femoral facial syndrome, have been reported. We describe a simple form of bilateral femoral agenesis observed in 3-month-old female baby without femoral facial syndrome and non-diabetic mother. Objective We report this case because it is a rare case and needs proper evaluation and management. The majority of cases, however, are sporadic, and therefore, the parents may be reassured that the risk of further offspring being affected is negligible. Case A 3-month-old female baby present with a complaint of short stature. The baby was born full term spontaneous labor, 2570 gram vigorous and started to cry immediately after birth. The mother has no history of diabetes, cigarette smoking, and exposure teratogens. The parents were not related by blood. X-ray examination showed bilateral agenesis of femur, normal tibia and fibula, proximal of cruris in lateral of acetabula. Conclusion Bilateral congenital femoral agenesis is a rare congenital anomaly. Although commonly associated with maternal diabetes mellitus, most cases have no known cause. Keywords: femoral agenesis, congenital deformity
Systematic Review of the Effectiveness of Using iPSC in Spinal Cord Injury Ibrahim, Sabri; Ramadhan, Hafiz
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.10124

Abstract

Damage to the spinal cord is the pathological condition known as spinal cord injury (SCI) or spinal cord injury. This ailment, which not only causes neurological impairments but also places a significant psychological and social burden on patients, has grown to be one of the most challenging worldwide health issues. A successful stem cell-based treatment has just been created and could be the answer to this medical issue. It has been demonstrated that iPSC-dNSC stem cells are efficient at both reducing post-traumatic inflammatory conditions and kicking off neuronal cell regeneration at the location of SCI lesions. The aim of this study to investigate the the effectiveness of using iPSC in spinal cord injury. This study used the literature review method by discovering articles using the search engine Google Scholar, and PubMed. According to the search results, 413 articles were obtained in accordance with the title of the study, but 8 articles met the inclusion criteria in this study. The findings of this study showed that the iPSC methodology was applied, as well as the advantages and results of the procedure. Using iPSCs to treat SCI is still challenging and needs additional investigation.
Retrospective Descriptive Study Overview Causes Of Patients With Spinal Cord Injury To The Inpatients At Melati Hospital, Sungai Penuh City In 2021 Mei Sandra, Ferdian
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.10151

Abstract

Spinal Cord Injury is all injuries to the spinal cord which can cause motor and sensory disturbance and even cause permanent disability and death. This study aims to determine the description of the causes of patients with Spinal Cord Injury. This type of research is retrospective descriptive. Using cross sectional techniques in sampling, the number of samples is 21 medical records of patients with a diagnosis of Spinal Cord Injury, The instruments in this study used the Spinal Cord Injury checklist sheet, while the observed variables were: causal factors and Spinal Cord Injury. The results of the study are as follows: 71.43% of the respondents' gender is male, 61.9% of the respondent's age are old age, 33.33% of the respondents' education is elementary school, and 38.1% of the respondents' occupations are entrepreneurs. The cause of Spinal Cord Injury 71.43% is traumatic, with most cases falling from a height of 53.33% , non-traumatic causes as many as 28.67% with the most cases are infections. The most common Spinal Cord Injury classifications are Grade E 52.37% and Grade A 19.5%. Incomplete lesions as much as 66.67% with symptoms of impaired mobilization as much as 66.67%. The most common cause of Spinal Cord Injury is can be concluded that the most common cause is TSCI / Traumatic Spinal Cord Injury with the highest prevalence is falling from height
Congenital Torticollis : Surgical Approach and Outcome Aristo, Reyhan; Fadhlan, Rais
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.10379

Abstract

Introduction. Torticollis, also known as crooked neck, is a contraction or contracture of the neck muscles that causes the head to tilt to one side. This is accompanied by rotation of the chin to the opposite side with flexion. The congenital form of torticollis usually appears within a few weeks of birth. The basis of diagnosis is clinical examination findings, and the mainstay of treatment is physical therapy. Surgical management is an option only when medical and physical treatments are not producing the desired results or for cosmetic reasons. Case Report. A-11 year young girl came with a chief complaints of a tilted head to the right, she also had difficulty shaking her head and nodding and had an asymmetrical face. This has been experienced since birth. Result. The patient underwent bipolar removal of the lower end of the sternocleidomastoideus muscle (SCM). The patient’s neck was extended with a sandbag, and then the patient’s head was turned toward the shoulder on the opposite, uninvolved side. First, the distal portion of the SCM was released by making a skin incision 3 to 5 cm long on the medial end of the clavicle, with consideration given to palpable fibrous bands, and then deepening the incision to the tendons of the sternal and clavicular attachments of the SCM. The tight band and muscle tendon were dissected to pass a right angle instrument posterior to the tendons and were then resected by electrocautery near the insertion site to the clavicle. The SCM was then carefully dissected and released near the bone, while checking the nearby nerves and vessels. Outcomes were assessed using the cervicalmandibular angle (CMA), calculated using the radiological head tilt, which was defined as the angle between the line crossing the upper border of the C7 vertebral body and another line connecting the lower border of the mandibular angle. Conclusion. Release of the bipolar CMT in the patient in this study increased head tilt, leading to a better quality of life since surgery, and the patient adapted fairly well to her new neck position.
Cisternostomy In Lipomyelomeningocele Without Hydrocephalus: A Case Report Mouza, Abdurrahman; Farhan, Luthfy; Sembiring, Arya Sadewa; Rasyid, Fahmi
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 4 No. 3 (2022): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v4i3.10380

Abstract

Introduction: Spinal dysraphisms can be classified as either open or closed dysraphisms. Closed spinal dysraphisms such as lipomyelomeningocele, diastematomyelia, and spina bifida occulta have no exposed neural tissue and are accompanied by cutaneous markers in 43%–95% of cases, and include lesions such as subcutaneous masses, capillary hemangioma, dimples, and hairy nevus. These cutaneous markers can be used to recognize cases in an asymptomatic neonate. LMMC can be associated with additional pathologies, including Chiari malformation type 1 (13%), spina bifida (14.4%), split cord malformations (3.1%), associated dermal sinuses (3.1%), dermoid or epidermoid cysts (3.1%), diastematomyelia (3.1%), terminal hydromyelia (3.1%), anal stenosis (1.0%), and Down syndrome (1.0%). Case Report: A year old girl, came to our department with chief complaint of lump on the back since the patient was born. No history of increased intracranial pressure was complained. On physical examination, there is no maceration on the lump, and there is no sign of ruptured lump on the back. Patient also has active motoric on all extremity. We diagnosed the patient with spina bifida. We did CT scan of the head to rule out hydrocephalus and MRI for the confirmation of spina bifida. Excision of cele was done. Postoperatively, there is an increased of csf leak of the patient from the excised cele and we decided to do cisternostomy. After cisternotomy, there is no increased of leakage and patient also have good motoric function. Patient was treated in our outpatient clinic and has good recovery after surgery. Discussion: Lipomyelomeningocele is a rare but complicated defect, lying in the spectrum of occult neural tube defects. It is actually a form of occult spinal dysraphism in which a subcutaneous fibrofatty mass traverses the lumbodorsal fascia, causes a spinal laminar defect, displaces the dura, and infiltrates and tethers the spinal cord. Spinal lipomas and LMMCs are frequently associated with cutaneous and musculoskeletal abnormalities in addition to sensorimotor deficits and urological dysfunction. Cutaneous lesions include subcutaneous lipomas, capillary hemangiomas, complex dimples, and hypertrichosis, whereas complex malformations, such as dermal appendages, are rare. Magnetic resonance imaging is useful in demonstrating the presence of a fatty mass and cord tethering. Surgical objectives in a lipomyelomeningocele repair include removal of the adipose mass, identification of the defect in the lumbosacral fascia for release of the tether, possible release of the filum terminale, preservation of neural elements, and prevention of retethering of the spinal cord. After operation for lipomyelomeningocele, the cord may not be completely untethered, or after a short period may retether Discussion: Cisternostomy may be done in cases of spina bifida without hydrocephalus in our experience
Cerebral Hemorrhage with Edema in A Five-Week-Old: A Case of Late-Onset Vitamin K Deficiency Bleeding, Rare Diagnosis in Resource-Limited Settings Anas, Muhammad Al; Ritonga, Dwi Herawati
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 1 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i1.11040

Abstract

Introduction: Vitamin K deficiency bleeding (VKDB) is a term that describes the condition of hemorrhagic disorders in newborns. Late-onset VKDB occurs between the second week and sixth month of life. Intracranial hemorrhage often occurs in cases of late-onset VKDB and can cause 14-20% mortality and 40% long-term neurological morbidity, so it is important to treat patients until they are stable, especially with limited health facilities. Case Report: A baby boy aged 1 month 8 days was brought by his parents to RSUD Deli Serdang Lubuk Pakam with the chief complaint of an enlarged stomach, accompanied by paleness, weakness, convulsions, and altered consciousness. A midwife assisted the delivery with unknown history of immediate vitamin K injection after birth. We diagnosed the patient with VKDB according to the clinical symptoms. The head CT scan showed subdural and subarachnoid hemorrhage with cerebral edema. We transfused the patient with Packed Red Cells and Fresh Frozen Plasma 20 cc/12 hours 5 times, administered Vitamin K injection 3 mg/IM for 3 days, and other supportive therapy. The patient's condition improved within the third day of hospitalization with recovered consciousness and was transferred to the referral hospital. Discussion: The key feature of late-onset VKDB is the incidence of ICH in 30-88% of patients, leading to a high incidence of mortality. This study highlights the importance of prompt, and early treatment of VKDB with proper history taking, clinical examination, and relevant investigations to reduce morbidity and mortality. Conclusion: In conclusion, secondary late-onset PDVC is more common than the primary subtype, and late-onset PDVC is still an important cause of morbidity and mortality in developing countries including Indonesia, where vitamin K prophylaxis is not routinely performed
A Selection of Surgical Interventions in Pediatric Hydrocephalus : A Literature Review Musfirah, Nurul; Iskandar
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 1 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i1.11101

Abstract

Introduction: Hydrocephalus is a condition in which the flow of cerebrospinal fluid is disturbed due to an imbalance between production and reabsorption or because there are obstacles along its distribution channel. The most common surgical intervention and standard strategy for treating hydrocephalus in recent years has been the placement of a shunt, particularly a ventriculoperitoneal shunt (VP-Shunt). In addition to shunt placement, endoscopic third ventriculostomy (ETV) and choroid plexus coagulation (CPC) are currently being performed simultaneously, considering that the combination of the two procedures is sufficient to provide maximum results and can even reduce the risk of failure. Method: The method of literature review is used in this study.The method chosen is preferred reporting items for systematic reviews and meta-analyses (PRISMA), which involves selecting the characteristics of literature through electronic media with database searches through the PubMed and Google Scholar sites. Patients diagnosed with hydrocephalus, both communicative and noncommunicative, with an age of 18 years; surgical intervention with a Vp-shunt; EVT with or without CPC; and a 3-month follow-up were the inclusion criteria. Result: There were 1,251 samples included in the 10 articles in this study, 7 of these articles had samples with non-communicable hydrocephalus, with the most common etiologies being post-infection and hemorrhage. The selected interventions, both Vp-Shunt and ETV with or without CPC, have a high percentage of success rates, with an average age of intervention in this study of   6 months. Conclusion: The choice of intervention in cases of hydrocephalus should be based on patient characteristics. Installation of a shunt, ETV, or ETV/CPC may et he first choice based on the etiology of the hydrocephalus, the patient’s age, and a risk assessment that takes into account the complications that may arise from the selected procedure
Characteristics of Low Back Pain in Medical Students of Muhammadiyah Jakarta University Class of 2019 After Online Class for One Semester Rizkiandini, Sulfa; Hamzah, Zainy
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 1 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i1.11177

Abstract

Introduction: Lower back pain (LBP) is a complaint that is often felt by everyone in everyday life. In 2010 the Global Burden of Disease Study estimated low back pain to be one of the top ten diseases and injuries with the highest number in the world. According to research conducted by Altinel in 2008, about 62% of adults experience LBP as a result of sitting too long in the wrong position. The wrong sitting attitude of someone at work will affect the unfavorable results of their work. Method: This research is a descriptive analytic survey research, which aims to know about low back pain of  the students of the Medical Education Study Program Class of 2019. approach used in this study is "cross sectional study", with a total sample of 113 respondents. Result: From the 113 respondents the results of research conducted through a questionnaire, there were 59 respondents (52.2%) who were researched having a low back pain. In the category based on the length of study, 59 respondents (52.2%) experienced LBP complaints and the results of statistical analysis (P = 0.030) where there was a significant relationship between the length of study and LBP complaints. In the category of the relationship between sitting position when doing online, there were 59 respondents (52.2%) and the results of statistical analysis (P = 0.526), there was no significant relationship in the position category when doing online with LBP complaints and in the sitting position category when learning was obtained 59 respondents (52.2%) and the results of statistical analysis (P = 0.183), namely that there was no significant relationship in the category of learning position with LBP complaints. Conclusion: There is no significant relationship between learning position and length of study with complaints of low back pain in students of 2019 Medicine Program of Muhammadiyah Jakarta University. Because, the improper sitting position and duration of study are not solely factor that lead to low back pain.
Characteristics of Neck Pain in Medical Students of Muhammadiyah Jakarta University Class of 2019 After Online Class for One Semester Kasmi, Raras Sakti Mulya; Hamzah, Zaini
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 5 No. 1 (2023): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v5i1.11178

Abstract

Introduction: Neck pain is a very common complaint in everyday life. Neck pain is a multifactorial disease with many associated risk factors. In population studies, 20-60% of women and 15-40% of men have experienced neck pain. Neck pain is a health problem that can develop and interfere with a person daily activity. Method: This research is a descriptive analytic survey research, which aims to know about neck pain of the students of the Medical Education Study Program Class of 2019. approach used in this study is "cross sectional study", with a total sample of 113 respondents. Result and Discussion: From the 113 respondents the results of research conducted through a questionnaire, there were 76 respondents (67,3%) who experienced neck pain. In the category based on the length of sitting, 76 respondents (67,3%) experienced complaints of neck pain and the results of statistical analysis (P = 0.455) where there was a significant relationship between the length of sitting and complaints of neck pain. In the category of the relationship between the most frequent learning position, there were 76 respondents (67,3%) and the results of statistical analysis (P = 0.586), there was no significant relationship in the most frequent learning position with neck pain complaints and in the learning location category 76 respondents (67,3%) and the results of statistical analysis (P = 0.315), namely that there was no significant relationship in the category of study location with neck pain complaints. Conclusion: There is no significant relationship between learning position and length of sitting with complaints of neck pain in students of 2019 Medicine Program of Muhammadiyah Jakarta University. Because, the sitting position and length of sitting are not the only factors that cause neck pain complaints  

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