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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 99 Documents
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Mortality of Guillain Barre Syndrome and Myasthenic Crisis in Haji Adam Malik Central General Hospital Medan January 2021- December 2022 Surbakti, Stefanie Meitha Putri Sejahtera; Fitri, Aida
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 2 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i2.17730

Abstract

Introduction: Neuromuscular disorders are disorders of the neuro system that impact the muscular system. Among them are Guillain-Barré Syndrome and Myasthenic Crisis. Guillain-Barré syndrome is an autoimmune disorder of the nervous system that is polyradiculoneuropathic, characterized by weakness that radiates from the legs to the arms, torso, and face. Myasthenic crisis is a state of acute respiratory failure due to the exacerbation of Myasthenia Gravis. These two diseases are the most common types of neurodiseases found in hospital ICU patients. Objective: Determining the mortality rate of Guillain-Barré Syndrome and Myasthenic Crisis at Haji Adam Malik Central General Hospital Medan January 2021-December 2022. Methods : This study was a descriptive study with data obtained from medical records. The subjects were inpatients and outpatients with Guillain Barré Syndrome and Myasthenia Crisis, with as many as 129 patients. The subjects were selected by purposive sampling and met the inclusion and exclusion criteria. Results: A total of 40 Guillain-Barré Syndrome patients were studied, and 6 of them died. The majority were patients aged 36-50 years, and the male and female sexes were equally significant. A total of 89 patients with Myasthenic Crisis were studied, and 1 of them died, namely patients with the age category of 36-50 years and female. Conclusion: Guillain-Barré Syndrome mortality was 15%, and Myasthenic Crisis was 1.12% at Haji Adam Malik Center General Hospital Medan January 2021-December 2022. Keyword : Guillain-Barré Syndrome, Mortality, Myasthenic Crisis
Clinical Characteristics of Traumatic Brain Injury (TBI) Patients in Grha Bhakti Medika Hospital FROM 2020-2024 : Clinical Outcome from a Trauma Center in East Bali Devanita S, Luh Ari; Sabudi, Putu Ananta Wijaya
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 3 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i3.18409

Abstract

Introduction: Head trauma is a common emergency department presentation, yet epidemiological data on traumatic brain injury (TBI) remains limited. This study aimed to evaluate the clinical characteristics and outcomes of TBI patients at Grha Bhakti Medika Hospital. Methods: A retrospective cohort study was conducted on TBI patients treated between July 2020 and June 2024. Data from medical records were analyzed, with chi-square tests performed to identify predictors of in-hospital mortality. Results: A total of 159 TBI cases were recorded, predominantly male (54.1%) and aged 19-40 years (32.1%). Isolated head trauma was most common (81.1%), and traffic accidents accounted for 62.2% of injuries. Non-referral cases (55.9%) exceeded referrals (44.1%). Most patients had no prior head trauma (98.2%), were conscious on admission (50.9%), had mild TBI (GCS 13-15, 80.6%), and showed no airway obstruction or oxygen desaturation (97.5%). Blunt injuries (94.3%), absence of intracranial bleeding (56.6%), and conservative treatment (64.1%) were predominant. Significant predictors of in-hospital mortality included unconscious history, duration of unconsciousness, GCS at admission, types of intracranial bleeding, and treatment modality. Conclusion: TBI patients were predominantly young males with isolated, traffic-related injuries and mild clinical presentations. Key factors such as unconsciousness, GCS, and intracranial bleeding types significantly influenced mortality. These findings emphasize the need for targeted interventions to improve TBI outcomes.
Outcome of Subaxial Spinal Cord injury (Early vs Late Decompression surgery) Franchyeda, Bianca; Mahyudanil
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 3 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i3.19135

Abstract

Introduction: Cervical spine injuries can cause severe neurological deficits, and the timing of decompression surgery is critical for influencing recovery. Early decompression, performed within hours to days, improves outcomes by preventing irreversible spinal cord damage, while delayed decompression may lead to worsened recovery due to prolonged spinal cord compression. Case Description: Two cases were discussed: Case 1 involved a 22-year-old male with severe spinal cord compression, who showed rapid improvement following immediate decompression surgery. Case 2 involved a 20-year-old male with a C3 vertebra dislocation, who underwent delayed decompression surgery three months after injury, resulting in substantial recovery after rehabilitation. Discussion: Early decompression surgery, as seen in Case 1, leads to faster recovery by minimizing spinal cord ischemia and preventing further neuronal damage, resulting in significant functional improvement. In contrast, delayed decompression, demonstrated in Case 2, results in slower recovery due to prolonged spinal cord compression, but meaningful improvement is still possible with intensive rehabilitation. The timing of decompression surgery plays a crucial role in recovery outcomes, although patient-specific factors, including injury severity and rehabilitation, also influence the extent of recovery. Conclusion: Early decompression surgery for subaxial spinal cord injuries generally results in better outcomes, with faster recovery, while late decompression can still provide significant recovery, albeit with a slower trajectory and increased risk of residual deficits.
Challenges of Spine Surgery in Obese Patients: A Case Report with a Review of the Literature Pratiwi, Riska; Ibrahim, Sabri; Kausar, T Akmal
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 3 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i3.19136

Abstract

Introduction: Obese patients face unique challenges across all phases of spine care and surgery, including preoperative, intraoperative, and postoperative periods. Significantly higher risks are associated with spinal surgery in obese patients. This study explores the challenges of managing spinal conditions in obese patients and offers strategies to mitigate these risks. Case report: A 56-year-old female with a BMI of 42 was referred for evaluation of chronic lower back pain and radicular leg pain. Imaging results were lumbar fusion for degenerative disc disease at the L4-5 and L5-S1 levels. During surgery, the patient required a prolonged operating time due to her increased soft tissue, which made visualization more difficult. The surgical team had to use longer instruments to navigate through the deeper tissue layers. Fluoroscopy was employed to ensure accurate placement of the fusion hardware. Postoperatively, the patient developed delayed wound healing, which required close monitoring and wound care interventions. She had significant reduction in back pain and improved mobility at her 6-month follow-up. Conclusion: Obese patients present numerous challenges to spine surgeons, ie. elective and non-elective surgeries, anesthetic issues, operative challenges, post-operative issues, complications, and outcomes. To mitigate associated risks and optimize outcomes, specific precautions can be taken during the preoperative, intraoperative, and postoperative phases.
Carpal Tunnel Syndrome Incidence In Teachers and Employees at SMP Negeri 1 Pematangsiantar Situmorang, Yessi Debora; Fitri, Aida; Zahara, Devira; Sinaga, Bintang Y.M.
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 3 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i3.19200

Abstract

Background. Median nerve compression at the wrist (carpal tunnel syndrome) is the most common disorder affecting the median nerve and is the most common nerve compression syndrome. Problems usually arise from excessive hand use and work microtrauma. Objectives. To determine the incidence, severity, characteristics of respondents detected, and risk factors that allow for CTS. Methods. The study was an analytic-descriptive study with a cross-sectional approach. Using 70 samples of data from educators and employees at SMP Negeri 1 Pematangsiantar. Data were analyzed using univariate and bivariate analysis. Results. This study involved 70 educators and employees, 59 (84.3%) were found with the majority of respondents experiencing complaints with asymptomatic symptom severity 46 people (65.7%), mild 22 people (31.4%), and moderate 2 people (22.9%). Of the 59 respondents detected, 50 people (71.4%) had mild functional symptom status. The majority of respondents detected with CTS were female (74.6%) and were in the age range of 51-60 years (44%). Respondents detected with CTS had nutritional status type I obesity (34%). Of the 59 respondents detected with CTS, 54 people (91.5%) were educators who had a working duration of ≥8 hours a day (52.5%) and experienced complaints in the left hand (69.5%). Conclusion. Most predominantly female in the age range of 51-60 years who worked as educators with a working duration of ≥8 hours and the majority experienced complaints in the left hand. Keywords: Carpal tunnel syndrome, educators, incidence
Factors Associated with Neck Pain Among the Local Gamer Community in IndonesiaIntroduction: There has been a notable rise in smartphone usage among youth, with many exceeding 3 hours of screen time each day. This is a high-risk factor for suffering from n
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 6 No. 3 (2024): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v6i3.19253

Abstract

Introduction: There has been a notable rise in smartphone usage among youth, with many exceeding 3 hours of screen time each day. This is a high-risk factor for suffering from neck muscle fatigue due to the static posture of the cervical spine. Objective: This study is to determine factors associated with neck pain among the local gamer community in Indonesia. Methods: This study is multivariate predictive study with a cross-sectional approach to members of the AiMSTAR, one of the online gaming communities in Indonesia. The sample was selected using the total sampling technique. Data collection in this study used a questionnaire. Results: Based on the results of multivariate analysis, it was found that the frequency of smartphone use among gamers in the AiMSTAR community had a significant influence on the occurrence of neck pain, with a p-value of 0.002 (p < 0.05) and a six-fold increased risk compared to a usage frequency of less than 30 minutes (95% CI = 1.96–18.57). Conclusion: This study shows that the frequency of using smartphone is the most significant contributing factor to the occurrence of neck pain among the local online gaming community in Indonesia.
Association Between Head Computed Tomography Scan Images and Electroencephalogram with Outcome In Post Stroke Seizure Patients Harefa, Armellia Solida; Cut Aria, Arina; Aida, Fithrie
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.19794

Abstract

Background: Seizures that occur after a stroke and have no previous history of epilepsy are referred to as post stroke seizures (PSS). Post stroke seizure increases patient mortality, disability at hospital discharge, as well as prolongation of hospital stay. Patients with post stroke seizure show poor functional outcome (mRS >2). Objective: To determine the association between head CT scan images and electroencephalogram (EEG) with outcomes in post-stroke seizure patients at Adam Malik Hospital Medan. Methods: This study is an observational analytic study with prospective cohort research methods with primary data sources obtained consecutively from all PSS patients who were hospitalized at Adam Malik Hospital Medan and had undergone head CT scan and EEG examinations. The outcome of PSS patients was assessed by mRS score on day 14 since seizure. Results: There were 24 research subjects who met the inclusion and exclusion criteria aged between 18-74 years and consisted of 18 male subjects and 6 female subjects. There is a association between head CT scan images and clinical outcomes of post-stroke seizure patients based on the results of the chi square test with p value = 0.041 (<0.05) for lesion location and p = 0.018 (<0.05) for lesion size. There is a association between EEG and clinical outcomes of post-stroke seizure patients based on the results of the Chi Square test with p value = 0.001 (<0.05). Conclusion: There is a significant association between head CT scan images and EEG images and patient outcomes. Keyword: Post Stroke Seizure, Head CT Scan, EEG, outcome, mRS
Theoretical Approach to the Management of Epidural Hematoma (EDH): Optimal Timing for Surgical Intervention Hafzul; Ahmad, Diwa Aulia
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.20428

Abstract

Introduction: Epidural hematoma (EDH) is a life-threatening condition that requires timely surgical intervention to prevent irreversible neurological damage, with early decompression within the "golden hour" being critical for better outcomes. Case Description: Two cases were discussed: Case 1, an 81-year-old female who underwent surgery within 12 hours with significant recovery, and Case 2, a 73-year-old male who showed deterioration after delayed intervention but improved following decompression within 12 hours. Discussion: Early surgical intervention prevents brain herniation and secondary brain injury. The "golden hour" concept emphasizes decompression within hours of symptom onset. Access to timely care in rural settings can delay intervention, worsening outcomes. The timing of surgery must consider individual patient factors, such as comorbidities and hematoma size. Conclusion: Optimal surgical timing, especially within the "golden hour," is critical in EDH management to prevent irreversible neurological damage. Individualized treatment plans should account for access to care and patient-specific factors for the best outcomes.
Craniotomy vs. Burr Hole in the Management of Chronic Subdural Hematoma: A Literature Review Firdaus, Alpasca; Danang Bagus, Untoro
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.20432

Abstract

Introduction: Chronic subdural hematoma (CSDH) is a common condition, especially in the elderly, often requiring surgical intervention. Burr hole drainage and craniotomy are the two main surgical approaches. However, the optimal technique remains debated due to differences in recurrence rates, complications, and outcomes. Methods: A comprehensive literature review was conducted using databases such as PubMed, Scopus, and Google Scholar to compare burr hole drainage and craniotomy in the management of CSDH. Studies were selected based on relevance to surgical technique, recurrence, complications, and patient outcomes. Results and Discussion: Burr hole drainage is less invasive, associated with shorter operative time, reduced hospital stay, and fewer complications. It is widely considered the first-line surgical option. However, some studies report higher recurrence rates compared to craniotomy. Craniotomy, while more invasive, may be more effective in cases with organized or recurrent hematomas, offering more thorough evacuation. It carries a higher risk of complications, particularly in elderly or comorbid patients. Clinical decision-making often depends on hematoma characteristics and patient condition. Conclusion: Both burr hole drainage and craniotomy are effective for CSDH, but each has distinct advantages and drawbacks. Burr hole drainage is generally preferred due to its safety and efficacy, while craniotomy may be reserved for complex or recurrent cases. A patient-centered approach considering clinical and radiological factors is essential. Further randomized studies are needed to refine surgical guidelines. Keywords: Chronic subdural hematoma, burr hole drainage, craniotomy, neurosurgery, recurrence, surgical outcomes, complications
The Role of Neurosurgery in Reducing Parkinson's Symptoms: A Case Study on the Use of DBS Technology Sihombing, Edo Johanes Namalo; Karima, Amira Puti
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 7 No. 01 (2025): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhsj.v7i01.20435

Abstract

Background: Parkinson’s disease (PD), a progressive neurodegenerative disorder, causes motor symptoms like tremors, rigidity, and bradykinesia, often complicated by non-motor issues and levodopa-related side effects. Deep Brain Stimulation (DBS) is a key neurosurgical intervention that modulates neural circuits to alleviate symptoms in advanced PD. Method: A literature review analyzed peer-reviewed studies from the past 15 years, sourced from PubMed, ScienceDirect, and Google Scholar, focusing on DBS efficacy and safety. Thematic synthesis explored physiological mechanisms, clinical outcomes, and comparisons with other treatments, using triangulation to ensure robust findings. Discussion: DBS, targeting the subthalamic nucleus or globus pallidus internus, reduces motor symptoms by up to 50% on the Unified Parkinson’s Disease Rating Scale, decreases levodopa reliance, and mitigates dyskinesias. Advances like directional electrodes enhance precision, but non-motor symptom relief varies, and risks, costs, and access disparities remain. Strict patient selection is vital, excluding those with atypical parkinsonism or severe cognitive issues. Conclusion: DBS is a pivotal treatment for advanced PD, improving motor function and quality of life. Future innovations and research into non-motor effects, alongside equitable access, are crucial to optimize its impact. Keyword: Deep Brain Stimulation (DBS), Parkinson’s Disease, Tremors, Rigidity, Bradykinesia, Neurosurgical Therapy

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