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Contact Name
Agni Susanti
Contact Email
jurnalneuroanestesi@gmail.com
Phone
+6287722631615
Journal Mail Official
jni@inasnacc.org
Editorial Address
Jl. Prof. Eijkman No. 38 Bandung 40161, Indonesia Lt 4 Ruang JNI
Location
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INDONESIA
Jurnal Neuroanestesi Indonesia
ISSN : 20889674     EISSN : 24602302     DOI : https://doi.org/10.24244/jni
Editor of the magazine Journal of Neuroanestesi Indonesia receives neuroscientific articles in the form of research reports, case reports, literature review, either clinically or to the biomolecular level, as well as letters to the editor. Manuscript under consideration that may be uploaded is a full text of article which has not been published in other national magazines. The manuscript which has been published in proceedings of scientific meetings is acceptable with written permission from the organizers. Our motto as written in orphanet: www.orpha.net is that medicine in progress, perhaps new knowledge, every patient is unique, perhaps the diagnostic is wrong, so that by reading JNI we will be faced with appropriate knowledge of the above motto. This journal is published every 4 months with 8-10 articles (February, June, October) by Indonesian Society of Neuroanesthesia & Critical Care (INA-SNACC). INA-SNACC is associtation of Neuroanesthesia Consultant Anesthesiology and Critical Care (SpAnKNA) and trainees who are following the NACC education. After becoming a Specialist Anesthesiology (SpAn), a SpAn will take another (two) years for NACC education and training in addition to learning from teachers in Indonesia KNA trainee receive education of teachers/ experts in the field of NACC from Singapore.
Articles 371 Documents
Perioperative Management of Craniotomy for Cerebral Clipping Aneurysm with Intraoperative Neurophysiological Monitoring: A Case Report Muhammad Remo Lingga Riesta Armyda; Hamzah Hamzah; Dhania Anindita Santosa; Kakung Muhamamad Yusuf; Zakaria Zakaria
Jurnal Neuroanestesi Indonesia Vol 15, No 2 (2026)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v15i2.727

Abstract

Introduction: The incidence of subarachnoid hemorrhage (SAH) is approximately 9 per 100,000 population per year. SAH caused by ruptured brain aneurysm accounts for around 80% of non-traumatic events, followed by 10% perimesencephalic hemorrhage and another 10% due to arteriovenous malformation (AVM). Case: A 50-year-old female patient weighing 50 kg who presented on post-ictus day 14 with aneurysmal subarachnoid hemorrhage secondary to a ruptured middle cerebral artery (MCA) aneurysm with GCS 14 (E4V4M6) without any neurological deficit with WFNS grade II. Discussion: The patient underwent craniotomy and aneurysm clipping performed by a vascular neurosurgeon. A lumbar drain was inserted preoperatively to facilitate controlled cerebrospinal fluid (CSF) drainage and promote intraoperative brain relaxation. During aneurysm clipping, intraoperative neurophysiological monitoring (IONM) was performed by a neurophysiologist to continuously assess motor evoked potentials (MEPs) and somatosensory evoked potentials (SSEPs), ensuring the preservation of neural pathway integrity throughout the procedure. Conclusion: The primary goal of anesthetic management was to prevent elevations in intracranial pressure (ICP) and carefully control mean arterial pressure (MAP) before vessel occlusion and throughout aneurysm clipping to maintain an optimal balance between cerebral perfusion pressure (CPP) and transmural pressure (TMP). Neuroanesthesia plays an important role in the perioperative management of patients from the initial stabilization in the emergency department, intraoperative neuroprotective strategies during surgical intervention, and postoperative care in the neurologic intensive care unit.