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Shahdevi Nandar Kurniawan
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Neurology Department, Faculty of Medicine, Brawijaya University Jl. JA Suprapto No. 2 Malang, Indonesia 65112
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INDONESIA
Journal of Pain, Vertigo and Headache
Published by Universitas Brawijaya
ISSN : 27233979     EISSN : 27233960     DOI : https://doi.org/10.21776/ub.jphv
Core Subject : Science,
Neuroscience
JPHV - Journal of Pain, Headache and Vertigo is a peer-reviewed and open access journal that focuses on promoting pain, headache and vertigo. This journal publishes original articles, reviews, and also interesting case reports. JPHV - Journal of Pain, Headache and Vertigo is an international scientific journal, published twice a year by PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia.
Arjuna Subject : Ilmu Syaraf - Neorologi
Articles 5 Documents
 1 
Search results for , issue "Vol. 6 No. 1 (2025): March" : 5 Documents clear
PAINFUL NEURALGIA RELATED RAMSAY HUNT SYNDROME: A CASE REPORT Pinzon, Rizaldy Taslim; Pandita, Felicia Dara Puspitaning
Journal of Pain, Headache and Vertigo Vol. 6 No. 1 (2025): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2025.006.01.01

Abstract

Ramsay Hunt Syndrome is a rare case.  This syndrome is a severe complication of the reactivation of varicella zoster virus in the geniculate ganglion. Facial paralysis is the main clinical presentation.  We present a rare case Ramsay Hunt Syndrome in a 48 year old female that referred to neurology clinic with very painful herpetic neuralgia, left ear discomfort, and facial palsy. The patient came after two weeks eruption of herpetic rash in the second and third branch of trigeminal nerve. Treatment as antiviral, steroid, gabapentin, and amitriptyline showed improvement and significantly reduced the pain in this patient.
COMPREHENSIVE REHABILITATION APPROACH FOR MEDIAN NERVE NEUROPATHY COMPLICATED BY CERVICAL RADICULOPATHY: CASE REPORT IN A YOUNG GAME Yudiansyah, Anggi Gilang; Kurniawan, Shahdevi Nandar; Lestari, Dwi Indriani; Pringga, Gutama Arya
Journal of Pain, Headache and Vertigo Vol. 6 No. 1 (2025): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2025.006.01.02

Abstract

Background: Median nerve neuropathy, particularly associated with repetitive strain activities such as gaming, is increasingly recognized in clinical practice. This condition often necessitates a multidisciplinary and holistic approach for effective management, aiming to prevent long-term complications and improve functional outcomes. Case: A 21-year-old male presented with progressive weakness, paresthesia, and atrophy in the first three digits of both hands, attributed to excessive gaming, exceeding 12 hours daily. Neurological examination revealed marked weakness in muscles innervated by the median nerve, and electromyography (EMG) confirmed bilateral median nerve compression, compounded by cervical radiculopathy at the C6-7-8-T1 levels. Discussion: This case underscores the necessity of evaluating both peripheral nerve pathology and potential cervical radiculopathy in patients with extensive upper limb use. Intensive gaming, characterized by poor ergonomic practices, can exacerbate nerve compression, leading to significant neuropathic changes. The implemented multidisciplinary rehabilitation approach involved patient education on ergonomic modifications, targeted physical therapy to strengthen affected muscle groups, and strategies to optimize posture and reduce repetitive strain. This comprehensive intervention aimed to alleviate symptoms, restore function, and prevent further deterioration. Conclusion: The case highlights the complexities involved in managing median nerve neuropathy exacerbated by cervical radiculopathy in individuals engaged in repetitive, high-intensity activities. A comprehensive, evidence-based rehabilitation strategy is crucial for achieving optimal recovery, minimizing recurrence, and enhancing the patient’s quality of life. Further research is warranted to explore the long-term efficacy of such interventions and to develop tailored rehabilitation protocols for similar cases in the gaming community.
NON-SURGICAL MANAGEMENT OF CHRONIC RADICULAR PAIN IN LUMBAR CANAL STENOSIS: A CASE REPORT ON THE EFFICACY OF PULSED RADIOFREQUENCY Aprilia, Arvidareyna Panca; Kurniawan, Shahdevi Nanda
Journal of Pain, Headache and Vertigo Vol. 6 No. 1 (2025): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2025.006.01.03

Abstract

Background: Low back pain (LBP) is a prevalent condition, particularly in adults aged 40 to 80 years, and is often associated with lumbar canal stenosis. This condition leads to nerve compression, causing radicular pain that radiates to the lower extremities. Non-surgical options such as Pulsed Radiofrequency (PRF) have emerged as effective treatments for patients with chronic radicular pain who do not respond to conservative therapy. Case: We report a case of a 49-year-old female presenting with a three-year history of progressively worsening LBP, radiating to both legs. MRI revealed mild lumbar canal stenosis and posterior listhesis grade I at L3-L4, with bilateral nerve root compression at L4-L5 and S1. Conservative therapy, including physical therapy and pharmacological treatment, provided minimal relief. PRF therapy was subsequently applied to the L4-L5 and S1 nerve roots, resulting in significant pain reduction (NRS 7-8 to 5-6) and improved function. Discussion: Lumbar canal stenosis often leads to neurogenic claudication and radicular pain due to nerve compression. Posterior listhesis exacerbates this condition by contributing to spinal instability. PRF offers a minimally invasive alternative to surgery, with studies showing its efficacy in modulating nociceptive pathways and reducing pain. In this case, PRF effectively reduced pain and improved mobility, offering a safe and efficient treatment option. Conclusion: PRF is an effective non-surgical intervention for managing chronic radicular pain due to lumbar canal stenosis. Its integration into chronic low back pain management protocols and patient education offers significant benefits.
DOES SERUM C-REACTIVE PROTEIN HAVE CORRELATION WITH THE SEVERITY OF ACUTE ISCHEMIC STROKE? Salma, Kayla Maritza Putri; Rakhmatiar, Rodhiyan; Eko Arisetijono Marhendraputro
Journal of Pain, Headache and Vertigo Vol. 6 No. 1 (2025): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2025.006.01.04

Abstract

Background: Ischemic stroke can trigger an inflammatory response in the body. C-Reactive Protein is a biomarker that is elevated during inflammation. There is various evidence about correlation between CRP levels and the severity of ischemic stroke. Objective: To identify the correlation of CRP levels with stroke severity based on the National Institutes of Health Stroke Scale (NIHSS). Methods: A descriptive retrospective analytic study was used, and data were obtained from medical records of acute ischemic stroke patients in the Neurology Department of Saiful Anwar Hospital for 3 years. Subject characteristics analyzed were CRP levels, severity of ischemic stroke based on the NIHSS scale, and risk factors of ischemic stroke (age, gender, blood pressure, atrial fibrillation, infection, and random blood sugar). CRP levels and NIHSS scale were compared using Mann Whitney comparison test. Results: Out of 332 patients, 39 patients met the inclusion criteria. The amount of patient above 55 years old was 22 people (56.41%). The gender ratio was 19 men (48.72%) and 20 women (51.28). In the risk factor section, 35 people (89.74%) had hypertension, 11 people (28.21%) had atrial fibrillation, 17 people (43.59%) had infections, and 5 people (12.82%) had high random blood sugar. The comparison test showed that there was an increase in CRP levels along with the severity of stroke according to NIHSS mild-moderate and severe-very severe (p = 0.701). Conclusion: There is no significant relationship between CRP levels and the severity of stroke based on NIHSS.
NON-TRAUMATIC SUBARACHNOID HEMORRHAGE IN A 57-YEAR-OLD WOMAN WITH A LONG HISTORY OF VERTIGO: CASE REPORT Putri, Berlian Ristina; Satiadarma, Tiffany; Mawaddah, Syarifiyana; Indriyono, Andhy
Journal of Pain, Headache and Vertigo Vol. 6 No. 1 (2025): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2025.006.01.05

Abstract

Background: Indonesia has a high burden of stroke, became the number one cause of death. Among countries in Asia, Indonesia has the highest stroke mortality rate. Ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage were sequentially the highest to lowest prevalence of stroke. Subarachnoid hemorrhage most often causes severe headaches which patients may describe as the worst headache of their life, accompanied by vomiting and stiff neck. Focal neurological deficits to coma can appear depending on the severity of the disease. Vertigo is an alarming symptom that could indicate the existence of an unruptured intracranial aneurysms that predominantly causes non traumatic subarachnoid hemorrhage. Case: A 57-year-old woman came to the emergency room with decreased consciousness GCS E3V1M4 after falling in the bathroom 30 minutes before admission. Accompanying complaints were projectile vomiting. The patient had a history of chronic vertigo. History of hypertension, diabetes and smoking were denied. From physical examination neck stiffness, positive Brudzinski I, and right laterality were found. Non-contrast head CT scan findings showed subarachnoid and intraventricular hemorrhage. Leukocytosis (16,300/μL) and hypokalemia (2.8 mmol/L) were found in laboratory examinations. Mannitol, citicoline, acetazolamide, nimodipine, ketorolac, ondansetron, and ranitidine were given. The patient experienced clinical improvement after 18 hours of treatment in the ICU with GCS increase to E3V5M6. After 15 days of hospitalization, the patient experienced significant clinical improvement. Conclusion: Recognition of risk factors, early diagnosis, and management of subarachnoid hemorrhage are important in preventing morbidity and mortality and improving patient outcomes.

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