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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 92 Documents
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NECK PAIN IN MOVEMENT DISORDERS: BURDEN OF CERVICAL DYSTONIA Raisa, Neila
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): 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.2024.005.01.1

Abstract

Cervical dystonia (CD) is a form of focal dystonia clinically manifesting as sustained or intermittent contractions of the neck muscles, resulting in abnormal movements, repetitive postures, or both, often leading to pain in most patients. This condition not only impacts patients' mobility, self-care, and daily activities but also presents with sensory and cognitive changes, contributing significantly to disability and social isolation. Despite being the most common type of focal dystonia with an incidence of 4.98/100,000 in Europe, CD is often underdiagnosed or misdiagnosed, leading to delays in appropriate treatment. This paper explores the epidemiology, clinical diagnosis, and assessment of pain in CD, highlighting the challenges in diagnosing this condition due to its similarity to other movement disorders.
CENTRAL VERTIGO DUE TO ISCHEMIC STROKE IN A YOUNG WOMAN: A CASE REPORT Salsabila, Tamara Amanda; Wirathmawati, Andina
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): 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.2024.005.01.2

Abstract

Background: Vertigo is a symptom that patients often complain about. Vertigo is divided into peripheral and central. One of the causes of central vertigo is ischemic stroke. Ischemic stroke generally occurs in elderly people, but in recent years there has been an increase cases in young people. In addition, the prevalence of stroke is more common in men than women, but recently there has been an increase cases in women. Case summary: A 25-year-old woman presented with sudden vertigo. Physical examination revealed obesity, bidirectional horizontal and vertical nystagmus, left hemiparesis, and hemihypesthesia. Head CT scan showed lacunar infarction in the right basal ganglia and periventricular. The patient was given antiplatelet and vertigo management. Conclusion: Vertigo should be differentiated between peripheral or central vertigo at the emergency department, as it will determine further management. Stroke can occur in young women. Therefore, it is important for clinicians to think about the diagnosis of stroke in patients with vertigo that occur in young women.
SECONDARY TRIGEMINAL NEURALGIA FROM ACOUSTIC NEUROMA : A CASE REPORT Pinzon, Rizaldy Taslim; Maharani, Regina Vika
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): 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.2024.005.01.3

Abstract

There are varying reports of 6 to 16% of patients with symptoms similar to trigeminal neuralgia having intracranial tumors. Acoustic neuromas are benign cerebellopontine angle (CPA) tumors that are most frequently responsible for TN-like symptoms. It has been claimed that magnetic resonance imaging can detect brain tumors with great accuracy (92% to 93%). We describe a case of an adult male patient who had trigeminal neuralgia and temporomandibular dysfunction, which were cured; nonetheless, an acoustic neuroma in the CPA was later discovered.
SEVERE POSTURE AND GAIT DISTURBANCE IN LUMBAR SPINAL STENOSIS: A CASE REPORT Lestari, Dwi Indriani; Anggraini, Vivid Prety; Pringga, Gutama Arya; Kurniawan, Shahdevi Nandar; Misnasari, Putri Priela
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): 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.2024.005.01.4

Abstract

One of the causes of low back pain is lumbar spinal stenosis (LSS). LSS is defined as a disorder resulting from degenerative processes leading to narrowing of the spinal canal. The nature of pain in LSS—the neurogenic claudication—was aggravated by upright or extended trunk positions, such as during walking, descending stairs, or simply standing. Patient self-adjustments in response to pain can induce further muscle disturbance and worsen the condition. A 56-year-old male suffering from poor posture with antalgic and Trendelenburg gait. The MRI showed multiple spinal canal stenosis with compression of the L4-S1 nerve roots affected the gait and worsened posture. Physical medicine rehabilitation (PMR) program—including the use of ultrasound diathermy for severe muscle spasm followed by muscle stretching, Transcutaneous Electrical Stimulation (TENS) for pain relief, Neuromuscular Electrical Stimulation (NMES) for muscle strength improvement and several therapeutic exercises—has proven beneficial in reducing patient’s symptoms thus correcting the posture and gait. At this point spinal canal narrowing is not only causing pain with neurological deficit but may lead to posture and gait disturbance that increasing the patient's disability. The use of physical modalities combined with exercise has been shown to benefit patients similarly to surgery but without invasive approach.
PERINEURAL INJECTION THERAPY AS INTERVENTIONAL PAIN MANAGEMENT IN POST HERPETIC NEURALGIA : A CASE REPORT Pringga, Gutama Arya; R, Rahmad; Pudji, Rosalyna; Kurniawan, Shahdevi Nandar; Suratmono, Mia Fajarningtyas
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): 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.2024.005.01.5

Abstract

Introduction: Post Herpetic Neuralgia is a neurological complication of herpes zoster resulting in neuropathic pain syndrome that worsens as a direct result of peripheral nerve damage that occurs during an attack of herpes zoster. It manifests as significant dermatomal pain or abnormal sensations and impacting various aspects of quality of life. Physically, patients may experience fatigue, anorexia, weight loss, insomnia, reduced mobility, and physical inactivity. Psychologically, it can lead to depression, anxiety, emotional burden, difficulty in concentration, and fear. Perineural Injection Therapy (PIT), developed by John Lyftogt, offers a treatment option for chronic neuropathic pain. Case Report: A 65-year-old male, currently unemployed for the past two years and previously worked as a tire repairman, came to the Husada Asih Clinic, with sharp, not radiating, and continuous left facial pain (VAS 9-10). He received treatment comprising Transcutaneous Electrical Nerve Stimulation (TENS) and Low Laser Light Therapy (LLLT) on the left face, combined with PIT injections using 5% dextrose at the left side of the face, targeting dermatomes left N V.1, V.2, V.3, and C3 , with repetition after three weeks. After the third injection, the pain at his left head was reduced (VAS 6). Pain at his left jaw and left neck reduced and became intermittently (VAS 5). Barthel Index : 20/20 (Independent). Discussion: The immediate clinical improvement in PIT administration is attributed to the sensorineural effects of dextrose. Clinically, pain decreases immediately or within 1-2 days after therapy. In this case, three series PIT resulted in significant pain relief, reduced burning sensation, improved left muscle motor function, full mouth opening, eased in eating and speaking, and the ability to resume social activities and work. Conclusion: Perineural injection therapy (PIT), previously developed by John Lyftogt, involves a series of subcutaneous injections using 5% dextrose in sterile water (D5W) near the affected nerve. This regenerative therapy offers pain control for PHN patients by targeting skin nerves as potential pain generators. PIT proves to be a valuable rehabilitation tool for managing PHN.
EFFECTIVENESS OF ADDITIONAL THERAPY OF MAHKOTA DEWA EXTRACT ON PAIN LEVELS OF OSTEOARTHRITIS PATIENTS Purwaka, Barlaam Bagus Purwaka; Pinzon, Rizaldy Taslim; S, Sugianto
Journal of Pain, Headache and Vertigo Vol. 5 No. 2 (2024): September
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.2024.005.02.02

Abstract

Osteoarthritis  is a form of arthritis that commonly occurs in the hands, hips and knees and affects the patient's level of pain. Osteoarthritis treatment currently uses conservative methods with NSAID therapy to reduce pain. However, long-term use has an impact on the digestive tract. Currently, traditional medicine is in great demand, such as the gods crown extract. The content of the gods crown extract can provide an alternative analgesic without side effects on the digestive tract. The purpose of this study was to measure the effectiveness of gods crown add-on therapy at the pain level of osteoarthritis patients at Bethesda Hospital, Yogyakarta. This study uses secondary data from the randomized clinical trial research design that has been conducted. The study was conducted within 2 weeks with 30 osteoarthritis patients as subjects at Bethesda Hospital, Yogyakarta. The instruments used were the Numerical Rating Scale and Subjective Global Assessment questionnaires. The results showed that there was a significant difference in the average pain level before and after therapy, both in the additional therapy group of Mahkota Dewa extract (p=0.001) and in the standard therapy group (Ibuprofen) (p=0.001). In addition, there was a significant difference in the average pain level where the additional crown of gods group had a larger average difference than the standard therapy (Ibuprofen) (p=0.013). This shows that the additional therapy of Mahkota Dewa extract is effective in reducing the level of pain which is greater in osteoarthritis patients at Bethesda Hospital Yogyakarta compared to the standard Ibuprofen therapy group.
CENTRAL POST-STROKE PAIN Kania Aviandi Savitri
Journal of Pain, Headache and Vertigo Vol. 5 No. 2 (2024): September
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.2024.005.02.04

Abstract

Central post-stroke pain (CPSP) is a severe neuropathic pain condition that arises due to direct cerebrovascular lesions affecting the central somatosensory system. It significantly impacts patients' quality of life, disrupting their ability to perform daily activities and maintain social interactions. Despite advancements in stroke treatment, CPSP remains a challenge due to its persistent nature and often inadequate management. CPSP is prevalent among stroke survivors and often underdiagnosed due to its varied and subjective pain characteristics. The diagnosis of CPSP requires careful clinical evaluation and neuroimaging to exclude other pain causes. A multidisciplinary approach combining pharmacological treatments, non-pharmacological therapies and physical therapy is recommended. This review provides an overview of CPSP, including its definition, epidemiology, risk factors, clinical presentation, diagnostic criteria, and treatment options.  
FACTORS ASSOCIATED WITH HEADACHES AMONG MEDICAL STUDENTS USING SMARTPHONES IN BURKINA FASO Dabilgou, Alfred Anselme; Kyelem , Julie Marie Adeline Wendlamita; Dravé , Alassane; Karama, Kabako; Napon, Christian; Millogo , Athanase
Journal of Pain, Headache and Vertigo Vol. 5 No. 2 (2024): September
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.2024.005.02.01

Abstract

Smartphone misuse can cause neurological disorders, such as headaches. The objective was to study the prevalence and factors associated with headache among smartphone users in the medical students at the University Joseph Ki-Zerbo. This cross-sectional study was conducted between September 1 and December 31, 2023. A sample of 480 students was enrolled in the Medicine School of the University Joseph KI Zerbo. Of the 480 participants, 203 (42.3%) were high smartphone users (>4 h/24 h) and 277 (57.7%) The mean age was 23 ± 3.3 years. The majority of the students were male (64.79%). The duration of smartphone use was longer than 10 years in most studies (57.2%). Social networks were the most common reasons for smartphone use (48.75%). The prevalence of headache was 43.1%. The headache was unilateral (68.6%), pressure-type (64.3%) and moderate intensity (74.4%). Tension headache was the most common type of headache (81.6%). The headache had a moderate disability level (48.3%). Permanent mobile Internet (Odds ratio: 4,56 and IC95%: 2,83 to 7,32 ; p<0,001), high smartphone use (Odds ratio: 3,17 and IC95%: 1,92 to 5,22 ; p<0,001 ) and male sex (Odds ratio: 0,42 and IC95%: 0,25 to 0,70 ; p < 0,001) were associated with headaches. Headaches were common in medical students using smartphones. The factors associated with headaches were permanent mobile Internet, high smartphone use and male gender.
FROM TOOTH TO TETANUS: A CASE REPORT ON TETANUS FOLLOWING AN ODONTOGENIC INFECTION Cindy Aprilia Eka Prasanty; Gianina Angelia Santoso; Nikmatul Choiriyah
Journal of Pain, Headache and Vertigo Vol. 5 No. 2 (2024): September
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.2024.005.02.05

Abstract

Tetanus is an infectious nervous system disease characterized by increased muscle tone, caused by the toxin of the bacterium Clostridium tetani (C. tetani). Tetanus infection generally starts from contaminated open wounds. However,we have found an unexpected consequence of tetanus with odontogenic infection as a potential port of entry. A sixty-year-old male patient with a cavity in the second molar of the lower right region complained of weakness and fever since one day before admission to the hospital. The patient's tetanus immunization status was unknown. On the first day of treatment, the patient's complaints progressed to jaw stiffness, inability to open the mouth, difficulty swallowing solid and liquid food, and stiff neck. Clinical signs showed trismus of 1 cm, stiff neck without meningeal signs, and abdominal muscular defense. The patient was diagnosed with tetanus based on clinical findings. Patient stabilization was initiated early to address the shock condition. The patient was administered human tetanus immunoglobulin 3000 IU intramuscularly in the gluteus, intravenous antibiotics ceftriaxone 1 g every 12 hours, and metronidazole 500 mg every 8 hours, diazepam through a syringe pump at a rate of 40 mg/24 hours, nasogastric tube placement, symptomatic and supportive therapy. The patient was admitted to a dark and quiet tetanus isolation room. Rapid diagnosis confirmation and appropriate therapy administration played a crucial role in determining prognosis. As a result, the patient survived and showed clinical improvement after five days of treatment.
CLINICAL MANIFESTATIONS OF ISCHEMIC STROKE IN VERTEBROBASILARY ARTERY INSUFICIENCY USING NON-CONTRAST CT-SCAN Hanson, Jevenzley Maxvell; S, Sudharmaji; Lestari, Dewi; Silalahi, Lothar Matheus Manson Vanende
Journal of Pain, Headache and Vertigo Vol. 5 No. 2 (2024): September
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.2024.005.02.03

Abstract

Stroke was the highest cause of death in the world in 2015. Stroke was the highest cause of death in Indonesia in 2019. DIY Province was ranked 2nd in most stroke cases in Indonesia in 2018. The severity level of the clinical manifestation of ischemic stroke due to vertebrobasilar artery insufficiency is the worst compared to other areas. This research uses a quantitative descriptive method with a retrospective design. The subjects of this research were ischemic stroke patients at Bethesda Hospital Yogyakarta for the period January 2023. This research used a total sampling technique. Vertebrobasilar artery insufficiency data was obtained from non-contrast CT-scan readings in an umbrella study by dr. Sudharmaji, Sp.Rad. Data on clinical manifestations were obtained from medical records. Data were analyzed using univariate tests with Microsoft Excel. There were 30 research samples with distribution of infarct locations in the cerebellum (6), medulla oblongata (1), occipital lobe (8), pons (15), thalamus (3), and patients whose focal parenchymal lesions were not clearly visualized (3). The distribution of clinical manifestations found was right ipsilateral hemiparesis (11), dysarthria (11), vertigo (11), left ipsilateral hemiparesis (8), alternans hemiparesis (1), dysphagia (2), diplegia (1), drop attack (1), polyuria (1), and others (1). The distribution of the most clinical manifestations is ipsilateral right hemiparesis, dysarthria, and vertigo.

Page 8 of 10 | Total Record : 92

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