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Ramadhanti Salma Ulwanda
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Acta Neurologica Indonesia
Published by Universitas Indonesia
ISSN : -     EISSN : 30326303     DOI : https://doi.org/10.69868/ani.v2i02
Core Subject : Health, Science,
Medicine & Pharmacology Neuroscience Public Health
Acta Neurologica Indonesia is the official publication of the Department of Neurology, Faculty of Medicine, Universitas Indonesia under Directorate of Administration, Data, and Product Management of Research and Innovation Universitas Indonesia. This journal is published in trimonthly cycle with e-ISSN: 3032-6303. The Journal aims for continuous dissemination of updates in relation to neurology and its related fields in the form of original articles, case reports and reviews.
Arjuna Subject : Kedokteran - Neurologi Klinis
Articles 6 Documents
 1 
Search results for , issue "Vol. 2 No. 03 (2024): Acta Neurologica Indonesia" : 6 Documents clear
Transcranial Pulse Stimulation as a New Navigated Focal Brain Therapy for Vascular Cognitive Impairment: Case Report Gunawan, Andrie; Tiksnadi, Amanda; Tunjungsari, Dyah; Kathy Putri Sari, Christine
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.33

Abstract

Introduction: To evaluate the cognitive function of vascular cognitive impairment (VCI) after transcranial pulse stimulation (TPS) sessions Case Report: TPS is a non-invasive brain stimulation method. Stimulation was administered using NEUROLITH TPS generator (Storz Medical AG) with 3 Hz ultrashort pulses at 0.25 mJ mm-2 energy density over 12 sessions (6000 pulses per session), three times/week. Target areas included the bilateral DLPFC (1600 pulses per hemisphere), parietal regions (P3, P4) (800 pulses per hemisphere), and precuneus (PCu) (1200 pulses). Cognitive function tests were conducted before the first and after the last TPS session, including MMSE, MoCa-Ina, 15 Boston Naming Test Patient, Digit Span, CERAD (Visuoconstruction, Delayed Memory, Recognition, Verbal Fluency), and Trail Making Test A & B. Discussion: Case 1 was a 48-year-old man with VCI and dysphasia post-stroke infarct (10 months prior), affecting the left caudate nucleus, left lentiform nucleus, and left internal capsule. The patient presented memory and executive function issues but preserved recognition. Case 2 was a 62-year-old man with VCI and anomic aphasia, following a cerebral infarction 5 months prior affected the left putamen, corona radiata, internal capsule, and globus pallidus. After 12 sessions, Case 1 showed amplification in working memory but had executive function challenges. Case 2 demonstrated improvement in immediate memory, recognition, and visuoconstruction, but had lingering issues with delayed verbal, visual memory, and executive function. Conclusion: TPS stimulation of areas for cognitive function appears to enhance memory, recognition, and other cognitive function. TPS may be a novel add‐on therapy for VCI post-stroke patients.
Popeye Sign From Rupture Bisceps Brachii : A Case Report Tesalonika, La Luna Dinada
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.34

Abstract

Introduction : Biceps tendon rupture without trauma is rare. Most cases occur at the junction between the tendon and the labrum or at the bony attachment site. Advanced age, smoking, and corticosteroid use are common risk factors for tendon degeneration and tendinopathy. Case Report : A 68-year-old male from Java came in with abrupt discomfort and swelling in his right arm. After examining him and using ultrasound, we found that he had a ruptured biceps tendon. To treat this, we chose a conservative approach with physical therapy and non-steroidal anti-inflammatory drugs (NSAIDs). Initially, we applied ice, supportive bandages, and once the risk of bleeding decreased, we gave him NSAIDs and advised rest. After four weeks of treatment, the patient's condition improved. Conclusion : A case of total atraumatic rupture of the proximal biceps tendon is presented in this report. The significance of the "Popeye sign" as a pathognomonic indicator is emphasized. The absence of the tendon within the bicipital groove was confirmed through a shoulder ultrasound, thus validating the diagnosis
A Familial Hypokalemic Periodic Paralysis : A Case Report Rizaldy Taslim Pinzon; Larasati, Yutta
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.36

Abstract

Hypokalemic periodic paralysis is characterized by recurrent attacks of skeletal muscle weakness with related hypokalaemia which is a rare genetic disorder. There might be a limited weakness for some groups of muscle, or it might appear as severe muscle paralysis. The muscle cells increase the uptake of potassium, hence the decreasing of potassium’s mechanism. The case of a clinically diagnosis familial hypokalaemia periodic paralysis in a 9-year-old boy that we report is established in this proband that settle the consensus diagnosis criteria for primary hypokalaemia periodic paralysis according to previous review that’s been published. Key words: paralysis-hypokalemia-periodic-familial.
The Reliability Test Of Indonesian Wearing-Off Questionnaire-19 (WOQ-19) Aji, Jovan; Rizaldy Taslim, Pinzon
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.37

Abstract

Introduction : Wearing-off is a common complication that happen on Parkinson’s patient with dopaminergic therapy. Identifying when wearing-off occurs is important because it can help medication and increase patient’s quality of life. One of the instruments that can be used to help identifying wearing-off phenomenon is the Wearing-off Questionnaire-19 (WOQ-19). However, there is no translated version of Indonesian WOQ-19 that has been tested for it’s reliability. Objective : To measure the reliability of Indonesian Wearing-off Questionnaire-19 as an instrument to identify wearing-off phenomenon on Parkinson patient. Material and methods : The original version of Wearing-off Questionnaire-19 translated to Indonesian language with forward-backward translation procedure and approved by the original author. This is an observational; cross sectional study carried out at Yogyakarta Bethesda Hospital. Thirty Parkinson’s patients from October to December 2023 in medical records and the result of WOQ-19 Indonesian version. The reliability of the questionnaire were measured by Cronbach α and intraclass correlation coefficient. Result and Discussion : Study conducted on 30 Parkinson’s patients with mean age 70.73 ± 8.68 dominated by men 66.6% and mean duration of Parkinson’s disease 5.2 years. The Indonesian WOQ-19 showed good reliability with intraclass correlation coefficient of 0.796 (IC 95%) and good internal consistency with Cronbach alpha of 0.683. Conclusion : Indonesian WOQ-19 is reliable as an instrument that can be used to detect wearing-off phenomenon on Parkinson’s patients.
Neuropsychiatric Manifestation on Anti-NMDAR Encephalitis: A Case Report Andrew W, Tanuwijaya
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.39

Abstract

Introduction : Anti-NMDA (N-methyl-D-aspartate) receptor encephalitis (Anti-NMDAR Encephalitis) is a rare autoimmune disorder that primarily affects the central nervous system, which is characterized by complex neuropsychiatric disorders and the presence of Immunoglobulin G (IgG) against the NR1 subunit of the NMDA-receptor in the central nervous system. This disease is one of the most commonly diagnosed autoimmune encephalitis. Frequently misdiagnosed, an accurate examination is required. Case Report : A 24-year-old female presented with continuous seizures and psychiatric disorders such as hallucinations and behavioral changes. Physical examination revealed loss of consciousness, fever, positive meningeal sign, and involuntary movement in the mouth and left hand. Immunofluorescence test revealed positive anti-NMDA antibodies, lumbar puncture revealed pleocytosis, head contrast enhanced CT-scan suggests meningoencephalitis, and electroencephalography revealed ictal and interictal epileptiform discharges. The patient is diagnosed with the Anti-NMDAR Encephalitis. Discussion : Anti-NMDAR Encephalitis is a rare autoimmune encephalitis that affects the central nervous system because the body’s immune system mistakenly attacks the NMDA receptor in the brain. The main symptoms consist of a combination of neurologic and psychiatric symptoms. Treatment of this disease could include corticosteroids, Intravenous Immunoglobulin (IVIG), and plasma exchange if necessary, followed by supportive care to treat the symptoms. Conclusion : Anti-NMDAR Encephalitis is a rare form of autoimmune encephalitis that should be included in the differential diagnosis when facing a patient with neuropsychiatric disorder, especially in patients who have never experienced psychiatric symptoms before.
A Comprehensive Approach to Ending Bullying in Indonesia's Medical Residency Programs: A Policy Brief Pujiwati Permata Rima, Siti; Bumantari, Annisa Fitri; Nabillah, Bayuni Izzat; Malufti, Chandrika Najwa; Adhiguna, Gunawan; Hadianto, Henry; Kakisina, Jurika; Ikhromi, Noryanto; Amalia, Nur Izzaty; Fathana, rezka dwi; Jaehan, Risa; Putri, stefanie karina; Setiawan, Yosia Putra
Acta Neurologica Indonesia Vol. 2 No. 03 (2024): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v2i03.40

Abstract

Bullying is a pervasive issue in medical education and practice, affecting educators, residents, nurses, and students. In Indonesia, it has emerged as a significant concern, particularly within medical residency programs. Often described as a chronic problem, bullying in medicine negatively impacts patient care and is difficult to eradicate. It occurs both in professional settings and through digital platforms like WhatsApp and Telegram. Bullying in medical education takes various forms, including physical and non-physical, and often escapes the attention of faculty, universities, teaching hospitals, and victims' families. These acts, typically carried out by senior students in an organized manner, may be falsely perceived as part of the mentoring process, masking the harmful behavior.1

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