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INDONESIA
MNJ (Malang Neurology Journal)
Published by Universitas Brawijaya
ISSN : 24076724     EISSN : 24425001     DOI : -
Core Subject : Science,
Malang Neurology Journal is a peer-reviewed and open access journal that focuses on promoting neurological sciences generated from basic neurosciences and clinical neurology. This journal publishes original articles, reviews, and also interesting case reports. Brief communications containing short features of medicine, latest developments in diagnostic procedures of neurology disease, treatment, or other health issues related to neurology that is important also acceptable. Letters and commentaries of our published articles are welcome.
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Articles 16 Documents
Search results for , issue "Vol. 8 No. 2 (2022): July" : 16 Documents clear
RELATIONSHIP BETWEEN CLINICAL FINDINGS OF CARPAL TUNNEL SYNDROME WITH ENMG AND USG WRIST RESULT Masruroh Rahayu; Shahdevi Nandar Kurniawan; Neila Raisa; Farida Widyastuti
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.12

Abstract

Background: Carpal tunnel syndrome is symptomatic compression neuropathy of median nerve in carpal tunnel on wrist causes functional decreased in that area. CTS is diagnosed from clinical, physical examination, also from ENMG and USG wrist. This research aims to know about CTS characteristics and the relationship between clinical findings of CTS with ENMG and USG wrist results. Objective: This study aims to determine whether there is a relationship between the clinical findings of patients diagnosed with CTS and the results of ENMG and wrist ultrasound at the Neurology Polyclinic of Saiful Anwar Hospital, Malang. Methods: This research was descriptive observational. Data were collected from anamnesis and physical examination at Neurology Polyclinic Saiful Anwar Malang Hospital (RSSA) from April to December 2017, then examined by ENMG and USG wrist at RSSA. There are 27 patients suspected of CTS who meet inclusion and exclusion criteria. Results: From 9 months (April-December 2017) found 27 patients suspected CTS, about 19 patients (70,37%) were female and 7 patients (19,63%) were male. The majority of the age group is 25-65 years old (66,67%). Most of the occupations were housewives (48,15%). Patients most came with chief complaint of tingling (88,89%) with positive tinnel sign (77,78%), and most concomitant diseases were hypertension (48,15%). The ENMG results confirmed CTS about 92,59%, compared to the USG that confirmed CTS about 85,19%. Statistical analysis with Pearson Chi-Square test showed no relationship between clinical findings of CTS (Tinnel, Phalen, Counter Phalen, Flick test) with ENMG and USG wrist results. Conclusion: This research concluded no relationship between clinical findings of CTS with ENMG and USG wrist results.
COMBINATION OF PATHOLOGY OF THE BRAIN AND THE OPTIC NERVE Alexandra Safonenko; Elena Ioyleva; Evgeniya Kabanova; Tatiana Seregina
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.15

Abstract

The relevance of assessing the lesion of the visual analyzer with optic disc drusen and the possibility of identifying concomitant pathologies, increases with the introduction of the latest diagnostic techniques.In the S. Fyodorov Eye Microsurgery Federal State Institution, Moscow, a patient, 50 years old, complaining of episodic blurred vision. The diagnosis revealed the drusen of the optic nerve head and concomitant congenital neurological pathology. The patient was consulted by a neurosurgeon with the aim of delivering a diagnosis and determining treatment tactics. The diagnosis was made: Arteriovenous malformation of the deep arteries of the sections of the left parietal lobe. After assessing the size of the arteriovenous malformation, its location in the functionally important area of the brain, it was decided to follow up the patient in dynamics. 
BIOMARKERS AND PROGNOSTIC SCORING IN CEREBRAL MALARIA Orlando Pikatan; Ellen Ferlita Tirtana; Kezia Seraphine; Wienta Diarsvitri
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.14

Abstract

Malaria remains a public health concern and remain the deadliest in infectious disease in the world. Cerebral malaria is a particularly severe complication of this disease and associated with high mortality. This literature review is made up from 19 literatures consisting of journals, and book. The literature review used data base www.pubmed.com, and www.scholar.google.com using “cerebral malaria and biomarker, predictor of cerebral malaria and treatment of severe malaria”. The languages for this journal are English and Indonesian. From the collection of literatures in this literature review, severe consists of cerebral malaria, blackwater fever, acute kidney injury, pulmonary edema, electrolyte disturbance, hematology disturbance, and obstetrics emergency resulting from malaria which is postpartum hemorrhage. Cerebral malaria increases the mortality of the patient, so they have to be diagnosed early and treated precisely. Patients with infection of plasmodium falciparum and GCS<11 must be suspected as cerebral malaria. Biomarker examination such as Soluble ICAM-1, Specific muscle’s protein, Angiopoetin-1 and 2, and Plasma microparticles is the most precise way to detect malarial emergency earlier Coma Acidosis Malaria score is also found to be useful in predicting the prognosis in cerebral malaria. Early diagnosis should be made as early as possible to reduce mortality from malaria and its emergencies.
INDONESIAN PEOPLE RISK FACTORS OF NOCTURIA (TWO OR MORE VOIDS PER NIGHT) OLDER THAN 40 YEARS-OLD Besut Daryanto; Athaya Febriantyo Purnomo; Taufiq Nur Budaya; Seskoati Prayitnaningsih; Nadia Artha Dewi
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.6

Abstract

Background: Nocturia is a common urinary system disease. Objective: This study aimed to investigate the causes of nocturia in women Indonesian inhabitants aged≥ 40 years. Methods: A stratified sample strategy was used to conduct a randomized cross-sectional study on 562 residents under the age of 40 in Malang City, East Java, Indonesia. A questionnaire was completed, which included socioeconomic demographics, lifestyle characteristics, and clinical history. Each night, nocturia was defined as at least two voids. The chi-squared test was used to determine proportional differences between age and gender groups. Multivariate logistic regression analysis was used to assess gender-related factors. This was determined that P0.05 was statistically significant. Results: Data on 562 people aged 61.60 + 9.81 years eligible for statistical analysis at the end, comprising 185 (32.92%) men and 377 (67.08%) women. Overall nocturia prevalence was 31.8% (179/562). It rose significantly with age (P<0.001) and reached >48% in those above the age of 70. In both men and women, nocturia was linked with diabetes, hypertension, cardiovascular disease, and the overactive bladder symptom score (OABSS) (P0.05). There was no link discovered between nocturia and education, profession, civil status, BMI, female birth history, or the International Prostate Symptom Score. Conclusion: Nocturia is linked to aging, cardiovascular disease, hypertension, OABSS, and diabetes in Indonesians over the age of 40.
BREAST CANCER ASSOCIATED ANTI YO-ANTIBODY MEDIATED PARANEOPLASTIC CEREBELLAR DEGENERATION: CASE SERIES AND REVIEW OF LITERATURE Sanaullah Mudassir; Ashok Kumar; Neetu Sinha; Abhay Ranjan
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.13

Abstract

Paraneoplastic cerebellar degeneration (PCD) is a rare immune mediated disorder characterized by progressive cerebellar ataxia in presence of onconeural antibodies which occurs due to an indirect effect of underlying malignancy i.e. small cell lung cancer (SCLC), breast and gynecologic cancer, and Hodgkin lymphoma. In about 50% of patients neurological manifestation of Paraneoplastic cerebellar degeneration occurs prior to detection of carcinoma. Anti-Yo Antibody is the commonest antibody present in patients with Paraneoplastic cerebellar degeneration which is associated with breast carcinoma. We describe 3 female patients with anti YO antibody mediated PCD with breast cancer. One patient had a previous diagnosis of breast cancer with post mastectomy status one year back. Two of them presented with ataxia and on further examination, breast lump was found. All three patients had symmetrical ataxia with one patient had severely debilitating ataxia and was not able to walk unassisted. Magnetic resonance imaging brain showed cerebellar atrophy in two patients while one patient had normal MRI. Anti- YO antibody was strongly positive in all the three patients. All patients were given immunotherapy (corticosteroids in 2, Intravenous immunoglobulin in 1) with 1 patient showed modest improvement These case highlights the need to consider for workup for paraneoplastic cerebellar degeneration in female patients presenting with subacute to chronic progressive ataxia, so that the tumors can be detected and treated in early stage with a good outcome. 
AFFECTIVE BEHAVIORAL THERAPY (ABT): FUNDAMENTAL PRACTICE IN THERAPEUTIC LISTENING AND OCCUPATIONAL THERAPY FOR PRIMARY CARE WORKERS DURING THE COVID-19 PANDEMIC Ciro Blujus Dos Santos Rohde; Márcio Fernando Da Silva; Hermano Tavares
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.1

Abstract

Background: COVID-19 pandemics have triggered mental health problems in various communities. Primary healthcare workers (PHCW), are at the frontline of COVID-19 crisis, having to deal with infected patients and their families. Objective: To evaluate the efficacy of Affective Behavioral Therapy (ABT) for the treatment and prevention of mental health disorders for PHCW.  Methods: PHCW from a primary care unit (PCU) were invited to participate in an ABT group. They answered the Patient Health Questionnaire-4 (PHQ-4) about how they felt before the sessions and after them. Results: 10 sessions were offered between April and June 2020 and 30 PHCW participated, 22 women and 08 men mean age was 36.8 (SD=9.7) years old. The average number of participants per session was 4.4 (SD=2.2). Pre- and post-intervention PHQ-4 scores showed significant improvement in total score (p < 0.001). Conclusion: PHCWs mental health is strategic for the management of the community during crises related to natural crises. The ABT was effective in supporting the mental health of PHCW during the COVID-19 epidemic. Future controlled studies must be conducted in order to further test its efficacy.  Keywords: COVID-19, mental health, primary care, therapeutic listening, occupational therapy, affective behavioral therapy
PROFILE OF CHARACTERISTIC, RISK FACTOR, AND STROKE SEVERITY ON INFARCTION STROKE PATIENTS Aisyah Rizki Ramadhani; Mohammad Saiful Ardhi; Subur Prajitno
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.7

Abstract

Background: Stroke is the second leading cause of death and the third leading cause of morbidity. Therefore, it is important to know which risk factor that most patients have. Stroke can be divided according to its severity using NIHSS, NIHSS itself has strong ability to predict outcomes after stroke Objective: This study’s aim to learn about profile of characteristic, risk factor, and stroke severity on infarction stroke patients in ward Seruni A RSUD Dr. Soetomo from July 2018 – June 2019. Methods: This descriptive observational study’s samples are patients with infarction stroke in ward Seruni A RSUD Dr. Soetomo from July 2018 – June 2019. The observed profile include age, sex, ethnic, family history of vascular disease, history of hypertension, diabetes, heart disease, dyslipidemia, obesity, smoking, alcohol consumption, physical inactivity, and stroke severity. Results: From 200 patiens, 55% (110) are 56-70 years old. 61% (122) patients are male. 81 out of 96 are Javanese. 25 out of 135 have family history of vascular disease, 140 out of 194 have hypertension, 69 out of 190 have diabetes, 27 out of 183 have heart disease, 101 out of 174 have dyslipidemia, 62 out of 162 have obesity, 33 out of 82 smoke, 4 out of 63 consume alcohol, and 50 out of 55 are inactive physically. On admission, out of 60 patients, 27 have moderate stroke, 25 minor, and 8 moderate to severe. On discharge, out of 49 patients, 23 have moderate stroke, 20 minor, 3 moderate to severe, and 3 severe. Conclusion: Infarction stroke patients were mostly male and the peak incidence occur between 56-70 years old. Most patients have histories of hypertension, dyslipidemia, and diabetes. On admission and discharge, most patients have moderate stroke, followed by mild stroke.
CAN HOMEOPATHY BE A "REMEDY" FOR LOSS OF SMELL AND TASTE IN PATIENTS WITH COVID-19? Ulas Serkan Topaloglu; Ali Saz; Onur Tatar; Mustafa Oner Kucuk; Esma Eryilmaz-Eren
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.2

Abstract

Background: Homeopathy is applied as a supportive in the treatment of viral infections and in relieving their symptoms. Objective: To create an awareness that effective remedial results can be obtained by homeopathy in patients with loss of smell and taste in Coronavirus Disease 2019. Methods: A prospective, cohort and randomized study was conducted. The main inclusion criterion was the loss of smell and taste for at least one week. Homeopathic remedies were also applied as supportive therapy. Visual Analog Scale (VAS) was used to evaluate the loss of smell and taste perception before and after treatment. Results: A total of 30 patients, 32.17±10.25 years, were included in the study. The mean pre-treatment VAS-smell perception of the patients was 0.67±1.24, while the mean VAS-taste perception was 2.57±3.01. After the treatment, the mean of VAS-smell perception was 8.67±1.92, while the mean of VAS-taste increased to 9.43±1.22. There was a strong positive correlation between ΔVAS-smell perception and ΔVAS-taste perception (r: 0.563, p: 0.001). There was also a strong negative correlation between ΔVAS-taste perception and the level of ferritin (r: -0.552, p: 0.002). Conclusion: The present study on the effective improvement via homeopathy treatment in patients with loss of smell and taste in COVID-19 that “has spoiled the taste of life and living” should be supported by further studies.
THE COMBINATION OF HIGH FAT DIET AND MONOSODIUM GLUTAMATE ALTERING ADIPOGENESIS, BRAIN RESISTIN AND SERUM CORTISOL LEVEL IN FEMALE RAT Aris Widayati; Dewi Mustika; Yhusi Karina Riskawati; Agustin Iskandar; Nia Kurnianingsih
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.8

Abstract

Background: The prevalence of obesity is increasing tremendously worldwide. Obesity is correlated with the consumption of a high-fat diet (HFD) and monosodium glutamate (MSG). Although the effect of MSG or HFD on inflammation has been established, lack of information about the effects of both combination on simultaneous systemic and brain inflammation that can be evaluated from cortisol serum and brain resistin level respectively. Objectives: This study aimed to investigate the effects of combining HFD and MSG on brain resistin, serum cortisol, lipid profiles, visceral weight, and body weight gain. Methods: Sixteen adult female rats were randomized into 4 groups consist of standard diet; HFD+MSG 0.05 mg/gBW, HFD+MSG 0.2 mg/gBW and HFD+MSG 0.35 mg/gBW. Lipid profiles were measured using automatic biochemical analyzer. Brain resistin and serum cortisol level were determined using enzyme-linked immunoassay. Results: The groups of HFD+MSG significantly have higher level of brain resistin (p<0.003), serum cortisol (p<0.01), total cholesterol (p<0.003) and visceral fat weight (p<0.05) than control group. Conclusion: The combination of HFD, and MSG generates obesity that led to systemic-brain alteration on inflammation.  Further study is necessary to evaluate further the functional impact of both combinations on behavioral profiles.
NEUROPROTECTIVE EFFECT OF CINNAMON ACTIVE COMPOUNDS VIA ACTIVATION OF SIRT1: A MOLECULAR DOCKING APPROACH Umi Kalsum; Husnul Khotimah; Nurfaizah Titisari Sulihah; Theakirana Firdaus; Fitrah Aulia Lisabilla; Editya Fukata; Happy Kurnia Permatasari; Sri Andarini
MNJ (Malang Neurology Journal) Vol. 8 No. 2 (2022): July
Publisher : 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.02.9

Abstract

Background: Neurodegenerative diseases are the main cause of morbidity and disability in the elderly. SIRT1 activation has been gaining popularity as novel treatment target. Cinnamon is known to possess neuroprotective abilities, however the mechanism in which it protects the brain is still limited. Objective: This research aimed to determine the interaction between several cinnamon active compounds with SIRT1 Methods: We used in-silico method to determine the molecular interactions between cinnamon main compounds as the ligands to target protein SIRT1. SIRT1 3D structure was retrieved from the Protein Data Bank and 4 ligands (Cinnamaldehyde, Caffeic Acid, Epicatechin, and Trigonelline) structures were obtained from PubChem web server, and we used Resveratrol as positive control ligand. SwissADME, Pyrx, Pymol, and Biovia Discovery Studio software were utilized in this research Results: All four ligands fulfilled Lipinski Rule of 5 criteria therefore they are suitable for oral administration. It was discovered in this study that epicathecin had higher binding affinity than the control ligand Resveratrol and interacted with SIRT1 in the similar amino acid residue as Resveratrol did. The binding pocket interaction between all ligands and SIRT1 are the same. Conclusion: Epicathecin, as one of the main cinnamon compounds, may possess neuroprotective properties by interacting with SIRT1. We pproposed that further research be implemented to investigate epicathecin biological effects on SIRT1 in vitro or in vivo.

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