Indonesian Journal of Neurosurgery最新文献

筛选
英文 中文
Shifting of low-lying medullary cone position of spina bifida following reconstruction surgery 脊柱裂重建手术后低位髓锥位置的移位
Indonesian Journal of Neurosurgery Pub Date : 2021-08-15 DOI: 10.15562/ijn.v4i2.156
Samsul Ashari, Iqbal Rivai, H. G. Tobing, D. Tandian, S. Ichwan, W. Sadewo, Setyowidi Nugroho
{"title":"Shifting of low-lying medullary cone position of spina bifida following reconstruction surgery","authors":"Samsul Ashari, Iqbal Rivai, H. G. Tobing, D. Tandian, S. Ichwan, W. Sadewo, Setyowidi Nugroho","doi":"10.15562/ijn.v4i2.156","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.156","url":null,"abstract":"Background: Post-surgical evaluation is important for spina bifida patients with low-lying medullary cone including measurement of medullary cone position after being treated. This study aimed to evaluate contributing factors of medullary cone ascending following reconstruction surgery. Methods: This was a descriptive study including low-lying medullary cone spina bifida patients who underwent reconstructive surgery at the Department of Neurosurgery, Cipto Mangunkusumo Hospital, Jakarta, from May 2015 to May 2016. Preoperative and postoperative medullary cone position were evaluated using 1.5 Tesla Magnetic Resonance Imaging (MRI). Results: Eight low-lying medullary cone spina bifida patients who had reconstructive or untethering surgery were included in this study. We found six patients (75%) who had shifting of medullary cone level after surgery. Ascending of medullary cone level to L2 was found in 1 patient (12.5%) of pre-school age group, between 3 – 5 years old. All patients had intradural scar which were shown on post-operative MRI. Primary closure of duramater was performed to all patients. Post-operative MRI assessment at 6 months showed ascending of medullary cone 2 to 3 levels in most patients compared to those who had post-operative MRI assessment in less than 6 months. Conclusion: Age at surgery, surgical technique using primary closure of duramater, and timing of post-operative radiological examination affects shifting of medullary cone position following reconstructive surgery.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"53 50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134615180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aneurysmal bone cysts: Case report and literature review 动脉瘤性骨囊肿1例报告并文献复习
Indonesian Journal of Neurosurgery Pub Date : 2021-08-14 DOI: 10.15562/ijn.v4i2.105
L. Quintana-Pájaro, C. Blanco-Teheran, Daniela López-Cepeda, L. Moscote-Salazar, A. Pacheco-Hernandez, A. Agrawal, Harsh Deora, Alexis Rafael Narvaez-Rojas
{"title":"Aneurysmal bone cysts: Case report and literature review","authors":"L. Quintana-Pájaro, C. Blanco-Teheran, Daniela López-Cepeda, L. Moscote-Salazar, A. Pacheco-Hernandez, A. Agrawal, Harsh Deora, Alexis Rafael Narvaez-Rojas","doi":"10.15562/ijn.v4i2.105","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.105","url":null,"abstract":"Background: Aneurysmal bone cysts (ABC) are benign lesions with great vascularization and expandability. They represent approximately 1% of all bone tumors. These lesions are characterized by having multiple cavities filled with blood. In most cases, they are located in the thoracic and lumbar region. In this article, we aimed to present a clinical case and followed by review of relevant literature regarding pathophysiology, clinical, diagnostic and therapeutic aspects of this pathology. Case presentation: A 41-year-old woman came with chief complaint of developing pain in the left hip, right gluteal region, and right posterior thigh for last 10 months. We performed hip plain x-ray, which suggested a left hip injury. Further investigation using computed tomography and magnetic resonance imaging were performed and revealed tumor of the left hip. A biopsy guided by TAC was performed. The histopathologic examination revealed numerous small vascular spaces lined with endothelial cells, abundant pools of red blood cells were seen, and hemosiderin pigment was seen at places along with giant cells, which was suggestive of ABC. Conclusion: Aneurysmal bone cysts are lesions that represent a small percentage of the total osseous tumors. Sacral localization is rare and the manifestations are nonspecific.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117063684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acquired prothrombin complex deficiency: Case reports 获得性凝血酶原复合物缺乏:病例报告
Indonesian Journal of Neurosurgery Pub Date : 2021-08-13 DOI: 10.15562/ijn.v4i2.90
H. Widodo, N. K. Adji
{"title":"Acquired prothrombin complex deficiency: Case reports","authors":"H. Widodo, N. K. Adji","doi":"10.15562/ijn.v4i2.90","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.90","url":null,"abstract":"Introduction: Acquired prothrombin complex deficiency (APCD) is a spontaneous hemorrhage due to decreased activity of vitamin K dependent coagulation factor (factor II, VII, IX, and X). Many factors lead to vitamin K deficiency in newborns. We reported case reports of APCD which were successfully managed with APCD guidelines. Case presentation: First case was baby aged 1 month who came to emergency ward due to seizure four times. Seizures were occurred for 30 minutes and reported unconscious between episode of seizure. Head computed tomography (CT) scan examination revealed crescent shape appearance which suggested subdural hematoma (SDH). Second case was a 2 months old baby came to emergency department unconsciously since two days before. Patient has no history of vomiting and seizures. Non-contrast head CT scan showed appearance of crescent shape, which suggested presence of SDH. Both patients were managed according to APCD guidelines and had improved. Conclusion: Mild APCD has good prognosis and showing improvement in 24 hours after vitamin K injection. The mortality rate is very high in case of severe bleeding in intracranial, intrathoracic, and intraabdominal.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131654904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stimulation of vagal nerve in intracranial hypertension: A literature review 刺激迷走神经治疗颅内高压:文献回顾
Indonesian Journal of Neurosurgery Pub Date : 2021-08-13 DOI: 10.15562/ijn.v4i2.109
E. García-Ballestas, Yeider A. Durango-Espinosa, Romario Mendoza-Flórez, A. Agrawal, Harsh Deora, Liza Matallana-Ramírez, A. Joaquim, L. Moscote-Salazar
{"title":"Stimulation of vagal nerve in intracranial hypertension: A literature review","authors":"E. García-Ballestas, Yeider A. Durango-Espinosa, Romario Mendoza-Flórez, A. Agrawal, Harsh Deora, Liza Matallana-Ramírez, A. Joaquim, L. Moscote-Salazar","doi":"10.15562/ijn.v4i2.109","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.109","url":null,"abstract":"Background: Pathologies that affect the central nervous system (CNS) and increases intracranial pressure may develop into fatal outcomes. There are physiological properties of neurons that are susceptible to modify, such as neuronal plasticity. The vagus nerve stimulation (VNS) has focused on the modification of these variables in order to restore the homeostasis of the CNS. In this article, we aimed to review the general concept of VNS, the pathology of intracranial hypertension and the effects of combining treatment to the pathology. Literature review: VNS activates several neuromodulatory pathways and centers in the brain, which associated with plasticity. They are including cholinergic and noreadrenergic system, which are transcendental for neural plasticity. One of the mechanisms by which VNS decreases ICP is due to the attenuation of the systemic inflammatory response and the signaling of proinflammatory cells induced by TBI, whose possible mechanism is the inhibition of cytokines such as tumor necrosis factor (TNF), IL-1b, IL-6 and IL-18. In addition, it had been shown that VNS stimulated the locus coeruleus with a consequent release of noreepinephrine, which act as an endogenous anti-inflammatory agent. VNS requires neuroanatomical knowledge of the entire vagal network and its physiology. The surgery is relatively simple and the complication rates are very low conferring a great effectiveness in several neural diseases. Neural and non-neural pathways have been well-characterized to avoid the immune response through VNS. Conclusion: Different experimental studies have concluded that VNS reduces intracranial pressure, although the mechanism is not completely specified. Further studies evaluating the clinical role of VNS in intracranial hypertension are necessary.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"203 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114604776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High body mass index and high body fat percentage increase risk of meningioma among menopausal women 高体重指数和高体脂率增加绝经期妇女患脑膜瘤的风险
Indonesian Journal of Neurosurgery Pub Date : 2021-08-01 DOI: 10.15562/ijn.v4i2.136
Christian Permana, Roland Sidabutar, Selfy Oswari
{"title":"High body mass index and high body fat percentage increase risk of meningioma among menopausal women","authors":"Christian Permana, Roland Sidabutar, Selfy Oswari","doi":"10.15562/ijn.v4i2.136","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.136","url":null,"abstract":"Background: Meningiomas are the most common primary brain tumors. One known risk factor for meningioma is exposure to estrogen hormone. Body mass index (BMI) and high body fat percentage have been found to be associated with increased production of estrogen hormone particularly among menopausal women. This study was conducted to determine the effect of BMI and body fat percentage with increased risk of meningioma in menopausal women. Methods: This was a cross-sectional study which selected its subject using consecutive non-probability sampling method at Neurosurgery Department of Dr. Hasan Sadikin Hospital Bandung from December 2018 to November 2019. A total of 50 subjects were categorized into two groups, the menopausal and premenopausal groups consisting of 25 subjects each. Results: Menopausal women whose BMI was above the normal reference range had a 2.95 times greater risk of suffering from meningioma compared to those with normal BMI, and 1.312 times greater risk (95% CI 0.934-1.84) when compared to premenopausal women having higher-than-normal BMI. High body fat percentage in menopausal women was found to increase the risk of developing meningioma for up to 2.49 times compared with those with normal body fat percentage and had 1.36-time greater risk (95% CI 0.901 – 2.051) compared to premenopausal women with normal body percentage. Conclusion: Menopausal women with higher BMI and body fat percentage were at increased risk of developing meningioma for up to 1.3 times compared to premenopausal women with higher BMI and body fat percentage and nearly 2.5 – 3 times higher risk compared to menopausal women with normal BMI and body fat percentage.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125481317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of acute traumatic focal lesion on head CT scan in predicting outcome of mild traumatic brain injury patients 头部CT扫描急性创伤局灶性病变在预测轻度颅脑损伤患者预后中的作用
Indonesian Journal of Neurosurgery Pub Date : 2021-08-01 DOI: 10.15562/ijn.v4i2.150
N. Golden, Putu Eka Mardhika, I. Niryana, T. Mahadewa, S. Maliawan
{"title":"The role of acute traumatic focal lesion on head CT scan in predicting outcome of mild traumatic brain injury patients","authors":"N. Golden, Putu Eka Mardhika, I. Niryana, T. Mahadewa, S. Maliawan","doi":"10.15562/ijn.v4i2.150","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.150","url":null,"abstract":"Background: There is a controversy regarding the examination of head CT scan in Mild Traumatic Brain Injury (mTBI) patients with a GCS score of 15. We proposed that the presence of intracranial lesion in head CT scan is more important in predicting outcome of mTBI patients regardless of GCS score. This study aimed to determine the role of intracranial lesions in mTBI patients in predicting outcome of mTBI patients. Methods: This was a prospective cohort study conducted at Sanglah Hospital Denpasar Bali. Samples of patients with a diagnosis of mTBI with GCS score 14 – 15 were recruited consecutively. Data were calculated and analyzed statistically. Results: The presence of focal lesions on head CT scan had an adjusted RR of 3.75 in determining surgery after controlling the role of GCS (< 0.001). The presence of focal lesions on head CT scan had an adjusted RR of 13.9 in predicting poor outcome after controlling the role of GCS (p < 0.012). Conclusions: The presence of acute focal lesions on head CT scan has been shown to be a significant factor affecting the outcome and the need for surgery in mTBI patients. GCS is not proven to be a factor affecting the outcome and the need for surgery in mTBI patients.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"263 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123990514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suboccipital midline approach with C1 laminectomy and C2 partial laminectomy for anterolateral foramen magnum meningioma: A case report 枕下中线入路联合C1椎板切除术和C2部分椎板切除术治疗前外侧枕骨大孔脑膜瘤1例
Indonesian Journal of Neurosurgery Pub Date : 2021-08-01 DOI: 10.15562/ijn.v4i2.143
Ayu Yoniko Christi, Irfaanstio Akbar Hakim, V. Pangaribuan, Pandu Wicaksono, Andri Purnawan, Wisnu Baskoro
{"title":"Suboccipital midline approach with C1 laminectomy and C2 partial laminectomy for anterolateral foramen magnum meningioma: A case report","authors":"Ayu Yoniko Christi, Irfaanstio Akbar Hakim, V. Pangaribuan, Pandu Wicaksono, Andri Purnawan, Wisnu Baskoro","doi":"10.15562/ijn.v4i2.143","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.143","url":null,"abstract":"Introduction: Foramen magnum meningiomas (FMMs) arise from meningothelial cells of arachnoid layer in the craniospinal junction. FMMs are rare and comprise only 1.8 to 3.2% of all meningiomas. Patients with FMMs generally have vague symptoms and are often misdiagnosed. Surgical management of FMMs poses a challenge because foramen magnum is a highly complex territory of the skull base and contains many important and vital structures. Up until this date, the surgical approaches for FMMs that arise anterolaterally remain varied. We aimed to present a case of anterolateral FMM that was successfully managed through posterior suboccipital midline approach. Case presentation: A 49-year-old female presented with chief complaint of tetra paresis for the past 4 months. Initially, she was experiencing tingling and numbness on her right neck radiating to her right hand. Her symptoms were worsened, radiating to all of her four extremities along with progressive motor weakness that made her unable to walk. Whole spine MRI was performed and anterior meningioma extending to the right side at the level of foramen magnum was found. The posterior suboccipital midline approach with C1 laminectomy and C2 partial superior laminectomy was performed. The patient made a good recovery immediately after the surgery and there was no recurrence of her symptoms during 4 months follow-up. Conclusion: Surgical approaches for FMM remain varied according to several studies. However, the surgical strategy should be patient-tailored to achieve the maximal resection and prevent morbidity. As for our case, posterior suboccipital midline approach is safe and feasible surgical procedure to treat anterolateral FMM.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129464786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parietal giant cell glioblastoma with IDH1 mutation: A case report 伴有IDH1突变的顶壁巨细胞胶质母细胞瘤1例报告
Indonesian Journal of Neurosurgery Pub Date : 2021-08-01 DOI: 10.15562/ijn.v4i2.137
H. Bolly, A. Adam, H. Agustina, A. Faried, M. Arifin
{"title":"Parietal giant cell glioblastoma with IDH1 mutation: A case report","authors":"H. Bolly, A. Adam, H. Agustina, A. Faried, M. Arifin","doi":"10.15562/ijn.v4i2.137","DOIUrl":"https://doi.org/10.15562/ijn.v4i2.137","url":null,"abstract":"Background: Giant cell glioblastoma (GCG) is a primary glial tumor of the central nervous system. It accounts for < 1% of all glioblastoma and known as one of rare glioblastoma. It is correspondence a similar clinical feature to IDH-wildtype glioblastoma. We present a case with the diagnosis of GCG following tumor resection and histopathology examination using specific immunohistochemistry of IDH1 mutant staining. Case presentation: A 43-year-old male with progressive headache and left extremity hemiparesis. MRI with gadolinium contrast showed a mass at the right parieto-occipital lobes with the characteristic of iso-hyperintense signal on T1W sequence, central necrosis and enhancement of the gadolinium contrast. The T2W sequence showed a hyperintense signal in the mass. Craniotomy tumor removal was performed with prone position and total removal was achieved. Histopathology finding and the immunohistochemistry staining showed results of Glial Fibrillary Acid Protein (GFAP) positive, highly proliferation index which > 10% of Ki-67 staining and positive for IDH1-R132H mutant staining. The patient survived for 38 months since the tumor resection surgery and continuing the treatment with radiotherapy and chemotherapy. Conclusion: The role of the present therapy or IDH1 mutation status of the patient or both of them in prolonged survival time still has to be elucidated and remained a mystery.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130921185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Neutrophil Lymphocyte Ratio in Traumatic Head Injury Patients With and Without Intracranial Hemorrhage at Dr. M. Djamil Hospital M. M. Djamil医院颅脑外伤伴颅内出血患者中性粒细胞淋巴细胞比例的比较
Indonesian Journal of Neurosurgery Pub Date : 2021-04-30 DOI: 10.15562/ijn.v4i1.169
M. Hafiz, Syaiful Saanin, Hesty Lidya Ningsih
{"title":"Comparison of Neutrophil Lymphocyte Ratio in Traumatic Head Injury Patients With and Without Intracranial Hemorrhage at Dr. M. Djamil Hospital","authors":"M. Hafiz, Syaiful Saanin, Hesty Lidya Ningsih","doi":"10.15562/ijn.v4i1.169","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.169","url":null,"abstract":"Background: Head injuries occur evry 15 seconds worldwide, with patients dying every 12 minutes. The value of the Neutrophil Lymphocyte Ratio (NLR) is a factor that influences the assessment and prognostic value of patients with intracranial hemorrhage and without intracranial hemorrhage in head injury. Objective: The aim of this study was to determine the relationship between increased NLR based on severity of head injury patients with or without intracranial hemorrhage. Methods: This study is a retrospective cross sectional study of head injury patients with hemorrhage and without intracranial hemorrhage who were treated at Dr. M. Djamil Hospital Padang in 2020 from May to December 2020. Data was collected in the Medical Records Department of Dr. M. Djamil Hospital Padang who met the inclusion and exclusion criteria. Results: The results showed that there was a significant relationship between NLR levels in moderate head injury patients with hemorrhage (14,20) and without intracranial hemorrhage (7,20) (p value = 0.029), whereas in severe head injury it could not be assessed because there was no sample without hemorrhage. Conclusion: There is an association between increased NLR and intracranial bleeding in moderate head injury patients.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126668667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanical Thrombectomy for Acute Ischemic Stroke in Nonagenarian Patients: A Case Report from dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia 机械取栓治疗老年急性缺血性脑卒中:印度尼西亚雅加达国立医院Cipto Mangunkusumo医生一例报告
Indonesian Journal of Neurosurgery Pub Date : 2021-04-28 DOI: 10.15562/ijn.v4i1.148
A. P. Permana, Z. Nafisah
{"title":"Mechanical Thrombectomy for Acute Ischemic Stroke in Nonagenarian Patients: A Case Report from dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia","authors":"A. P. Permana, Z. Nafisah","doi":"10.15562/ijn.v4i1.148","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.148","url":null,"abstract":"Background: Mechanical thrombectomy is the recommended therapy for acute ischemic stroke (AIS) caused by large vessels occlusion within 6-24 hours since onset. However, previous trials about endovascular treatment for AIS only separated the population into <80 years-old and ≥80 years-old groups. Patients greater than 80 years old were found to be associated with poorer clinical outcome and increased mortality. However, in this study we reported a case of revascularization in nonagenarian (>90 years old) with acute ischemic stroke. Case Presentation: A 93-years-old man with chief complaint of sudden weakness of his left side extremities, slurred speech, and facial palsy since 3.5 hours before admission. In the ER, GCS was E4M6V5 with paresis of 7th and 12th left cranial nerve, and left lateralization of motoric strength. NIHSS score was 12 and code stroke was activated. CT scan showed large vessel occlusion in the right MCA. IV thrombolysis and mechanical thrombectomy was performed using stent retriever. Three clots were successfully removed and TICI 3 was achieved. Conclusion: Successful reperfusion in elderly and nonagenarian patients was ranging from 56-78% in several studies. Lower NIHSS at baseline, shorter delay between onset and reperfusion, high ASPECT score on initial brain imaging, and first-pass effect are good predictors of mechanical thrombectomy. Several complications including ICH could happen in 28% of cases but only 4-7% patients have symptoms.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"436 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116737512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信