DSpace Collection: 143 - 198

Transventricular transforaminal endoscopic fenestration with cysto ventriculoperitoneal shunt to manage a third ventricular arachnoid cyst: a case report

2024-09-21T02:58:50Z

Title: Transventricular transforaminal endoscopic fenestration with cysto ventriculoperitoneal shunt to manage a third ventricular arachnoid cyst: a case report Authors: Yuliatri, Nia; Ayke Widjaya, Ingrid; Harlyjoy, Alphadenti; Aditiara Wibawa, Gibran; Satyanegara, Satyanegara Abstract: Transventricular transforaminal endoscopic fenestration with cysto ventriculoperitoneal shunt to manage a third ventricular arachnoid cyst: a case report Nia Yuliatri, Ingrid Ayke Widjaya, Alphadenti Harlyjoy, Gibran Aditiara Wibawa, Satyanegara Medical Journal of Indonesia Case Report/Series ABSTRACT Regular ventriculoperitoneal (VP) shunt is commonly used as the first option to manage a third ventricular arachnoid cyst due to the lack of facilities, unfamiliarity with endoscopic techniques, or misdiagnosis as purely obstructive hydrocephalus. A 9-year old girl with obstructive hydrocephalus due to a third ventricular arachnoid cyst was treated with a VP shunt. 2 months later, the previous shunt device was removed due to an infection. Following a sterile cerebrospinal fluid analysis culture, we conducted a navigation-assisted transventricular transforaminal endoscopic fenestration and cysto-VP programmable shunt placement. A decrease in ventricular dilatation was seen on follow-up. This approach was justified due to the possibility of establishing communication with normal cisterns, the high rate of cyst elimination, and the potential for achieving shunt independence. Performing an endoscopic fenestration followed by cysto-VP shunt placement could be an optimal option for managing this condition. KEYWORDS cerebrospinal fluid shunt, endoscopic fenestration, transforaminal, transventricular

Atypical orbital primary optic nerve sheath meningioma with severe disfiguring proptosis: an alternative surgical approach

2024-09-21T02:44:48Z

Title: Atypical orbital primary optic nerve sheath meningioma with severe disfiguring proptosis: an alternative surgical approach Authors: Patrick, Sylves; Boon Tat, Yeap; Zarif Mohd Amin, Muhamad; Addenan, Maftuhim; Ab.Ghani, Shuaibah; Hanafi, Hanida Abstract: Atypical orbital primary optic nerve sheath meningioma with severe disfiguring proptosis: an alternative surgical approach Sylves Patrick1 , Yeap Boon Tat2 , Muhamad Zarif Mohd Amin3 ,Maftuhim Addenan3 , Shuaibah Ab.Ghani1 , Hanida Hanafi3,4 Medical Journal of Indonesia Case Report/Series ABSTRACT Primary optic nerve sheath meningioma is generally a benign tumor. In rare instances, however, the growth rate and intraocular and intracranial extensions can be highly aggressive, especially in children, leading to poor prognosis. Here, we reported a case of a 24-year-old woman who presented with left eye swelling for 3 years. This was associated with blurred vision, retrobulbar pain, and redness. On examination, the left eye was severely proptosed with complete ophthalmoplegia. Magnetic resonance imaging showed an extensive tumor occupying the whole left orbital cavity with a disfigured eyeball. However, no intracranial extension was observed. Interestingly, complete surgical excision was feasible via transconjunctival anterior orbitotomy without bone removal. The histopathological examination confirmed the diagnosis of optic nerve sheath meningioma. Adjunct radiotherapy was given. On a follow-up after 2 years, left enophthalmos with esotropia was observed. KEYWORDS enophthalmos, esotropia, meningioma, ophthalmoplegia

Characteristics of pressure injuries among geriatric patients at an Indonesian tertiary hospital: a cross-sectional study

2024-09-21T02:33:24Z

Title: Characteristics of pressure injuries among geriatric patients at an Indonesian tertiary hospital: a cross-sectional study Authors: Nadia Yusharyahya, Shannaz; Legiawati, Lili; Astriningrum, Rinadewi; Jonlean, Reganedgary; Andhira, Vega Abstract: Characteristics of pressure injuries among geriatric patients at an Indonesian tertiary hospital: a cross-sectional study Shannaz Nadia Yusharyahya1 , Lili Legiawati1 , Rinadewi Astriningrum1 , Reganedgary Jonlean2 , Vega Andhira2 Clinical Research ABSTRACT BACKGROUND Pressure injury develops due to sustained pressure at the bony prominence of the skin and tissues. Geriatric patients often have multiple comorbidities, predisposing them to pressure injury. Data on the characteristics of the geriatric with pressure injuries are still limited. This study aimed to report the characteristics of geriatric patients with pressure injuries admitted at a tertiary hospital in Indonesia. METHODS This cross-sectional study used medical records of geriatric patients admitted with all stages of pressure injuries consulted to the Department of Dermatology and Venereology at a tertiary hospital in Indonesia between January 2017 and April 2021. Pressure injuries were classified based on the 2019 National Pressure Injury Advisory Panel guideline. RESULTS 39 patients presented with varied pressure injury characteristics. The sacral region was the most reported site (36%), with stage 2 pressure injury being the most commonly found stage in the patients (74%). Interestingly, 22% of the patients had pressure injuries found on the atypical sites due to prolonged surgery or the pressure of medical devices. More than half of the patients used conventional dressings (51.3%). Immobility was found in 35.9% of the patients due to being bedridden. CONCLUSIONS No characteristics were found as a significant risk factor for pressure injury formation during or outside the admission period. However, a history of surgery might be related to pressure injury formation during admission. KEYWORDS geriatrics, Indonesia, inpatients, pressure ulcer

Vitamin D levels and depression in type 2 diabetes mellitus patients: a cross sectional study

2024-09-21T02:28:51Z

Title: Vitamin D levels and depression in type 2 diabetes mellitus patients: a cross sectional study Authors: Putranto, Rudi; Adhiatma, Kresna; Juli Edi Tarigan, Tri; Martin Rumende, Cleopas; Shatri, Hamzah; Rengganis, Iris; Nugroho, Pringgodigdo; Rinaldi, Ikhwan Abstract: Vitamin D levels and depression in type 2 diabetes mellitus patients: a cross sectional study Rudi Putranto, Kresna Adhiatma, Tri Juli Edi Tarigan, Cleopas Martin Rumende, Hamzah Shatri, Iris Rengganis, Pringgodigdo Nugroho, Ikhwan Rinaldi Clinical Research ABSTRACT BACKGROUND The prevalence of type 2 diabetes mellitus (T2DM) is increasing and commonly accompanied by comorbidities, such as depression. Vitamin D levels have been associated with T2DM and depression although the mechanism is uncertain. This study aimed to compare vitamin D levels between patients with T2DM with and without depression in the Indonesian community, where such research is rare. METHODS This cross-sectional study was conducted at Cipto Mangunkusumo Hospital. The participants who met the inclusion criteria on an outpatient basis were screened for depression using the Beck Depression Inventory-II (BDI-II) questionnaire and then divided into 2 groups: patients with T2DM with (BDI-II ≥14) and without (BDI-II <14) depression. Both groups were examined for vitamin D levels using the ELISA method, and an analysis of the mean difference between both groups was performed. RESULTS Of 60 patients, 23 (38%) experienced depression. The median vitamin D levels were 21.8 ng/ml (IQR 14.9–26.6) in the depression group and 26.5 ng/ml (IQR 23.96– 34.08) in the non-depression group (p = 0.001). After performing multivariate analysis with confounding variables, the adjusted OR of variables (sex, sun exposure score, and body mass index) was 1.123 (95% CI: 1.003–1.259; p = 0.045). CONCLUSIONS Vitamin D levels were significantly lower in patients with T2DM with depression. Future studies should be carried out to determine the benefits of vitamin D supplementation in patients with T2DM with depression and their pathophysiology. KEYWORDS depression, type 2 diabetes mellitus, vitamin D level