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Korelasi Luaran dengan Ketebalan dan Lokasi Perdarahan Subaraknoid pada Pasien Cedera Kepala di RSUD Arifin Achmad Valentino, Andrea
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (65.048 KB) | DOI: 10.26891/JIK.v10i2.2016.92-97

Abstract

Subarachnoid hemorrhage (SAH)in head injury is a very common case. Research showed that 33% moderate andsevere head injury patients had SAH during initial CT scan. A prospective study was performed on 37 head injurypatients with SAH which had been treated in Arifin Achmad Hospital during January to June 2014 period. Bivariableanalysis that was used in this research was an unpaired categorical analytic statistical test, the chi square test. Meanwhile,multivariable analysis used was multiple logistic regression test. Significance was determined based on p value,which was d”0.05, and confidence interval (CI) of 95%. There were unfavourable outcome upon head injury patientswith SAH of >5mm thickness (p=0,028) and located at cerebral hemisphere and basal cistern (p=0,001). Thicknessand SAH location was found to be associated with head injury patient outcome. SAH thickness of > 5mm againstoutcome had a stronger association than location as a factor.
Laporan Kasus: Melanoma Maligna Intrakranial Primer Valentino, Andrea; Arridho, Rijalun
Jurnal Ilmu Kedokteran Vol 13, No 1 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.118 KB) | DOI: 10.26891/JIK.v13i1.2019.73-76

Abstract

Primary intracranial malignant melanoma is an extremely rare tumor. Most of the intracranial malignant melanoma aremetastatic from skin. Diagnosis needs multidisciplinary workup to exclude metastatic melanoma. We are reporting acase of young girl with decrease consciousness and tetraplegia. CT scan revealed a solitary tumor mass in the brain.Histopathological examination and confirmed by immunohistochemistry showed that the type of tumor was intracranialprimary malignant melanoma and by excluding metastatic melanoma. Tumor excision was performed in patient andadjuvant chemotherapy was given, but residual tumors were present multiple.
Abses Otak Valentino, Andrea; Angraini, Gebby Puspita
Jurnal Ilmu Kedokteran Vol 13, No 2 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v13i2.2019.4-15

Abstract

Cerebral abscess may rise from hematogenous spread, contiguous spread, or direct trauma. Some risk factors includepulmonary abcess or AV fistulas, congenital cyanotic heart disease, immune compromise, chonic sinusitis / otitis,dental problems. Symptoms are similar to any other mass lessions but tend to progress rapidly. Streptococcus is mostcommon organism that recovered, while up to 25% of cases sterile. Staging of cerebral abcess is very important todifferentiate therapeutic management based on clinical findings and imaging. Mortality and morbidity rate has beenreduced due to improvement in antibiotics, surgery and ability to diagnose.