cover
Contact Name
Adinda Putra Pradhana
Contact Email
-
Phone
+628113601619
Journal Mail Official
nsmconline@gmail.com
Editorial Address
Jl. P.B. Sudirman, Dangin Puri Klod, Kec. Denpasar Bar., Kota Denpasar, Bali
Location
Kab. badung,
Bali
INDONESIA
Neurologico Spinale Medico Chirurgico
Published by Universitas Udayana
ISSN : -     EISSN : 26212064     DOI : https://doi.org/10.36444/nsmc
Core Subject : Health, Science,
Neurologico Spinale Medico Chirurgico (NSMC) is an open-access, single-blind peer-reviewed journal, published by Indonesian Neurospine Society (INSS) under the flag of Indonesian Neurosurgery Society (INS) and Faculty of Medicine, Udayana University. NSMC publishes articles which encompass all aspects of basic research/clinical studies. The journal facilitates, bridge and integrate the intellectual, methodological, and substantive diversity of medical knowledge, especially in the field of surgery, neurology, neurosurgery, spine, neuroanesthesia, medicine, and health. The journal appreciates any contributions which promote the exchange of ideas between practising educators and medical researchers all over the world.
Articles 66 Documents
Cerebellar abscess secondary to extradural internal protuberance epidermal cyst Marleen; Abubakar, Syafrizal; Maulana, Achmad Jana; Jusman, Michael Norman
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (730.543 KB) | DOI: 10.36444/nsmc.v2i2.4

Abstract

An Intracranial epidermoid cyst is a rare congenital anomaly developed because of dysembryoplasia during the third to fifth week of gestation. We describe the unusual epidermal cyst which originating extradurally in internal protuberance in which causes cerebellar brain abscess. Neurosurgical intervention is advocated to prevent the ongoing risk of significant complications. Meticulous care was taken to grossly excised all the pathologic tissue to avoid recurrence.
Unilateral laminectomy approach for total resection of intradural extramedullary spinal tumor Awyono, Steven; Mardhika, Putu Eka; Mahadewa, Tjokorda Gde Bagus; Wido, Akbar; Gaol, Hizkia Lumban; Wijaya, Intan Permata
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (796.537 KB) | DOI: 10.36444/nsmc.v2i1.5

Abstract

Spinal tumors found in about 5-15% of the central nervous system neoplasm. Intradural-extramedullary spinal cord tumors are one of the types that usually managed with total laminectomy but with many postoperative complications. A 76-year-old woman with paraplegia caused by intradural-extramedullary intraspinal tumor at thoracic 4 level. For this patient, we performed unilateral laminectomy without any fusion or stabilization from the left side then we performed total excision of the tumor. The surgery was successfully done with fast improvement of patient condition, minimal pain after surgery, no blood transfusion needed, shorter intensive care period needed, and fast recovery time are the prominent things in this case. Three days after surgery, the patient?s motoric power already improved and then the patient is permitted to go home at the fifth day.
Procalcitonin and white blood cell as predictors of urosepsis in urinary tract obstruction patients at Sanglah Hospital Denpasar Triwono, Gatot; Oka, Anak Agung Gde; Permatasari, Desy; Ryalino, Christopher
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.844 KB) | DOI: 10.36444/nsmc.v2i2.7

Abstract

Introduction: Patients with urinary tract obstruction are often accompanied by urinary tract infections. In some cases, it develops into urosepsis that increases mortality. Early detection capability is essential. The purpose of this study was to determine the role of serum procalcitonin (PCT), nitrite urine (NU) and white blood cell (WBC) as urosepsis predictors in patients with urinary obstruction. Methods: This is a cross-sectional study involving 36 samples carried out at our hospital using consecutive sampling technique from December 2016 to February 2017. Statistical analyses used were a bivariate test and multivariate test using Poisson regression. Results: From the bivariate test analysis, serum PCT level of ?0.25 ng/ml, positive result for NU, and a WBC amount of ?12,000 cells/mm3 were predictors for urosepsis. In the multivariate test, we obtained a PCT serum level of ?0.25 ng/ml, and WBC of ?12,000 cells/mm3 were true predictors of urosepsis in patients with urinary tract obstructions with infections. Conclusion: Serum PCT and WBC can be used as a predictor of urosepsis in patients with urinary tract obstruction.
Bilateral mirror-like image of cervical synovial cyst in adults Yudoyono, Farid; Herminawaty, Deasy; Hendra; Pratiwi, Dewi; Ramdhani, Nasofi Tri
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.93 KB) | DOI: 10.36444/nsmc.v2i2.8

Abstract

Cervical synovial cysts (SC), however uncommon, can cause radiculopathy and myelopathy. In this study, we report a case of a cervical synovial cyst presented as myelopathy. A 48-year-old man presented with gait disturbance decreased touch senses and increased sensitivity to pain below the C5 level. Magnetic resonance imaging revealed a 0.3-mm, bilateral mirror-like small cystic lesion in the spinal canal with cord compression at the C5-6 level. We performed a bilateral expansive laminoplasty of C5 using a posterior approach and completely removed the cystic mass. Histological examination of the resected mass revealed fibrous tissue fragments with amorphous materials and granulation tissue compatible with a synovial cyst. The patient?s symptoms resolved within 3 months after surgery. Although cervical SC is often associated with degenerative facet joints, clinicians must be aware that SC may lead to neurological deficits.
Hemopneumothorax associated with pneumorrachis following blunt chest trauma Mardhika, Putu Eka; Mahadewa, Tjokorda Gde Bagus; Aryanti, Citra
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (666.771 KB) | DOI: 10.36444/nsmc.v2i2.10

Abstract

Pneumorrhacis is a condition marked by the presence of air in the spinal canal. We present a rare case of pneumorrachis of the cervical to thoracic canal associated with hemopneumothorax and flail chest with subcutaneous emphysema that recovered remarkably after shaft clipping surgery and chest tube insertion only. Pneumorrachis can resolve by itself with conservative management. A 45-year-old woman suffered from chest pain and shortness of breath after fell at the hotel swimming pool. Further examination revealed rhonchi on left lung auscultation and asymmetry respiratory pattern. Computed tomography of the chest proved the presence of multiple rib fractures 4-9 left side, hemopneumothorax, subcutaneous emphysema. Accidentally, the CT showed intraspinal gas representing pneumorrachis extending from C6-T3. No neurologic deficit was found. She was treated conservative by supplemental oxygen only, no further neurological deterioration was detected. Follow up examination was uneventful and the symptoms resolved completely. Pneumorrachis was mostly found accidentally with a variety of underlying diseases, especially in the case of traumatic pneumothorax and fracture of the skull base. Pneumorrachis was managed conservatively and should be taken in attention in the presence of neurologic deficits.
Minimally Invasive Surgery: A Conceptual Review Dahlan, Rully Hanafi; Ompusunggu, Sevline Estethia; Yudoyono, Farid
Neurologico Spinale Medico Chirurgico Vol 1 No 1 (2018)
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Abstract

We are living in an era that performs minimally invasive approaches to many surgical aspects, and spine surgery is not an exception. Nowadays, minimally invasive spine surgery is a routine procedure in many countries around the world. It began in the mid-twentieth century and has now developed into a large feld of progressive spinalsurgery. This paper will review the philosophy, indications, patient selections, advantages, and disadvantages of minimally invasive spinal surgery
Cervical Myelopathy as the Most Common Symptoms in Patients Undergoing C-Spine Surgery in the Spine Division, Department of Neurosurgery, Cipto Mangunkusumo General Hospital, from January 2012 to December 2016 Saekhu, Mohamad; Pardede, Jeremia Prasetya; Aman, Renindra Ananda; Ichwan, Syaiful; Sadewo, Wismaji; Ashari, Samsul; Nugroho, Setyowidi
Neurologico Spinale Medico Chirurgico Vol 1 No 1 (2018)
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Abstract

Background: Cervical spine disease has the potential to reduce productivity in a?ected patients because of myelopathy and mood disorder (e.g. depression) which lead to decreasing of the patient?s quality of life.Objective: This study aims to elaborate on the most frequent symptoms and pathology of C-spine disease in patients who underwent a surgical procedure over the period time from January 2012 to December 2016.Method: This study is a retrospective. All patients who underwent surgery for the C-spine disease are included. The data was obtained from the records in our spine database.Result: The total number of surgical procedures for spine disease over the 5 years was 345 procedures, with 127 procedures in the C-spine which are the second most common procedures of spine surgery in Department of Neurosurgery FMUI. The C-spine diseases were more common in males, aged more than 50 years old. The most frequent disease or pathology is a degenerative disease, and yet, tumour cases show an increasing number and became the most common pathology in the year of 2016. The most common procedure is anterior cervicaldiscectomy and fusion (ACDF).Conclusion: Our study showed that the most common symptoms and pathology are myelopathies and degenerative disease respectively, which has similarity with another study in the term of the mostfrequent pathology and surgical procedure. The finding of the more advanced neurological condition by the time of surgery as the most common symptom is found to be contradictory with other studies in western countries.
Clinical predictors of intra-abdominal lesions in blunt abdominal trauma patients with the conservative treatment Parwata, I Gede; Wiargitha, Ketut; Golden, Nyoman; Permatasari, Desy
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
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Abstract

Background: Blunt abdominal trauma has a high rate of morbidity and mortality. Assessment of specific clinical symptoms such as abdominal traces, abdominal pain, gross hematuria, pelvic fracture, systolic blood pressure and pulse rate in blunt abdominal trauma patients can predict the presence of intra-abdominal injury, so the use of CT Scan in diagnostics may be selective. The purpose of this study was to determine the predictors of intra-abdominal lesions in patients with blunt abdominal trauma who were treated conservatively. Material and Method: This study used a cross-sectional design. Samples were taken from the medical records, from January 2015 to December 2016. The total sample was 124 patients, were analyzed using Chi-square and logistic regression. This study has passed ethical clearance from the institutional review board of our University Result: The results showed the mean age of patients was 33 years, the majority of patients were male (74.2%), and a negative CT scan was 39.5%. The clinical predictors of intra-abdominal lesions in CT scan of blunt abdominal trauma patients were: abdominal traces (OR: 11.252; 95% CI: 3.257-38.867; p <0.001), abdominal pain with VAS?5 (OR : 92.968; 95% CI: 14.604-591,837; p <0.001); and gross hematuria (OR: 9.377; 95% CI: 1.539-57.115; p = 0.015). Pelvic fracture, systolic blood pressure, and pulse rate were not statistically proven. Conclusion: Abdominal traces, abdominal pain, and gross hematuria are clinical predictors of intra-abdominal lesions. Predictors should be taken into consideration in decision making to perform an abdominal CT scan in blunt abdominal trauma patients treated conservatively.
Diagnostic validity of PULP (peptic ulcer perforation) score in predicting mortality in patient with operated perforated peptic ulcer in Sanglah Hospital- Denpasar Kurniawati, Inge; Wiargitha, I Ketut; Mahadewa, Tjokorda Gde Bagus; Jeanne, Bianca
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
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Abstract

Background: Perforated peptic ulcer (PPU) is one of the most common non-traumatic emergency cases in the emergency unit, and have a high mortality rate, more than 70% in the elderly. Accurate and early identification of high-risk surgical patients with PPU is important for triage and risk stratification. The objective of this study was to evaluate the mortality in patients with operated PPU. Methods: Between January 2015 to December 2016, 50 consecutive patients with PPU who performed laparotomy were studied retrospectively. This study was a diagnostic test to evaluate the validity of PULP (Peptic Ulcer Perforation) score to predict mortality in patient with operated PPU and determine the best cut-off point. Presentation ? or < 24 hours, age of 65 years old, the presence of preoperative shock, ASA score, the presence of AIDS or active malignancy, liver failure, concomitant use of steroids and serum creatinine > 14.7 g/dL were evaluated in PULP score. Results: The cut-off point for PULP the score in the present study is > 7, based on the optimal cut-off value, patients could be divided into low-risk patients (a score of < 7 points), and high-risk patients (a score of > 7 points). PULP score had 91.7% sensitivity, 65.4% specificity, and 78% accuracy in this study. Positive predictive value and negative predictive the values were 71% and 89.9%. Conclusion: The PULP score is sensitive to predict the mortality risk in patients operated for perforated peptic ulcer and can assist in risk stratification and triage.
Diagnostic validity of blunt abdominal trauma scoring system (BATSS) on blunt adominal trauma in Sanglah General Hospital, Denpasar, Bali Karjosukarso, Adityas Sukmadi; Wiargitha, I Ketut; Mahadewa, Tjokorda Gde Bagus; Juwita, Nova
Neurologico Spinale Medico Chirurgico Vol 2 No 1 (2019)
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Abstract

Background: Abdominal trauma is the third leading cause of death in trauma patients and can be found in about 7-10% of the total number of trauma cases. The Blunt Abdominal Trauma Scoring System (BATSS) provides a high-accuracy score system for diagnosing injury to intra-abdominal organs in blunt abdominal trauma patients based on clinical features, such as patient history, physical examination, and Focused Assesment with Sonography for Trauma (FAST). This studyaimed to determine the validity of the diagnostic value of BATSS score in cases of blunt abdominal trauma. Method: This research was conducted at Sanglah General Hospital, Denpasar with a total sample of 44 patients. The subjects were abdominal blunt trauma patients who meet the inclusion and exclusion criteria. This study was a retrospective study to determined the validity of the BATSS score. Result: Of the 44 patients, BATSS score ?12 was found at 34 (77.3%) and BATTS <12 scores of 10 (22.7%). For groups with BATSS score ?12, there were 32 (94.11%) patients. As for the group with BATSS score <12, there were 3 (30%) patients with organ rupture. A validity test of BATSS score obtained showed 91.4% sensitivity, 77.77% specificity, positive predictive value 94.1%, negative predictive value 70%. Conclusion: BATSS can be a tool of early identification and stratification of patients at high risk of the occurrence of intra-abdominal organ injury due to blunt abdominal trauma.