المؤلفون: Setiawan, Fariz Eka, Arifin, Muhamad Thohar, Prihastomo, Krisna Tsaniadi, Brotoarianto, Happy Kurnia, Risdianto, Ajid, Bakhtiar, Yuriz, Priambada, Dody, Andar, Erie Bambang Priyono Setyabudi, Muttaqin, Zainal

المصدر: Bali Medical Journal; Vol. 12 No. 3 (2023): Available online : 1 December 2023; 3322-3325 ; 2302-2914 ; 2089-1180

مصطلحات موضوعية: brainstem cavernoma, safe entry zone, surgery

الوصف: Introduction: Cavernous malformations of the brainstem are groups of dilated sinusoidal tracts. The surgical excision of cavernous abnormalities of the brainstem is high-risk and challenging. Clinical manifestations due to mass effect or hemorrhage, as well as MRI studies, have become valuable factors in determining the most appropriate procedure for brainstem cavernoma to achieve the safe entry zone of the brainstem. Case: A case report on a brainstem cavernoma is reported here. A 10-year-old male with a pontomesencephalic cavernoma is presented. The cavernoma was surgically removed using a lateral supracerebellar infratentorial approach. The safe brainstem entry point was obtained with an intraoperative neuromonitoring (IOM) in spite of a neuronavigation devices. Post-op MRI images revealed a small residual mass. The patient had a favorable surgical outcome and was discharged on day 5. Conclusion: Recognizing a microsurgical anatomical landmark and an intraoperative neuromonitoring instrument will be critical in preventing neurologic function injury.

وصف الملف: application/pdf

العلاقة: https://balimedicaljournal.org/index.php/bmj/article/view/4976/3141Test; https://balimedicaljournal.org/index.php/bmj/article/view/4976Test

الإتاحة: https://doi.org/10.15562/bmj.v12i3.4976Test
https://balimedicaljournal.org/index.php/bmj/article/view/4976Test

المؤلفون: Utomo, Endi Suryo, Arianto, Happy Kurnia Broto, Risdianto, Ajid, Priambada, Dody, Andar, Erie Bambang Priyono Setyabudi, Muttaqin, Zainal, Arifin, Muhamad Thohar, Prihastomo, Krisna Tsaniadi, Bakhtiar, Yuriz

المصدر: Bali Medical Journal; Vol. 12 No. 2 (2023): Available online : 1 August 2023; 2100-2105 ; 2302-2914 ; 2089-1180

مصطلحات موضوعية: Spinal cord tumor, meningioma, schwannoma, histopathology

الوصف: Link of Video Abstract: https://youtu.be/JhROjWPKuAcTest Background: Primary spinal cord tumors are rare central nervous system tumors that could develop at any age and have different management strategies based on the histopathological types. However, there is a lack of literature in Indonesia regarding the epidemiology and surgical treatment of patients with spinal cord tumors. This study aims to review and address the incidence of primary spinal cord tumors in Dr. Kariadi Hospital, Semarang. Methods: A retrospective descriptive study was conducted using medical records of patients with spinal cord tumors at Dr. Kariadi Hospital, Semarang, Central Java, from 2019 to 2022. The frequency of each tumor, classified by gender, age, histologic type, anatomical position, and location based on vertebral segment, was analyzed to provide a descriptive result. Data were analyzed using SPSS version 25.0 for Windows. Results: A total of 125 patients were identified with the mean age of patients being 43.95 ± 15.28 years old and a slight predominance of males (52.00%). Schwannoma (26.40%) and meningioma (24.80%) were the two most common histological types of tumors. Most of the tumor was intradural extramedullary (47.20%) and at the level of thoracic vertebrae (46.80%). The histologic type of the tumors was found to be associated with the patient’s age and the tumor’s anatomical position. Conclusion: The incidence of spinal cord tumors in Dr. Kariadi Hospital, Semarang, is dominated by meningioma and schwannoma, mostly located at the thoracal level with an intradural extramedullary position. There is a significant association between the histological type of tumor and the patient's age and the location of the tumor

وصف الملف: application/pdf

العلاقة: https://balimedicaljournal.org/index.php/bmj/article/view/4450/2895Test; https://balimedicaljournal.org/index.php/bmj/article/view/4450Test

الإتاحة: https://doi.org/10.15562/bmj.v12i2.4450Test
https://balimedicaljournal.org/index.php/bmj/article/view/4450Test

المؤلفون: Sartika, Dewi, Risdianto, Ajid, Saputro, Abdi, Brotoarianto, Happy Kurnia, Priambada, Dody, Muttaqin, Zainal, Andar, Erie Bambang Priyono Setyabudi, Arifin, Muhammad Thohar, Prihastomo, Krisna Tsaniadi, Bakhtiar, Yuriz

المصدر: Bali Medical Journal; Vol 10, No 1 (2021): (Available online : 1 April 2021); 373-376 ; 2302-2914 ; 2089-1180

مصطلحات موضوعية: spine, surgery, neurofibroma

الوصف: Introduction: Spinal tumors are rare lesions. The incidence of spinal tumors is about 0.5-2.5 cases per 100,000 population per year.1 Thirty percent of spinal tumors are located intradural. Twenty to thirty percent of intradural tumors are schwannoma and spinal neurofibroma.2 Surgery is the leading choice for schwannomas and neurofibromas that grow progressively or cause neurological deficits.2,3,4 Currently, minimally invasive surgery is developing rapidly, including minimally invasive surgery on spine surgery.Better outcomes are expected in endoscopic spine surgery compared to conventional spine surgery techniques.This paper aims to provide an overview of endoscopic procedures for the surgical removal of spinal tumors.Case description: A 59-year-old man presented paraplegia of both lower limbs. The patient complained difficulty walking for nine months before admitted to the hospital. The patient also complained of difficulty moving both of his legs, burning pain sensation, pain and numbness sensation that radiates from chest region to both of his toes, he felt that his chest was tied, and he complained hard to breathe when he feels pain. Complaints are getting worse until the patient was unable to walk. We found intra-dural extramedullary lesion from the MRI that was suspicious of a nerve cell sheath tumor. The patient underwent surgical treatment for tumor removal with an endoscopic technique, the cancer was complete. From the histopathology, the tumor was a neurofibroma tumor.Conclusion: Neurofibroma is one of the most frequently intradural extramedullary spinal tumors. Good imaging can guide the diagnosis and a good plan for manage patients with spinal tumors. Complete tumor resection provides a better prognosis in patients with neurofibromas. With endoscopic techniques, total spinal tumor removal surgery can be performed. The surgical procedure for spinal tumors using an endoscopic approach may be an option for spinal neurofibromas patients.

وصف الملف: application/pdf

العلاقة: https://balimedicaljournal.org/index.php/bmj/article/view/2184/pdfTest; https://balimedicaljournal.org/index.php/bmj/article/view/2184Test

الإتاحة: https://doi.org/10.15562/bmj.v10i1.2184Test
https://balimedicaljournal.org/index.php/bmj/article/view/2184Test