1.SPINAL EPIDURAL ABSCESS ET CAUSA STAPHYLOCOCCUS PSEUDINTERMEDIUS: A RARE CASE REPORT
Dodik Tugasworo ; Happy Kurnia Brotoarianto ; Retnaningsih ; Aditya Kurnianto ; Yovita Andhitara ; Rahmi Ardhini ; Josep Rio Rambe ; Jethro Budiman
Journal of University of Malaya Medical Centre 2021;24(2):86-91
Background:
pinal epidural abscess (SEA) is a rare disease, difficult to detect, high defect rate, and can be lifethreatening. It is characterized by accumulation of pus in the epidural space causing suppression of the spinal cord and spinal roots. This study will describe a case of a 35-year-old man with SEA in Indonesia.
Case presentation:
A 35-year-old male with pain in the lumbar region 1, radicular pain according to thoracic dermatome 10, flaccid inferior paraplegia, hypoesthesia as high as thoracic dermatome 10, and retention of alviet uri due to SEA caused by Staphylococcus pseudintermedius confirmed by abscess culture. Management of this patient was through an operation, debridement, and administration of antibiotic.
Conclusion
This patient was diagnosed with SEA from anamnesis, physical examination, laboratory finding, and radiology finding. This case is rarely found and is a big problem for neurologists due to the difficulty of early diagnosis.
Pain
2.EPILEPSIA PARTIALIS CONTINUA AND INVOLUNTARY HAND MOVEMENT IN CHILDREN WITH SCHIZENCEPHALY: A CASE REPORT
Rahmi Ardhini ; Aris Catur Bintoro ; Amin Husni ; Dodik Tugasworo ; Retnaningsih ; Yovita Andhitara ; Aditya Kurnianto ; Jethro Budiman
Journal of University of Malaya Medical Centre 2022;25(1):13-17
Introduction:
Schizencephaly is a rare congenital malformation of cerebral cortical development. Epilepsia partialis continua and movement disorders often display abnormal movements with overlapping phenomenology in schizencephaly
Case Report:
A 6-year-old-girl with normal prenatal and labor history, presented with continuous left hand movement since 1-year-old. Neurological examination showed left spastic hemiparesis. Electroencephalography (EEG) showed sharp and spike wave in right temporoparietooccipital, frontocentrotemporal and centroparietal region. Cerebral magnetic resonance imaging (MRI) showed a cleft in right frontal lobe extending to the right lateral ventricle classified as open-lip schizencephaly, and an agenesis of septum pellucidum leads to monoventricular features, and polymicrogyria. She was treated with valproic acid, haloperidol, and regular physiotherapy.
Conclusion
This patient was diagnosed with schizencephaly from the anamnesis, physical examination, EEG, and cerebral MRI. The therapy of this patient was pharmacological treatment and physiotherapy.
Athetosis