Space Occupying Lesions (SOL) of the Brain - Clinical Manifestation with Subtle Neurological Symptoms in Emergency Department

Ahmed, Sajjad; Naroo, Ghulam Yasin; Khan, Zafar; Ali, Zulfiqar; Nasim, Bina; Sheikh, Anis; Hussain, Sayed; Mathew, Laji; Rehman, Nayeem; Yadgir, Tanvir

doi:10.9734/jammr/2018/38701

JAMMR

2018

DOI: 10.9734/jammr/2018/38701

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Space Occupying Lesions (SOL) of the Brain - Clinical Manifestation with Subtle Neurological Symptoms in Emergency Department

Sajjad Ahmed

Ghulam Yasin Naroo

Zafar Khan

et al.

Abstract: A space-occupying lesion of the brain is commonly due to malignancy but could be other underlying pathologies as well [1]. The effects of SOL may be local or due to compression of adjacent brain structures. Patients may also have behavioral disturbances or cognitive dysfunction [2,3]. Aims & Objectives:1. To identify SOL patients presenting with elusive symptoms in Emergency Department. 2. To avoid diagnostic delay of SOL.

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Cited by 2 publications

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“…keganasan: primer atau metastasis, penyebab peradangan: abses, tuberkuloma, guma sifilis, granuloma jamur, infeksi parasit: sistiserkosis, kista terhidrasi, abses amuba, schistosoma japonicum, cedera otak traumatis: hematoma subdural & ekstradural, dan penyebab bawaan: dermoid, epidermoid, dan teratoma (Sajjad et al, 2018).…”

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Intervensi Elevasi Kepala Pada Pasien Dengan Space-Occupying Lesions (Sol) Due to Meningioma Post Operasi Kraniotomi Dengan Nyeri Kepala: Case Report

Handayani,

Fitri,

Pahria

2024

SJRI

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Space-occupying lesions (SOL) pada otak salah satunya dapat disebabkan oleh tumor otak. Pengobatan pada tumor otak yaitu operasi pengangkatan tumor dengan prosedur kraniotomi. Pasien post operasi kraniotomi dapat mengalami nyeri kepala sedang hingga berat. Memposisikan pasien elevasi kepala dapat menjadi salah satu cara dalam menurunkan nyeri kepala post kraniotomi. Tujuan: Studi kasus ini bertujuan untuk melakukan pemberian elevasi kepala pada pasien SOL supratentorial dengan convexity meningioma post operasi kraniotomi yang mengalami nyeri kepala. Metode: Metode yang digunakan yaitu case study (studi kasus) dengan pendekatan asuhan keperawatan (pengkajian, masalah keperawatan, rencana asuhan keperawatan, implementasi, dan evaluasi keperawatan). Sampel pada studi kasus ini yaitu satu pasien yang memiliki SOL supratentorial dengan convexity meningioma post kraniotomi. Hasil: Evaluasi yang didapatkan setelah pemberian intervensi elevasi kepala selama 4 hari yaitu adanya penurunan skala nyeri dari skala 6 menjadi 0 NRS (0-10) atau tidak nyeri. Kesimpulan: Tingkat nyeri kepala berkurang secara signifikan setelah diberikan intervensi elevasi kepala dengan kolaborasi pemberian ketorolac. Diharapkan studi kasus ini dapat menjadi acuan dalam penerapan elevasi kepala pada pasien dengan nyeri kepala akut post operasi kraniotomi untuk mengurangi tingkat nyeri kepala.

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Intervensi Elevasi Kepala Pada Pasien Dengan Space-Occupying Lesions (Sol) Due to Meningioma Post Operasi Kraniotomi Dengan Nyeri Kepala: Case Report

Handayani,

Fitri,

Pahria

2024

SJRI

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Anesthesia Management on 29 Weeks Pregnant Women with Intracranial SOL, Invasive Carcinoma Mammae and Bronchopneumoniaes

Paramita,

Kurniawan

2023

JAI b

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Background: Pregnancy gives whole different challenge for anesthesiologist because of we handle two lives at once. Brain tumor in pregnancy correlated with maternal mortality, prematurity and intra uterine growth restriction (IUGR). It makes delivery time, what kind of anesthesia technique we used choosen by the situation.Case: We report a case of anesthesia technique using general anesthesia (GA) to accommodate sectio cesarean transperitoneal profunda (SCTP) in a 29 weeks pregnancy age, G1P0A0 female patient, ASA IIIE with intracranial SOL suspect cerebri abscess multiple dd/ tuberculoma, invasive mammae carcinoma, and bronchopneumoniae.Disscussion: Space occupied lesion (SOL) is a lesion in intracranial space especially give effect to brain. In our patient with SOL from cerebri abscess multiple dd/ tuberculoma. It caused intracranial pressure increase and also spastic hemiparese dextra. Pregnancy termination was done depends on 29 weeks pregnancy with SOL in this patient. We used GA for cesarean section (CS). Anesthesia technique will be considered successful if new born baby activity, pulse, grimace, appearance, and respiration (APGAR) is good.Conclusion: Female G1P0A0, 32 years old, 29 weeks pregnancy age, single intrauterine fetus with intracranial SOL suspect cerebri abscess multiple dd/ tuberculoma, invasive mammae carcinoma, and bronchopneumoniae was consulted by Obstetrician to Anestesiologist to do CS with GA. During anesthesia and surgery, there was no complication. In this case, termination was done for baby and mother’s well being.

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Space Occupying Lesions (SOL) of the Brain - Clinical Manifestation with Subtle Neurological Symptoms in Emergency Department

Cited by 2 publications

References 16 publications

Intervensi Elevasi Kepala Pada Pasien Dengan Space-Occupying Lesions (Sol) Due to Meningioma Post Operasi Kraniotomi Dengan Nyeri Kepala: Case Report

Intervensi Elevasi Kepala Pada Pasien Dengan Space-Occupying Lesions (Sol) Due to Meningioma Post Operasi Kraniotomi Dengan Nyeri Kepala: Case Report

Anesthesia Management on 29 Weeks Pregnant Women with Intracranial SOL, Invasive Carcinoma Mammae and Bronchopneumoniaes

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