The Incidence and Prevalence of Stroke by Cause in Indonesia Based on Global Burden of Disease Study 2019

Widyasari, Vita; Rahman, Ferry Fadzlul; Ningrum, Valendryani

doi:10.2991/978-94-6463-048-0_50

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…Spontaneous subarachnoid hemorrhage was less prevalent cause of stroke (5-10%) compared with ischemic and intracerebral hemorrhage, but it carries significant risk for morbidity and mortality. 5 Hunt and Hess described the survival rate of 70% for the mildest grade of aSAH (grade I), which was asymptomatic or mild headache with slight nuchal rigidity, and 100% for the worst grade of aSAH (grade V). 2 In addition, half of the aSAH cases involve productive-age individuals of less than 55 years old.…”

Section: Discussionmentioning

confidence: 99%

Flow diverter stent as a definitive endovascular strategy to obliterate acute spontaneous rupture of brain aneurysmal subarachnoid hemorrhage in elderly: a case report in Indonesia

Soetanto,

Usman

2024

Int J Res Med Sci

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Spontaneous rupture of brain aneurysmal subarachnoid hemorrhage (aSAH) is a debilitating disease, half of which occurs in individuals under 50 years old. Challenges in its management arise from the decision-making process regarding the preferred method of definitive aneurysm obliteration, whether through surgical intervention or endovascular approach. This study described the role of flow diverter stent as an effective endovascular approach to obliterate aSAH in the acute phase. A 70-yearold female presented with thunderclap headache, slight right hemiparesis, and pupillary-sparing left oculomotor palsy corresponding with ruptured brain aSAH. Endovascular management of flow diverter stent was preferred and inserted within the third day onset. Double antiplatelet was administered prior to and following the procedure. Three-day follow-up showed resolution of brain aSAH with no neurological sequelae. Flow diverter stent offers several advantages over coiling when treating wide-neck, giant, saccular, or fusiform aneurysm. It is also safer for elderly, especially with multiple comorbids, compared with clipping. However, it has risks of either parent/ distal artery occlusion due to its thrombogenic properties or the potential for rebleeding following dual antiplatelet administration. Effective management and thorough evaluation are essential to maximize the likelihood of favorable outcomes when employing this approach. Flow diverter stent is a promising endovascular management for ruptured brain aSAH, particularly in elderly with many comorbids and wide neck/ giant aneurysm at anterior circulation which is not candidate for coiling or clipping. It is also crucial to monitor, evaluate, and manage risk of rebleeding and thrombosis to ensure long-term success of this management approach.

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Section: Discussionmentioning

confidence: 99%

Flow diverter stent as a definitive endovascular strategy to obliterate acute spontaneous rupture of brain aneurysmal subarachnoid hemorrhage in elderly: a case report in Indonesia

Soetanto,

Usman

2024

Int J Res Med Sci

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“…Ischemic stroke accounts for 62.4% of all stroke cases [1]. In 2019, Indonesia had 93.3 deaths per 100,000 people, one of the highest incidence rates of stroke in Asia [2].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Head CT Scan Results in Stroke Cases During the Pre-Pandemic, Pandemic and Post-Pandemic of COVID-19

Mauliza,

Dwi Sensusiati

2024

IJRP

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Backgrounds: Stroke was the second-leading cause of death worldwide in 2019, with ischemic stroke being the most common type. In 2019, there were 77.19 million people globally who experienced ischemic stroke, with 63.48 million experiencing disability and 3.29 million experiencing death. It has been discovered that Covid-19 can increase the risk of stroke, with 1-6% of Covid-19 patients being diagnosed with stroke and a mortality rate of 30-40%. A head CT scan is a primary diagnostic tool for diagnosing stroke. As a result, researchers are interested in conducting a study to compare CT scan images of stroke patients before the pandemic, during the pandemic, and after the pandemic, both with and without COVID-19.Objectives: This study aims to compare stroke patients' CT scan images pre-pandemic, during the pandemic and postpandemic (with and without COVID-19) to identify any differences. Method: The data was collected retrospectively by examining the medical records of stroke patients and their CT scan data at the Radiology Department of Airlangga University. The patients were selected from three periods: pre-pandemic, pandemic, and post-pandemic. Patients were grouped into two categories during the pandemic and post-pandemic periods -stroke with and without COVID-19 -based on their PCR results. The comparison of CT scan images of the head was then conducted during these three periods. Results: From the results of head CT scans in the stroke group during the pre-pandemic, pandemic and post-pandemic periods both with and without Covid-19 and the stroke group with Covid-19, the highest number was small vessel ischemic stroke (63.1-67.8%), followed by large vessel ischemic stroke (7.5-23.1%) and bleeding stroke (0-20.6%) (P-value > 0.05), as well as the distribution of ischemic stroke in small vessels and large vessels, there is no significant difference statistically significant CT scan images of stroke patients in the post-pandemic period both without and with COVID-19. Conclusion:From the results of head CT scans in the stroke group during the pre-pandemic, pandemic and post-pandemic periods, both with and without COVID-19, and in the stroke group with COVID-19, there were no significant differences.

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“…Disability-adjusted life years (DALYs) increased by 32% and stroke mortality by 43% between 1990 and 2019. 2 One of the disabilities that was caused by the stroke is language disorder (3). Language disorder can manifest as fluently disorder, language comprehension disorder, repetition, item naming, reading, or writing.…”

Section: Introductionmentioning

confidence: 99%

Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report

Tiffany,

Ristinawati,

Nur Hanifa

2024

magna-neurologica

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Background: Stroke is the second leading cause of death in the world and the leading cause of disability worldwide. One of the disabilities is language disorder. Foreign Accent Syndrome (FAS) is a clinical condition associated with a noticeable change of accent, affecting verbal communication and social interaction skills. By identifying this case earlier, we hope the patient’s daily living is less disrupted. Case: A 54-year-old woman came with complaints of weakness and tingling in the right limbs accompanied by a change in language accent. Weakness in the right limbs was felt since 4 years ago, then 1 year later the patient began to experience a change in the speech accent, from a Javanese accent to a Madurese accent, where previously the patient had never lived or studied Madurese. The results of the neurobehavior examination showed the patient had disturbances in the language and memory domain. MRI revealed cerebral infarction in the bilateral hippocampi, small vessel ischemic in the bilateral frontal lobes, and corona radiata. Discussion: The accent change, known as FAS experienced by the patients, is thought to be due to neurological causes, which was stroke. In a study using a lesion network mapping approach, it was concluded that the lesion causing accent disorder was located within a single network in the bilateral frontal lobe. In line with the existing theory, the MRI results in this patient showed ischemia in the blood vessels of the bilateral frontal lobes.

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The Incidence and Prevalence of Stroke by Cause in Indonesia Based on Global Burden of Disease Study 2019

Cited by 4 publications

References 18 publications

Flow diverter stent as a definitive endovascular strategy to obliterate acute spontaneous rupture of brain aneurysmal subarachnoid hemorrhage in elderly: a case report in Indonesia

Flow diverter stent as a definitive endovascular strategy to obliterate acute spontaneous rupture of brain aneurysmal subarachnoid hemorrhage in elderly: a case report in Indonesia

Comparative Study of Head CT Scan Results in Stroke Cases During the Pre-Pandemic, Pandemic and Post-Pandemic of COVID-19

Patient with Foreign Accent Syndrome in Post Infarct Thrombotic Stroke: A Case Report

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