The Experts below are selected from a list of 9 Experts worldwide ranked by ideXlab platform
Fachrul Jamal - One of the best experts on this subject based on the ideXlab platform.
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perlukah central venous cathether cvc untuk pengelolaan anestesi reseksi Tumor Pineal Body dengan posisi parkbench
Jurnal Neuroanestesi Indonesia, 2019Co-Authors: Kulsum Kulsum, Zafrullah Kany Jasa, Fachrul JamalAbstract:Tumor Pineal Body di Indonesia termasuk kasus yang jarang dengan insidens 10% dari seluruh Tumor otak. Reseksi Tumor otak bisa dilakukan dengan berbagai posisi tergantung letak Tumor, operator dan fasilitas yang tersedia. Perdarahan pada kasus Tumor Pineal Body sekitar 5–10% sehingga pemasangan Central Venous Catheter (CVC) tergantung kebutuhan saat operasi. Tujuan laporan kasus ini untuk mengetahui apakah harus dipasang CVC pada kasus Tumor otak. Pengelolaan operasi reseksi Tumor Pineal Body dilakukan dengan posisi parkbench tanpa dipasang alat CVC dengan manajemen neuroanestesi. Seorang anak laki laki 10 tahun, berat badan 21 kg mengeluh nyeri kepala hebat, mual muntah, kejang kejang, mata menonjol, pandangan kabur, badan spastik telah dilakukan ventriculo peritoneal shunt (VP-Shunt) 3 bulan yang lalu. Premedikasi menggunakan midazolam dan fentanyl. Induksi menggunakan propofol dan ada penambahan saat laringoskopi dan intubasi. Fasilitas intubasi dengan atracurium. Pemeliharaan anestesi dengan O2+ udara+ sevofluran dengan fraksi oksigen 50% + Propofol dan atracurium secara kontinyu. Monitoring tanda vital (tekanan darah, denyut jantung, frekuensi nafas, saturasi oksigen, jumlah dan warna urin) serta end tidal CO2. Hasil reseksi Tumor Pineal Body selama 4 jam hemodinamik relatif stabil, tekanan darah sistolik berkisar 90–10 mmHg, tekanan darah diastolik 40-60 mmHg. Pengelolaan kasus reseksi Tumor Pineal Body dengan posisi parkbench tanpa pemasangan CVC tetap masih bisa dilakukan dengan syarat monitoring ketat dan atasi segera setiap permasalahan yang terjadi. Does it Need CVC for the Management of The Pineal Body Tumor with Parkbench Position? Pineal Body Tumors in Indonesia is a rare cases with 10% incidence of all brain Tumors. Brain Tumor resection can be done with various positions depending on the location of Tumors, operators and facilities available. Bleeding in case of Pineal Body Tumor is about 5-10% so the installation of Central Venous Catheter (CVC) depends on the need for operation. The purpose of this case report is to determine whether CVC should be installed in cases of brain Tumors. The management of Pineal Body Tumor resection surgery is done by parkbench position without CVC with neuroanesthesia management. A 10-year-old boy weighing 21 kg complained of severe headache, nausea, vomiting, convulsions, prominent eyes, blurred vision, spastic Body had been done Ventriculo Peritoneal Shunt (VP Shunt) 3 months ago. Premedication using midazolam and fentanyl. Induction uses propofol and there is addition in laryngoscopy and intubation. Intubation facility with atracurium. Maintenance of anesthesia with O2 + water + sevofluran with 50% + oxygen fraction + Propofol and atracurium continuously. Monitoring of vital signs (blood pressure, heart rate, breath frequency, oxygen saturation, amount and color of urine) and end tidal CO2. Resection of Pineal Body Tumor for 4 hours hemodynamically relatively stable, systolic blood pressure ranged from 90-110 mmHg, blood pressure diastolic 40-60 mmHg. Management of Pineal Body Tumor resection case with parkbench position without CVC installation still can be done with tight monitoring condition and solve immediately every problem that happened.
Keigo Endo - One of the best experts on this subject based on the ideXlab platform.
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fdg uptake in Pineal Body Tumor significant correlation with proliferative activity measured by ki 67 labeling index
The Journal of Nuclear Medicine, 2011Co-Authors: Sayaka Kodaira, Tetsuya Higuchi, Yukiko Arisaka, Azusa Nakazawa, Noboru Oriuchi, Keigo EndoAbstract:1234 Objectives In this study, correlations of FDG uptakes with the proliferative activity measured by the Ki-67 index are evaluated in cases with Pineal Body Tumor. Methods Seven patients with pienal Body Tumor were enrolled in this study. FDG-PET were performed within two weeks before biopsy or treatment of the lesions in all cases. As a semiquantitative analysis, standardized uptake values (SUV) of the primary Tumors were measured. Ki-67 labeling index of the resected Tumors were analyzed by immunohistochemical staining, and correlated with the clinicopathologic variables and the uptake of FDG. Results In the pathological analysis after surgery, 2 astrocytoma, 2 Pineal parenchymal Tumor, 1 metastasis, 1 germinoma and 1 pineocytoma were confirmed. In all 7 cases, FDG uptake were noted SUVmax=7-22.1). In 6 cases, correlation with FDG uptake and MIB1 index wereperformed and significant correlation was noted (r=0.867, p=0.0254) Conclusions Significant correlation of FDG uptake with proliferative activity in pienal Tumor was confirmed and it is suggested that FDG PET may be useful in the decision of therapeutic plan
Kulsum Kulsum - One of the best experts on this subject based on the ideXlab platform.
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perlukah central venous cathether cvc untuk pengelolaan anestesi reseksi Tumor Pineal Body dengan posisi parkbench
Jurnal Neuroanestesi Indonesia, 2019Co-Authors: Kulsum Kulsum, Zafrullah Kany Jasa, Fachrul JamalAbstract:Tumor Pineal Body di Indonesia termasuk kasus yang jarang dengan insidens 10% dari seluruh Tumor otak. Reseksi Tumor otak bisa dilakukan dengan berbagai posisi tergantung letak Tumor, operator dan fasilitas yang tersedia. Perdarahan pada kasus Tumor Pineal Body sekitar 5–10% sehingga pemasangan Central Venous Catheter (CVC) tergantung kebutuhan saat operasi. Tujuan laporan kasus ini untuk mengetahui apakah harus dipasang CVC pada kasus Tumor otak. Pengelolaan operasi reseksi Tumor Pineal Body dilakukan dengan posisi parkbench tanpa dipasang alat CVC dengan manajemen neuroanestesi. Seorang anak laki laki 10 tahun, berat badan 21 kg mengeluh nyeri kepala hebat, mual muntah, kejang kejang, mata menonjol, pandangan kabur, badan spastik telah dilakukan ventriculo peritoneal shunt (VP-Shunt) 3 bulan yang lalu. Premedikasi menggunakan midazolam dan fentanyl. Induksi menggunakan propofol dan ada penambahan saat laringoskopi dan intubasi. Fasilitas intubasi dengan atracurium. Pemeliharaan anestesi dengan O2+ udara+ sevofluran dengan fraksi oksigen 50% + Propofol dan atracurium secara kontinyu. Monitoring tanda vital (tekanan darah, denyut jantung, frekuensi nafas, saturasi oksigen, jumlah dan warna urin) serta end tidal CO2. Hasil reseksi Tumor Pineal Body selama 4 jam hemodinamik relatif stabil, tekanan darah sistolik berkisar 90–10 mmHg, tekanan darah diastolik 40-60 mmHg. Pengelolaan kasus reseksi Tumor Pineal Body dengan posisi parkbench tanpa pemasangan CVC tetap masih bisa dilakukan dengan syarat monitoring ketat dan atasi segera setiap permasalahan yang terjadi. Does it Need CVC for the Management of The Pineal Body Tumor with Parkbench Position? Pineal Body Tumors in Indonesia is a rare cases with 10% incidence of all brain Tumors. Brain Tumor resection can be done with various positions depending on the location of Tumors, operators and facilities available. Bleeding in case of Pineal Body Tumor is about 5-10% so the installation of Central Venous Catheter (CVC) depends on the need for operation. The purpose of this case report is to determine whether CVC should be installed in cases of brain Tumors. The management of Pineal Body Tumor resection surgery is done by parkbench position without CVC with neuroanesthesia management. A 10-year-old boy weighing 21 kg complained of severe headache, nausea, vomiting, convulsions, prominent eyes, blurred vision, spastic Body had been done Ventriculo Peritoneal Shunt (VP Shunt) 3 months ago. Premedication using midazolam and fentanyl. Induction uses propofol and there is addition in laryngoscopy and intubation. Intubation facility with atracurium. Maintenance of anesthesia with O2 + water + sevofluran with 50% + oxygen fraction + Propofol and atracurium continuously. Monitoring of vital signs (blood pressure, heart rate, breath frequency, oxygen saturation, amount and color of urine) and end tidal CO2. Resection of Pineal Body Tumor for 4 hours hemodynamically relatively stable, systolic blood pressure ranged from 90-110 mmHg, blood pressure diastolic 40-60 mmHg. Management of Pineal Body Tumor resection case with parkbench position without CVC installation still can be done with tight monitoring condition and solve immediately every problem that happened.
Yasuo Sakakura - One of the best experts on this subject based on the ideXlab platform.
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word deafness after resection of a Pineal Body Tumor in the presence of normal wave latencies of the auditory brain stem response
Annals of Otology Rhinology and Laryngology, 2000Co-Authors: Sawako Masuda, Kazuhiko Takeuchi, Kotaro Ukai, Hiromi Tsuruoka, Yasuo SakakuraAbstract:We studied the case of a 48-year-old woman who had resection of a Pineal Body Tumor in terms of postoperative audiological function. Postoperative magnetic resonance imaging disclosed partial inferior colliculi destruction and medial geniculate Body degeneration. A pure tone audiogram revealed only moderate sensorineural hearing loss, but her speech perception was totally impaired. The binaural sound localization function was also impaired. The auditory brain stem response (ABR) showed waves I, III, and V to have normal latencies. The amplitude of wave III was larger than that of wave V. These results support the view that the waves of the ABR are elicited from multiple sources in the auditory brain stem nuclei and tracts. This case suggests a substantial role for the inferior colliculus and medial geniculate Body in the processing of speech perception and sound localization.
Sayaka Kodaira - One of the best experts on this subject based on the ideXlab platform.
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fdg uptake in Pineal Body Tumor significant correlation with proliferative activity measured by ki 67 labeling index
The Journal of Nuclear Medicine, 2011Co-Authors: Sayaka Kodaira, Tetsuya Higuchi, Yukiko Arisaka, Azusa Nakazawa, Noboru Oriuchi, Keigo EndoAbstract:1234 Objectives In this study, correlations of FDG uptakes with the proliferative activity measured by the Ki-67 index are evaluated in cases with Pineal Body Tumor. Methods Seven patients with pienal Body Tumor were enrolled in this study. FDG-PET were performed within two weeks before biopsy or treatment of the lesions in all cases. As a semiquantitative analysis, standardized uptake values (SUV) of the primary Tumors were measured. Ki-67 labeling index of the resected Tumors were analyzed by immunohistochemical staining, and correlated with the clinicopathologic variables and the uptake of FDG. Results In the pathological analysis after surgery, 2 astrocytoma, 2 Pineal parenchymal Tumor, 1 metastasis, 1 germinoma and 1 pineocytoma were confirmed. In all 7 cases, FDG uptake were noted SUVmax=7-22.1). In 6 cases, correlation with FDG uptake and MIB1 index wereperformed and significant correlation was noted (r=0.867, p=0.0254) Conclusions Significant correlation of FDG uptake with proliferative activity in pienal Tumor was confirmed and it is suggested that FDG PET may be useful in the decision of therapeutic plan