Dewa Putu Wisnu Wardhana

Udayana University | UNUD · Department of Surgery

Introduction: Spinal cord injury (SCI) is a significant and transforming event, with an estimated annual incidence of 40 cases per million individuals in North America. Considering the significance of accurate diagnosis and effective therapy in managing SCI, Machine Learning (ML) and Robot-Assisted Gait Training (RAGT) technologies hold promise for...

Traumatic Brain Injury (TBI) has significantly increased both mortality and morbidity in developed and developing countries. Decompressive Craniectomy (DC) is an option when conventional treatments fail to reduce intracranial pressure (ICP) when brain edema occurs in TBI. This study aims to determine the relationship between DC and patients with TB...

Background: Headache is the most common symptom in patients with brain tumors, whereas a developing brain tumor generally increases intracranial pressure and brain edema. Brain tumors have symptoms including nausea, vomiting, seizures, neurological deficits, and mental status or consciousness changes. Heart rhythm disturbances can occur, including...

Surgical techniques for non-missile penetrating brain injuries (PBI) are challenging because they require good preoperative planning. Generally, extraction is performed ipsilaterally at the entry site. In certain cases, the extraction can be performed contralaterally through the inner end of the foreign body; however, this requires special consider...

The authors present an unusual case of a 32-year-old adult male with a capillary hemangioma, which developed within the left cerebellar parenchyma. The histopathological examination reveals a mass mostly formed by the proliferation of capillaries, lined by a layer of flat-plump endothelial cells, some branching and dilating large capillaries, formi...

Introduction: Traumatic brain injury (TBI) is the disease that causes the most common disability globally. The cisternostomy as adjuvant management of TBI lacks documentation. We aim to prove the effectiveness and safety of cisternostomy and decompressive craniectomy in managing traumatic brain injury. Methods: The search for published scientific a...

Coronavirus Disease-19 (COVID-19) is a highly transmittable disease. While the most common symptoms of COVID-19 include fever, cough, and fatigue, severe symptoms could feature acute respiratory distress syndrome and severe pneumonia. Reverse-transcription polymerase chain reaction (RT-PCR) remains the gold standard for diagnosing COVID-19. Unfortu...

Introduction: Filum terminal is a fibrous tissue to stabilize the position of the spinal cord, located in both intradural and extradural sections anchored caudally to the coccyx. Tumors located at the filum terminal are a rare case. Filum terminal does not have any spinal cord component, but tumours in that area can directly cause a significant neu...

Peningkatan jumlah penduduk diikuti peningkatan jumlah kendaraan bermotor sehingga meningkatkan kemungkinan terjadinya kecelakaan lalu lintas. Selain kematian, permasalahan lain yang ditimbulkan oleh kecelakaan adalah cedera tulang belakang. Cedera tersebut tidak hanya membebani kesehatan melainkan juga mempengaruhi sisi ekonomi, hubungan sosial, d...

Introduction and importance. Schwannomas are benign tumors that often occur in the medulla spinalis. It arises from the Schwann cells which form the sheath of peripheral nerves. Schwannomas comprise about 30% of primary intraspinal neoplasms and approximately 75% in intradural, 10% intra-extradural, and 15% extradural. Purely extradural schwannoma...

Background: Even though pericardiocentesis is a routine life-saving procedure for massive pericardial effusion, there is scarce data regarding risk factors predicting the outcome in patients undergoing pericardiocentesis. This study aimed to investigate the role of various clinical, demographic, and laboratory risk factors as a predictor of in-hosp...

Which conditions treated by neurosurgeons cause the worst economic hardship in low middle-income in countries? How can public health financing be responsive to the inequities in the delivery of neurosurgical care? This review article frames the objectives of equity, quality, and efficiency in health financing to the goals of global neurosurgery. In...

Traumatic brain injury is a common trauma. Traumatic brain injury is commonly followed by sleep disorder such as insomnia, hypersomnia and circadian rhythm disturbance. Sleep disorder can cause many complications, including the worsening of the brain injury prognosis. Insomnia occurs in 29% traumatic brain injury patient. Insomnia suspected due inj...

Coronavirus disease 2019 (COVID-19) is an emerging infectious disease caused by SARS-CoV-2 which attacks the respiratory tract and has been declared a global pandemic by the World Health Organization. The disease has a very wide clinical spectrum which can be manifested as asymptomatic to critical conditions. SARS-CoV-2 shows a neurotropism proven...

Which conditions treated by neurosurgeons cause the worst economic hardship among patients in low- and middle-income countries? Might a responsive health financing be the solution to the inequities in the delivery of neurosurgical care? In this review article, we attempt to answer these questions that are relevant to global neurosurgery. Based on t...

Objectives COVID-19, a global pandemic, affects neurosurgical care in Indonesia. This study has objective to propose guideline and algorithm recommendation for the management of TBI patients during this pandemic, which can be used flexibly at neurosurgery centers, both in Indonesia and throughout the world. Methods We performed retrospective Cohor...

Latar Belakang: Pandemi Corona Virus Disease 2019 (COVID-19) dengan penularannya yang sangat cepat di seluruh dunia berdampak terhadap perubahan pelayanan kesehatan di bidang neurologi sebagai upaya mendukung program pengendalian penyakit ini. Tujuan: Merumuskan rekomendasi panduan pemeriksaan neurologis untuk pelayanan teleneurologi. Diskusi: Peny...

Introduction: Neuropathic pain may arise from conditions that affecting the central or peripheral nervous system. This study was held to determine the difference P2X3 receptor expression in the dorsal horn of the spinal cord and pain threshold after estrogen therapy in neuropathic pain. Methods: This study design was an experimental research lab...

Objective: The authors, who are from Indonesia, Japan, Malaysia, the Philippines, and Taiwan, sought to illustrate the processes of training neurosurgeons in their respective settings by presenting data and analyses of the current state of neurosurgical education across the East Asian region. Methods: The authors obtained quantitative data as ke...

Background Patients with severe traumatic brain injury (TBI) usually required rapid evacuation and special care in the Intensive Care Unit for respiratory control, mechanical ventilation, neurosurgical evaluation, and intracranial pressure monitoring (ICP), but in areas with limited facilities not all of these are exist, so it is necessary to provi...

Background:Traumatic brain injury (TBI) has risen sharply, mainly due to increased use of motorized vehicles in countries with low and middle income. Traffic accidents are the main cause of TBI (60%) followed by falls (20%-25%) and violence (10%). Computed tomography (CT) is recommended for initial assessment in emergency services. Not only provide...

BACKGROUND: The management of the cervical canal stenosis as a result of ossification of the posterior longitudinal ligament (OPLL) is still evolving. Anterior and posterior approaches are still much in demand by the surgeons. In Japan, a posterior approach is more well-known to be used as the case OPLL is often on the populace. Single-door laminop...

Advances in neurosurgery techniques will increase decompressive craniectomy survivors significantly. These patients will undergo cranioplasty to correct the cranium defects. Cranioplasty has other advantages: to provide brain protection, to prevent, or to eliminate brain hemisphere collapse or cerebral herniation called post trephine syndrome. Ther...

Stroke is a world leading cause of death and disability in the field of neurology. Ischemic stroke occurs from the obstruction of blood flow to the brain and accounts for 85% of all strokes. Currently, the initial management of stroke to reduce the mortality rate is well known, resulted in increasing number of stroke survivor over the years. Howeve...

The nature of cervical spine motions consists of multiple components of the cervical spine, intervertebral disc, ligaments, and adjacent facet joints. Cervical spinal stenosis is disabling and this chronic degenerative disorder commonly occurs in middle age-elderly persons. Surgical options for those spinal cord disorders generally are the anterior...

The nature of cervical spine motions consists of multiple components of the cervical spine, intervertebral disc, ligaments, and adjacent facet joints. Cervical spinal stenosis is disabling and this chronic degenerative disorder commonly occurs in middle age-elderly persons. Surgical options for those spinal cord disorders generally are the anterior...

We performed a hospital-based survey of time to theatre, between arrival at the emergency room for acute surgery cases and surgery intervention, in nine subdepartments of surgery in Sanglah Hospital. The objective of this study was to obtain the determinant factors that affect the time to theatre of acute surgery cases in Sanglah Hospital. There we...

Background: Spinal cord injury (SCI) is the cause of severe neurological disability, and no satisfactory treatment is currently available. Evidence suggests that omega-3 polyunsaturated fatty acid (PUFA) could target some of the pathological mechanisms that underlie damage after SCI. In parallel, promising effect of alpha-tocopherol (vitamin E) als...

Metastatic breast cancer (MBC) to the cervicothoracic area of the spine is very rare cases. In this case report, we describe a case for this rare lesion. Case: a thirty-nine-year-old female with a history of weakness of the legs and pain in the upper back spine came to the hospital with history of breast biopsy with result of adenocarcinoma and pos...

Objective: Moyamoya disease is a condition that increases the risk of stroke and become the most frequent pediatric cerebrovascular disease in Japan. This is a prograssive disease. However, 􏱭􏱮􏱯􏱰􏱮􏱱􏱲􏱲􏱳􏱴􏱱􏱵􏱱􏱲􏱲􏱶 􏱷􏱱􏱸􏱮􏱱􏱹􏱲􏱱􏱷􏱶 􏱺􏱯􏱶 􏱻􏱼􏱽􏱾􏱶 􏱹􏱿􏱺􏱱􏱮􏱶 􏱲􏲀􏱮􏱰􏱳􏱸􏱹􏲁􏱶 intervention. Clinical Presentation: A 8-year-old boy presented with a 6-day sudden paralysis of right-ha...