TES eee} NEUROPSYCHIATRY Medical Faculty Hasanuddin University Makassar, Indonesiaxy bs THE INDONESIAN JOURNAL OF MEDICAL SCIENCE (JURNAL SAINS KEDOKTERAN INDONESIA) Volume 1 No.6 Oktober 2009 ORIGINAL ARTICLES ‘THE ROLE OF COMPUTED TOMOGRAPHYSCANS (CT SCANS) IN PREDICTING © OUTCOME OF PATIENTS WITH ACUTE ISCHEMIC STROKE ‘Muhammad yas, Bachtiar Murtala, Amiruddin Aliah, Andi Asadul Islam, ham Jaya P. 309-321 BRAIN IMAGING OF CEREBRAL ATROPHY IN HYPOGONADAL © ELDERLY MEN WITH MILD COGNITIVE IMPAIRMENT. ka J. Wahjoepramono 322-332 ‘THE CORRELATION BETWEEN VOLUME AND LOCATION OF. © _ BRAINCTINFRACTION WITH CLINICAL GRADING (BARTHEL INDEX BASED) INACUTE ISCHEMIC STROKE SuciatiDamopol, Bacttiar Murtala, AmiruddinAliah, Muh iy. 339-342 ‘THE PROFILE OF PSYCHIATRIC DISORDERS PATIENTS REFERRED IN PSYCHIATRIC. © DEPARTMENT OF DRWAHIDIN SUDIROHUSODO HOSPITALS BETWEEN 2000-2004 M. Faisal rus, Imasanty 343-348 TUS.010, ANEW PRESCRIPTION OF ORIENTAL MEDICINE, ENHANCES 8-OH-DPAT- © INDUCEDEFFECTSINRATS ‘Andi Jayalangkara Tanra, S. Yamawaki 349-364 (CASE REPORT WEAKNESS IN THE LEFT SUPERIOR AND INFERIOR OF EXTREMITY DUE TO @ HYDROPNEUMOCEPHALUS Ibrahim Kamarullah, Andi Asadul Islam Tahir 356.359 REVIEWS, IMMUNOTHERAPY FOR GLIOBLASTOMA MULTIFORME © Harsan, Jlus July, Syantuddin Wahid, Eka J Wahjoepramono, Syamsu 360-367 INFLAMMATION PROCESS AND GLUKONEOGENESIS PROCESS @ = ATSEVEREHEADINJURY Wily Adhimaria, Asadul stam. 368-379ORIGINAL ARTICLE THE ROLE OF COMPUTED TOMOGRAPHY SCANS (CT SCANS) IN PREDICTING OUTCOME OF PATIENTS WITH ACUTE ISCHEMIC STROKE Muhammad llyas*,Bachtiar Murtala Amiruddin Aliah**, Andi Asadul Isiam***, liham Jaya P**** *Radiologi Department, “Neurology Department.“**Neuro Surgery Department, “Physiology Department, Medical Faculty, Hasanuddin University, Makassar, Indonesia P Corresponding author: radtkuh@yahoo.com ABSTRACT Background: The prevalence, incidence, mortality and morbidity rate of ischemia stroke patients is stil high. Objectives: To investigate the correlation between the focation and volume of the infarction in patients with acute ischemic stroke (AIS) ‘outcome. Methods: A hundred patients with AIS in several Hasanuddin University teaching hospitals in Makassar within one year were involved in the study. The AIS damage was assessed using the Canadian Neurological Scale (CNS) evaluation on the day of admission. Head CT Scan was performed within 168 hours of the stroke. Patients were evaluated with CNS results at day-10. Results: Stroke patient Participants were aged from 25 ~ 86 years (mean 59.2) and 58% ofthe patients were male, The time until hospital admission ranged from 1.5-168.0 hr. The result of a Spearman correlation test indicated that CNS obtained on day-10 had no correlation with age, onset of admission or the time when the head CT was done, However, CNS had @ negative correlation with the measured volume of infarction, The temporal infarction volume had the largest correlation coefficient (r=0.755) with CNS at day- 410. Lesion volume at the cut off point (cop) was 267.3 cc showed to has a good and bad prediction value 92.3% and 66.7%, respectively, temporal lobe cop 103.9 co has 99.3% and 57.1% respectively, frontal lobe cop 200.0 cc has 100.0% and 87.5% respectively, internal capsule COP 12,0 cchas 100.0% and 45.5% respectively and in thalamus cop 36.0 cc has $2.9% and 100.0%, respectively, Conclusion: The head CT Scan of the AlS patients demonstrated a potentially important role as a diagnostic as well as a prognostic tool. The volume and location of the lesion (infarction) as measured by head CT Scan can be used to predict the outcome of AIS. patients Key words: "T scan, stroke, infarction