Sanihah Abdul Halim
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View article: The Potential of Trigona Honey as a Supplementary Therapy for Vascular Cognitive Impairment in Patients with Acute Ischaemic Stroke
The Potential of Trigona Honey as a Supplementary Therapy for Vascular Cognitive Impairment in Patients with Acute Ischaemic Stroke Open
Background: Vascular cognitive impairment (VCI) is a common, yet often underrecognised, consequence of acute ischaemic stroke. Despite its prevalence, therapeutic strategies targeting VCI remain limited. Trigona honey, known for its antiox…
View article: Evolution of Stroke Care at Universiti Sains Malaysia Specialist Hospital, Malaysia (1983–2025): Progress, Challenges, and Future Directions
Evolution of Stroke Care at Universiti Sains Malaysia Specialist Hospital, Malaysia (1983–2025): Progress, Challenges, and Future Directions Open
Stroke remains a significant global health burden and is the third leading cause of mortality in Malaysia. Despite advances in the management of acute ischaemic stroke through reperfusion therapies, such as intravenous thrombolysis and end…
View article: Stroke Chameleon: Acute Bilateral Middle Cerebral Artery Infarct Complicated with Acute Pulmonary Oedema
Stroke Chameleon: Acute Bilateral Middle Cerebral Artery Infarct Complicated with Acute Pulmonary Oedema Open
Acute bilateral middle cerebral artery (MCA) infarctions are an extremely rare event. However, it can cause disruption of bilateral corticothalamic networks leading to coma. Detection of this condition is challenging as the early ischemic …
View article: Development of an Updated National Protocol for the Use of Disease-Modifying Treatments in Multiple Sclerosis: A MOH-MOE Steering Committee Initiative in Malaysia
Development of an Updated National Protocol for the Use of Disease-Modifying Treatments in Multiple Sclerosis: A MOH-MOE Steering Committee Initiative in Malaysia Open
View article: The Brain as a Black Body in a Black Box
The Brain as a Black Body in a Black Box Open
The cranium houses the brain, and layers formed by the scalp, cranial bones, and meninges protect it from external energy, including light. Therefore, the brain can be viewed as a black body in a black box. The layers also protect the brai…
View article: Acute Delirium in a Patient with Underlying Extra-nodal Diffused Large B-cell Lymphoma Post-initiation of Meropenem: A Case Report
Acute Delirium in a Patient with Underlying Extra-nodal Diffused Large B-cell Lymphoma Post-initiation of Meropenem: A Case Report Open
View article: Bilateral Middle Cerebellar Peduncle Infarction Presenting With Vertigo and Hearing Impairment Mimicking Peripheral Vestibulopathy
Bilateral Middle Cerebellar Peduncle Infarction Presenting With Vertigo and Hearing Impairment Mimicking Peripheral Vestibulopathy Open
Bilateral middle cerebellar peduncle (MCP) infarction is a rare manifestation of ischemic stroke. We report a middle-aged male patient who presented with acute onset of vertigo, left ear deafness, and severe ataxia. Magnetic resonance imag…
View article: Elderly Care Provision under National Policy on Older Persons 2013: A Cross-Sectional Study in Dhaka City, Bangladesh
Elderly Care Provision under National Policy on Older Persons 2013: A Cross-Sectional Study in Dhaka City, Bangladesh Open
Bangladesh is undergoing a notable demographic transition, characterized by a substantial rise in the proportion of elderly individuals within its population. This demographic transition presents a range of economic, social and cultural is…
View article: Roles of arterial spin labelling in cognitive impairment: Case series
Roles of arterial spin labelling in cognitive impairment: Case series Open
View article: Intra-axial Cortical-Based Tumour Presented as Homonymous Hemianopia in a Young Patient: A Diagnostic Dilemma
Intra-axial Cortical-Based Tumour Presented as Homonymous Hemianopia in a Young Patient: A Diagnostic Dilemma Open
Intra-axial cortical-based tumours are rare tumours affecting children and young adults. These tumours can be classified as either low-grade or high-grade, depending on their aggressiveness and rate of growth. We report a case of homonymou…
View article: An Approach to the Examination of the Lumbar Plexus for Neurosurgical Residents: A Video Manuscript
An Approach to the Examination of the Lumbar Plexus for Neurosurgical Residents: A Video Manuscript Open
The lumbar plexus provides innervation to the lower limbs and is essential in enabling motor movement and sensation in the lower limbs. Some of its branches also innervate the muscles in the pelvic girdle. Compared to the brachial plexus i…
View article: A Case Report of Bilateral Optic Perineuritis With Idiopathic Intracranial Hypertension: Challenges in Diagnosis and Management
A Case Report of Bilateral Optic Perineuritis With Idiopathic Intracranial Hypertension: Challenges in Diagnosis and Management Open
View article: Persistent Intracranial Hypertension and Severe Hypoglycorrhachia in an Adult With Giant Congenital Melanocytic Naevi
Persistent Intracranial Hypertension and Severe Hypoglycorrhachia in an Adult With Giant Congenital Melanocytic Naevi Open
A 29-year-old female, with giant congenital melanocytic naevi (GCMN) presented with a-year history of symptoms and signs of intracranial hypertension. Investigations revealed raised cerebrospinal fluid (CSF) pressure and severe hypoglycorr…
View article: Examination Approaches to Brachial Plexus Injury for Neurosurgical Residents
Examination Approaches to Brachial Plexus Injury for Neurosurgical Residents Open
Background: Brachial plexus injury is a severe peripheral nerve injury that affects the upper extremities and causes functional damage and disability. A detailed and accurate clinical examination is required to accurately localise the site…
View article: Intracranial Aneurysm: A Rare Neurological Finding in Ankylosing Spondylitis
Intracranial Aneurysm: A Rare Neurological Finding in Ankylosing Spondylitis Open
Ankylosing spondylitis can present with various extra-articular manifestations. Vascular complications due to aortic aneurysm or aortitis have been documented. However, an association with intracranial vascular aneurysm is rarely reported.…
View article: Preparing Malaysia for Population Aging through the Advanced Memory and Cognitive Service in Hospital Universiti Sains Malaysia
Preparing Malaysia for Population Aging through the Advanced Memory and Cognitive Service in Hospital Universiti Sains Malaysia Open
Improving healthcare and living conditions has led to an increase in life expectancies and challenges of population aging in Malaysia. The Advanced Memory and Cognitive Service builds on integrated healthcare among multidisciplinary specia…
View article: Structured Manual Muscle Testing of the Lower Limbs
Structured Manual Muscle Testing of the Lower Limbs Open
An accurate and reliable neurological examination is pivotal in diagnosing patients with neurological and neurosurgical conditions. Despite the advancement of neuroscientific knowledge and the ever-progressing technologies and modalities t…
View article: Pain as a Guide in Glasgow Coma Scale Status for Neurological Assessment
Pain as a Guide in Glasgow Coma Scale Status for Neurological Assessment Open
Neurological status is essential and often challenging for neurosurgical residents and also for neurosurgeons to determine surgical management. Pain as a component of the Glasgow Coma Scale (GCS) can be used as a tool in patients, especial…
View article: HYPERGLYCAEMIA-INDUCED MOVEMENT DISORDER
HYPERGLYCAEMIA-INDUCED MOVEMENT DISORDER Open
INTRODUCTION/BACKGROUNDDyskinetic syndromes are one of the rarer initial presentations of undiagnosed diabetes. We report a case of hyperglycaemia-induced movement disorder in a newly diagnosed diabetes mellitus patient. CASEA 27-year-old …
View article: The Brain-Gut Clinic in Hospital Universiti Sains Malaysia: Pioneering New Service to Advance Neuro-Gastroenterology and Motility in Malaysia
The Brain-Gut Clinic in Hospital Universiti Sains Malaysia: Pioneering New Service to Advance Neuro-Gastroenterology and Motility in Malaysia Open
Neurogastroenterology and motility is a new but advanced subspecialty within gasteroenterology that cater to difficult, persistent and refractory gut-brain symptoms. Hospital USM has the country’s first and new state-of-the art motility la…
View article: Dorsal Column Bedside Examination Test: Tips for the Neurosurgical Resident
Dorsal Column Bedside Examination Test: Tips for the Neurosurgical Resident Open
The dorsal column medial lemniscus (DCML) system is a sensory pathway of the central nervous system; it carries sensations of soft touch, vibration, proprioception, two-point discrimination, and pressure from the skin and joints. The clini…
View article: Manual Muscle Testing of the Scapula and the Upper Limb through Bedside Examination
Manual Muscle Testing of the Scapula and the Upper Limb through Bedside Examination Open
Neurological examination is an important tool in diagnosing patients with neurological and neurosurgical conditions. As the complexity and knowledge of neurological and neurosurgical conditions increases, we are now required to learn and i…
View article: Subthalamic Nucleus (STN)-Deep Brain Stimulation Reduces the Power of Mu and Beta Rhythms and Enhances Synchrony at the Motor Cortices in Parkinson's Disease: A Report of Two Cases
Subthalamic Nucleus (STN)-Deep Brain Stimulation Reduces the Power of Mu and Beta Rhythms and Enhances Synchrony at the Motor Cortices in Parkinson's Disease: A Report of Two Cases Open
The motor circuit in Parkinson's disease (PD) involves the basal ganglia, thalamus, motor cortex, and cerebellum. Hence, subthalamic nucleus (STN) or globus pallidus internus deep brain stimulation is commonly used in treating refractory P…
View article: A case of cerebral toxoplasmosis: “Eccentric and concentric sign” in MRI
A case of cerebral toxoplasmosis: “Eccentric and concentric sign” in MRI Open
View article: Isolated Third Cranial Nerve Palsy: Aetiology - Clinical Profile and Recovery at a Tertiary Neuro-ophthalmology Centre on the East Coast Peninsular of Malaysia
Isolated Third Cranial Nerve Palsy: Aetiology - Clinical Profile and Recovery at a Tertiary Neuro-ophthalmology Centre on the East Coast Peninsular of Malaysia Open
Objective: This study aimed to study the aetiologies, clinical profile and recovery of isolated third cranial nerve palsy (ITCNP) patients, at a tertiary neuro-ophthalmology center on the East Coast Peninsular of Malaysia. Material and Met…
View article: A Severe Pharyngeal-Sensory-Ataxic Variant of Guillain-Barré Syndrome With Transient Cardiac Dysfunction and a Positive Anti-sulfatide IgM
A Severe Pharyngeal-Sensory-Ataxic Variant of Guillain-Barré Syndrome With Transient Cardiac Dysfunction and a Positive Anti-sulfatide IgM Open
Guillain-Barré syndrome (GBS) is a heterogeneous group of acute immune-mediated polyradiculoneuropathy that typically presents with classic axonal or demyelinating sensory-motor type. However, there are variants of GBS with atypical presen…
View article: The Cerebral Plasticity Prospect of Stingless Bee Honey-Polyphenols Supplementation in Rehabilitation of Post-Stroke Vascular Cognitive Impairment
The Cerebral Plasticity Prospect of Stingless Bee Honey-Polyphenols Supplementation in Rehabilitation of Post-Stroke Vascular Cognitive Impairment Open
The neuroprotective potential of stingless bee honey (SBH) is still to be documented from numerous studies including that of its effect on cerebrovascular event. This review should guide stroke rehabilitation specialties to a high understa…
View article: Motion characteristics of subclinical tremors in Parkinson’s disease and normal subjects
Motion characteristics of subclinical tremors in Parkinson’s disease and normal subjects Open