Department of Neurology - Faculty of Medicine Universitas Indonesia

General Information

History

Department of Neurology FKUI is close to Prof. Mahar Mardjono (MD, Neurologist), the first neurologist in FKUI. He learned neurology in University of California Medical Center, San Fransisco, USA. He was trained by Prof. Robert Aird. In 1961, the separation of neurology and psychiatry is accepted by FKUI therefore deparment of neurology was established, headed by Prof Mahar Mardjono.

Development of neurology was then resumed by sending staff to study overseas, including Dr. T. Liman who was sent to San Fransisco to learn neuroradiology. He is the first doctor who learns neuroradiology. Currently, the development of neuroradiology is actively carried out by Department of Radiology FKUI. Subsequently in 1962, Dr Soemargo Sastrodiwirjo learned clinical neurology in Montreal Canada. Dr Soemarmo Markam was sent to Philadelphia to learn about neuropathology. Dr. Piguna Sidarta learns about experimental neurology in Montreal, Canada, however, he only served at this department until 1968 before he moved to University Malaya, Kuala Lumpur.

Other doctor who worked under the leadership of Prof. Mahar Mardjono are Late Dr. S.M. Lumbantobing (psychiatry), Dr. S. Lazuardi, Dr. Marli Mardiono, Dr. Andradi Suryamihardja, Dr. Djohan Santoso, Dr. Jusuf Misbach, Dr. Tagor Harahap, Late Dr. Bob Santoso Wibowo, Dr. Arif Yudana, Dr. Darmosugondho, Dr. Zakiah Syeban, Dr. Fachrida M. Mulyono, Dr. Idris Mas’ud, and Dr. EML Margono.

In 1966, Dr S.M. Lumbantobing was sent to Toronto to learn about Pediatric Neurology. Upon his comeback from Canada, he established Division of Neurology Pediatrics in the Department of Pediatrics FKUI-RSCM. He was the first pediatric neurologist in Indonesia. Dr Lumbantobing received his PhD degree in 1975 with dissertation about febrile convulsion and was conferred to be FKUI Professor in 1988.

In 1969, Dr. Sujawan learned about rehabilitative neurology. In the very same year, Prof. Mahar Mardjono was appointed to be FKUI dean until 1973. Subsequently, he was appointed to be Rector of Universitas Indonesia until 1982. He was retired in 1988.

While Prof Mahar was the FKUI dean, the Department of Neurology is led by Dr.Someargo Sastrodiwirjo. In 1973, when Prof. Mahar was appointed to be Rector of UI, Dr. Seomargo become the full leader of Department of Neurology FKUI-RSCM. Under his leadership, Department of Neurology FKUI-RSCM is developed further by training 53 neurologist that are now spread in various hospitals in Indonesia.

The Department of Neurology Building was constructed under the leadership of Dr. Soemargo in 1974. This building was erected by the donation of Jakarta’s Government. Prior to this period, Department of Neurology is located in a semipermanent building that was constructed when Dr Schaafsma led the department.

In 1975, Dr Andradi learned about action potential and Dr. Darmosugondho mastered EEG in Australia. In 1976, Dr EML Margono together with Dr Somarmo established Cerebrospinal Fluid Cytology Laboratory. In 1977, Late Dr. Bob Santoso Wibowo was sent to West Germany to learn about EMG and action potential. In 1985, Dr Teguh A.S. Ranakusuma was sent to Austria to learn Homereology.

In 1986, Dr Samino was sent to Japan to learn about CT Scan of the head. Dr. Sidiarto and Dr. Lily Sidiarto mastered neuro-rehabilitation in Colorado, USA. Equipment for action potential was first set tup in the department in 1987. This sub-division was run by Dr. Yos Utama, Dr. Bob Santoso Wibowo, and Dr. Andradi. Currently, the department is headed by Dr. Diatri Nari Lastri.

Wards
At the beginning the Neurology and Psychiatry wards were combined in a single ward (D-3 and D-4). The female patients were put together with the Internal Medicine patients in ward A.

Currently, the class 3 rooms and Stroke Unit, Department of Neurology RSCM are located at level 5, Building A. For the special class, the rooms are located in level 1, 3, and 6, Building A. At level 8, there is special unit for geriatrics patients that are supported by various departments including neurology.

The ward at level 5 was divided into several rooms that are able to accommodate a total of 60 patients. There are ward dedicated specially for traumatic patients. Currently, the Bed Occupancy Rate (BOR) is 80% in average per monthly. In building A, the care to the neurological patients is located in the same area with neurosurgical patients. This is to show the integration of two departments in delivering the best neurological care.

Unit Stroke
Stroke unit is a special care unit by the Department of Neurology. In this unit, stroke patients are comprehensively treated ranging from the management of stroke in acute phase up to rehabilitation prior to the dismissal of patients. Stroke unit is one of the best unit in RSCM.

Polyclinics
Since 1977, Polyclinics of Neurology have been moved to Level 3, Outpatient Care Building. Polyclinics of Neurology are divided into several special polyclinics, which are:

– New patient polyclinics

– Cephalgia, Oncology, Infection, Trauma polyclinics

– Cerebrovascular, Parkinsonism, Geriatrics polyclinics

– Pain and Peripheral Nerve Disease polyclinics

– Epilepsy polyclinics

In the Department of Neurology building also located several polyclinics, including Consultant Polyclinics, Neurosonologi (TCD & Carotid Duplex) polyclinics, Neurobehavior polyclincis, Electrohphysiology (EEG & EMP/EP), as well as Neuro-ophthalmology polyclinics and Neuro-otology.

The department of neurology has been the referral centre of Indonesia. Up to now, very limited neurologists are spread over Indonesia.

On top of serving the patients, the polyclinics also serve as the training centre for the future neurologist in a fellowship program. The department also resumes sending the staff overseas to learn about neurology. Since 2000 up to 2010, the Department of Neurology has been successful in training 103 general practitioners to be neurologists.

Currently, department of neurology is training 69 general practitioners to be neurologists in various stages of training/semester. The duration for the trining is 9 semester. Education is conducted in various stages according to the competencies achieved. Candidate of trainee must sit on the screening examination before admitted to the program.

In future, Department of Neurology will develop capabilities in various divisions according to the current development of neurology. Collaboration with other instituions are started to develop various potential fields including interventional neurology, IOM, neurobehavior and stem cell therapy for sub-division of nero-oncology.
ORGANIZATION STRUCTURE

Head of Department                             : dr. Diatri Nari Lastri, SpS(K)
Head of Study Program                         : dr. Eva Dewati, Sp(S)
Secretary of Study Program                   : dr. Darma Imran, SpS
Coordinator of Service                          : dr. Freddy Sitorus, SpS(K)
Vice Coordinator                                  : dr. Tiara Aninditha, SpS
Coordinator of Administration & Finance          : dr. Yetty Ramli, SpS(K)
Vice Coordinator                                  : dr. Riwanti Estiasari, SpS
Coordinator of Research                       : dr. Lyna Soertidewi, M.Epid, SpS(K)
Vice Coordinator                                  : dr. Al Rasyid, SpS(K)
Coordinator of Education                      : dr. Manfaluthy Hakim, SpS(K)
Vice Coordinator                                  : dr. Fitri Octaviana, SpS
Head of Front Office                                       : Bpk. Bambang

Division
Department of Neurology FKUI has 11 divisions, which are :

Division of Cardiovascular Disease, Neurosonology, and Interventional Neurology
Neurotrauma
Neurooncology, Cephalgia and Pain
Neuroinfection and Immunology
Epilepsy
Clinical Neurophysiology
Neuromuscular and Peripheral Nerve Disease
Neurobehaviour, MD, Neurogeriatrics, dan Neurorestoration
Neuro-ophthalmology dan Neuro-otology
Neurointensive Care
Neuropediatrics dan Neurocommunity

Service

A. Diagnostic Clinic

Electroencephalography
Electromyograph and Action Potential
Neurosonologi
Neurobehaviour
Neuro-ophthalmology & Neuro-otology

Outpatient Clinics

Consultant Clinic
General Neurology Clinic
Stroke, Parkinsonism, Geriatrics Clinic
Cephalgia, Oncology, Infection, Trauma Clinic
Pain and Peripheral Nerve Disease Clinic

General guidelines for admission:
For outpatient clinic, general rule for admission is: Polyclinics of Neurology receive new patient, referral patients from other hospitals as well as other departments and control patients.

New patient:

New patients who come by own initiative or from other hospitals submit the application form in the admission division, outpatient care building.
Patients then report to Polyclinics of Neurology, level 3 Outpatient Care Building bringing the medical records and other prerequisites according to their insurance.
Patients are then directed to the New Patient Clinic to wait their turns to be examined.
For the subsequent control, patients will be directed to special clinic according to their problems.

Consultation patient:

Patients from other hospitals who need consultation should follow the procedure of new patient.
Patients from other departments who need consultation should bring the consultation letter and report at the Polyclinics of Neurology
Patients are then directed to the Consultation Clinic to wait their turns to be examined.
If there is indication of integrated care, patients will be directed to respective clinics according to their problems.

Control patient:

Patient submit application form in outpatient care building.
Patients report to the Polyclinic of Neurology, level 3, Outpatient Care Building while bringing medical records and other insurance prerequisites.
Patients will be directed to the respective clinics according to their problems.
Information with regards to insurance requirements can be enquired at the information desks located in the Outpatient Care Building, Emergency Unit or Building A.

Inpatient Care
General guideline for admission:
For inpatient care at level 5, kindly follow this procedure:

Patients should be given inpatient referral letter by polyclinics, emergency unit or outside doctor.
The Service Centre for Outpatient Care (Pusat Pelayanan Pasien Rawat Nginap or P3RN) will find an empty bed according to indication and request.
Manager on Duty (MOD) Building A will determine the ward as well as counselling with regards to administration and rules.
General requirements about insurances can be asked to Information Centre in Building A or can be downloaded at http://rscm-gedunga.com.
For unit stroke, only general patients as well as patient with Askes and insurance can be admitted.

Intra Operative Monitoring = IOM

For IOM, the general procedure are:

Respective departments or surgeons who need IOM should send consultation letter to Division of Clinical Neurophsyiology.
Patients should undergo initial evaluation by neurologist before IOM.
Surgery schedule is then determined
General requirement for general patients: consultation letter or patients are directly sent to the Department of Neurology.
Patients using other insurances should follow the guideline for outpatient and inpatient care.

Expertise

Abdulbar Hamid. H, dr, SpS(K)
Al-Rasyid, dr, SpS(K)
Andre Mayza, dr, SpS
Diatri Nari Lastri, dr, SpS(K)
Eva Dewati, dr, SpS(K)
Fitri Octaviana, dr, SpS
Freddy Sitorus, dr, SpS(K)
Jan S Purba, Dr, dr, PhD
Jusuf Misbah, Prof, dr, SpS(K)
Jofizal Jannis, dr, SpS(K)
Lyna Soertidewi, dr, SpS(K)
Manfaluthy Hakim, dr, SpS(K)
Mursyid Bustami, dr, SpS(K), KIC
Nizar Yamanie, dr, SpS(K)
Pukovisa Prawiroharjo, dr
Riwanti Estiasari, dr, SpS
Salim Haris, dr, SpS(K)
Silvia Francina L, dr, SpS(K)
Sri Erni Istiawati, dr, SpS
Tiara Anindhita, dr, SpS
Wendra Ali, dr, SpS
Yetty Ramli, dr, SpS(K)
Zakiah S.Syeban, dr, SpS(K)

For further information, please contact :

Departement of Neurology
Fakultas Kedokteran Universitas Indonesia
Rumah Sakit Dr. Cipto Mangukusumo
Jl. Salemba Raya no. 6 Jakarta Pusat 10430
Tel. 021-31935044, 3145273;
Fax. 021-2305856;
E-mail: cipbarbun@yahoo.com