Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal Jurnal Keperawatan Padjadjaran JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Tristan, Christopher Daniel
Unknown Affiliation
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Posterior communicating artery aneurysm presenting as isolated oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study Tedjo, Raden Andi Ario; Subandi, Subandi; Tejomukti, Teddy; Hamidi, Baarid Luqman; Tristan, Christopher Daniel; Hamka, Muhammad Farid; Rahman, Awalil Rifqi Kurnia; Putra, Stefanus Erdana; Hafizhan, Muhammad
Jurnal Keperawatan Padjadjaran Vol. 13 No. 1 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i1.2587

Abstract

Background: Posterior communicating artery (PCOM) aneurysms are the prevalent type of aneurysm with high rupture risks. Isolated oculomotor nerve (CN III) palsy is a key symptom warranting heightened awareness in primary care. Given the need for advanced imaging, early referral is paramount. This study highlights the significance of prompt identification, targeted intervention, and comprehensive management in optimizing patient outcomes. Case: A 58-year-old woman presented with isolated CN III palsy. The patient underwent rapid referral to tertiary care with magnetic resonance angiography (MRA) and digital subtraction angiography (DSA), revealing an aneurysm in the PCOM. Subsequently, coiling was performed to achieve complete occlusion. The procedure resulted in significant neurological recovery, with restoration of CN III function. Post-coiling, the patient receives close nurse monitoring, incorporating fall management and comprehensive education before discharge. CN III palsy is one of the unique-noticeable presentations of PCOM aneurysms, though symptoms may include facial pain, occasional headaches, and migraines. Coiling was chosen due to its less invasiveness and was recommended for posterior circulation aneurysms. Blood pressure control is essential to prevent aneurysm formation, rupture, and recurrence. Regular imaging follow-ups were needed to ensure long-term outcomes. Conclusion: PCOM aneurysm care involves a multidisciplinary approach. Rapid identification, early referral, immediate occlusion, and comprehensive rehabilitative programs were mandatory to improve patient outcomes.
Navigating risk factors and interventions on early-onset attention deficit hyperactivity disorder: A case report Tristan, Christopher Daniel; Rahman, Awalil Rifqi Kurnia; Kurniawan, Avenetus Immanuel Gifta; Anggriawan, Fatkan Hidayat; Bangun, Susi Rutmalem
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 3, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss3.art16

Abstract

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental illness primarily affecting children. The peak onset age for ADHD is around 7.5 years with early-onset ADHD linked with worse clinical outcomes if not properly managed. We reported a 3-year-old girl presented with symptoms including self-harm, aggression toward her sibling and peers, hyperactivity, inability to focus, and distractibility. The patient had a history of post-term birth and oligohydramnios, and her symptoms were exacerbated by reduced maternal care, limited parental care, and inconsistent-lacked firmness parenting style. A multiaxial evaluation confirmed the diagnosis of ADHD, supported by Skala Penilaian Perilaku Anak Hiperaktif Indonesia (SPPAHI) score. The patient received a comprehensive non-pharmacological intervention, including applied behavior analysis (ABA) therapy with a discrete trial training (DTT) approach, family therapy to address parenting dynamics, and occupational and speech therapy to target fine motor and language delay. At 6-month follow-up, significant improvements were observed in behavior, attention, and total quality of life. This case highlights the complex interplay of genetic disorders, maternal stress, post-term birth, pregnancy-related complications, and problematic family dynamics in early-onset ADHD. Therapeutic management in early-onset ADHD must emphasize behavioral and family-focused therapies with DTT and family therapy proving effectiveness, while pharmacological treatment is considered as a last resort.
Co-Authors Anggriawan, Fatkan Hidayat Bangun, Susi Rutmalem Hafizhan, Muhammad Hamidi, Baarid Luqman Hamka, Muhammad Farid Kurniawan, Avenetus Immanuel Gifta Rahman, Awalil Rifqi Kurnia Stefanus Erdana Putra Subandi Subandi Tedjo, Raden Andi Ario Tejomukti, Teddy