Background: Convulsions are the most frequent neurological disorders affecting children. Acute seizure is a medical emergency, requires prompt and urgent control of ongoing activity. Among procedure to seizure, treatment options like intranasal midazolam per rectal diazepam available for immediate management. Objective: The study was done compare safety efficacy acute seizure. Method: This randomized controlled trial conducted in paediatric department Dhaka Medical College Hospital from 1st...

Background: intracranial surgery is very commonly performed around the world. During these surgeries, intraoperative injury to major vessels a serious condition. It has be addressed promptly by either direct repair or vascular bypass. We describe three cases where there was during which were managed repair. This implies necessity of learning microvascular techniques for safely perform and save patient from neurological deficits. Bang. J Neurosurgery 2023; 12(2): 122-124

Medical education is undergoing significant changes each day in different corners of the world. Calls from stakeholders for a change instructional methods have resulted innovative medical curriculum. The new curriculum stresses importance proficiency several clinical skills by students rather than mere acquisition knowledge. Teaching and training using simulation technique very powerful. It provides valuable opportunities to learn practice key competencies education, such as communication,...

Interhemispheric cysts are rare congenital condition which is also associated with corpus callosum agenesis. Most patients present at neonatal age or early childhood some neurological deficiency. Some may older age. Here we a patient acute blindness of the right eye and dimness vision left eye. He had no mental retardation other deficit. His fundus showed bilateral papilloedema. MRI an interhemispheric cyst agenesis callosum. was urgently operated in this hospital. The approached through...

Cavernoma is benign tumour of the orbit. It results in proptosis, visual disturbance, diplopia and ptosis eye. amenable to surgery this complete after surgical removal without recurrence. We report a case right orbital cavernoma female, who presented with non-pulsatile painless slight double vision while looking at side. Her MRI revealed that she had She was operated by lateral orbitotomy. This easily removed tumour, cosmetically acceptable became symptom free. Bang. J Neurosurgery 2020;...

Aspergillus is a fungus found in the environment. In an immunocompetent person, inhalation of spores may cause localized infection. Invasive aspergillosis has poor prognosis. We describe case cerebral immune competent patient. A 30-year-old man was admitted with seizures and headaches. Magnetic resonance imaging (MRI) brain showed contrast enhancing lesion at suprasellar region. Excision biopsies granulomatous reactions, mixed inflammatory infiltration, fibrosis, necro-purulent material...

Acute subdural empyema is a surgical emergency. It life threatening for the patient. has to be evacuated as soon it diagnosed. But in COVID 19 patient uncommon. Its management put team new dilemma. On one side patient’s was at risk and on other whole might get infected.In this case report, we describe such which saved same time many doctors, nurses OT attendants became infected. Abbrevaitions: OPD- Out department, 19-Corona Virus Disease 2019, NINS- National Institute of Neurosciences,...

Background: Peripheral nerve injury is a common condition. Though it not life threatening, may cause disability to person. In this study we have analysed our experience of anastomosis injured nerves. Materials and methods: This an observational that was done within period from January 2014 December 2018. 13 patients with the nerves were operated upon. There 11 male 2 female patients. All followed up in OPD upto one half years. 5 lost follow up, these, two female. Results: After surgery,...

Background: Dengue is a common tropical disease in Bangladesh. It prevalent our country during and just after the rainy season. The symptoms signs are similar to many other diseases. Objective: objective of study observe pattern dengue fever this institution for better care patients also comparing with follow-up studies. Methodology: This cross-sectional was conducted Department Pediatrics at Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh from May 2019 August 2019. A...

Gliosarcoma is a rare tumour of the brain. It type gliobalstoma. This has high complication rate as well mortality. In our Institution, 30 year old female was admitted with complaints headache and vomiting weakness rt. side body. She had history radiotherapy on frontal bone at four years age following enucleation left eye. Now her recent MRI showed features tumor compatible olfactory groove meningioma. underwent craniotomy removed. Her histopathological exam gliosarcoma which confirmed...

Objective: Carotid body tumour is a rare tumour. This case report of carotid the right side involving hypoglossal nerve with MRI appearance and pathological features. The objective to present Hypoglossal palsy due artery bifurcation.
 Method: A 18-year old male presented welldefined swelling his neck, increasing hoarseness, left ward tongue deviation on protrusion for two years CT neck were done. was identified patient underwent surgery. His Histopathology commented it be tumour.
...

We report a case of 20 years old female patient, who presented with the complaints progressive quadriparesis which eventually led to quadriplegia. Her weakness started from right side body and then left. MRI neck revealed an extradural lesion extending C2 up C6 vertebral level. It had compressed dural tube The continued through inervertebral foramen at C6. CT angiogram vessels showed AVM arising SCA entering Spinal canal level draining into IJV She underwent surgery AVF was ligated origin....

Background: Colloid cyst of the third ventricle is a tumour arising from roof at foramen Monro. Endoscopic excision colloid well established technique. There less morbidity in comparison to microsurgical resection. Materials and method: Seven patients with were treated endoscopic excision. Of these five males two female patients. Age ranged thirty fifty years period Jan 2016 Mar 2019 NINS&H. Results: Most had signs raised intracranial pressure before surgery. Six needed post operative VP...

Spheno-orbital dysplasia is almost pathognomic for Neurofibromatosis type 1. Thereis proptosis and deviation of the eye ball medially. We present a case young girlwith neurofibromatosis 1, who had pulsating exophthalmos right withdiplopia severe sphenoid boneand consecutive herniation theright temporal lobe. She presented with pulsatile righteye to right. Her x-ray skull showed widening orbit. MRI scanshowed an arachnoid cyst behind her ball. operated on andreconstructed greater wing...

Background: Brain abscess is a neurosurgical emergency. It has to be evacuated without any delay. Though these patients may have congenital heart diseases with ASD and VSD, presence of situs inversus dextrocardia are relatively uncommon in practice.
 Objective: The aim was present the case multiple episodes convulsions gradual deterioration consciousness history fever.
 Methods: carefully evaluated taking examining patient. Diagnosis confirmed MRI brain. had shown large ring...

The COVID 19 pandemic has changed the world forever. As healthcare facilities were struggling to care for infected patients, neurosurgeons had postpone routine surgeries and continue with emergency procedures. They take unprecedented measures of protection. safety protective observed in hospital about five months recorded. These on effect all these time. is very contagious. preventive disinfection our way consultation OPD, admission wards surgical post-operative measures. This practice...

Cavernoma is a benign tumour of the orbit. It results in proptosis, visual disturbance, diplopia and ptosis eye. amenable to surgery without recurrence. We report case left orbital cavernoma female, who presented with non-pulsatile painless no perception light. Her MRI revealed orbit inferior optic nerve. She was operated by endoscopic transmaxillary orbitotomy. This easily removed tumour, avoided craniotomy cosmetically acceptable. Bang. J Neurosurgery 2021; 11(1): 58-61

Background: Rasmussen’s encephalitis is a progressive disease with recurrent drug resistant epilepsy, unihemispheric brain atrophy, hemiplegia and cognitive decline. Objectives: This disconnection surgery which disconnects the diseased lobe from normal lobe. helps in development of cerebral hemisphere also child becomes seizure free. Methods: A five year old boy was diagnosed encephalitis. He underwent left sided transsylvian functional hemisherectomy. had uneventful recovery. Results:...

Mucormycosis is a fungus found in the environment. In an immunocompetent person, it may cause localized infection. Invasive has poor prognosis. We describe case of cerebral mucormycosis immune competent patient. A 46-yearold man was admitted with seizures and headaches. Magnetic resonance imaging (MRI) brain showed contrast enhancing lesion at right frontal region. Excision biopsies granulomatous reactions, compatible mucormycosis. Amphotericin B begun. The results testing for human...

Background: Although the corona virus disease 2019 (COVID‐19) outbreak is a global public health challenge, clinical patterns of children with COVID‐19 still remain unclear as most studies on COVID- 19 have focused adults and only small number included pediatric patients.
 Objective: This study was done to observe demographic profile, presentation, laboratory finding outcome hospital-admitted diagnosed COVID-19.
 Method: observational in Department Paediatrics at Holy Family Red...

Background: Congenital heart disease (CHD) contributes about one-third of all major congenital anomalies in the world among neonates, most common infants diabetic mothers but incidence is increasing over due to establishing cardiac investigation facilities especially neonatal echocardiogram. Materials & Methods: A hospital-based cross-sectional study was done two private hospitals Dhaka from July ’19 June ’20. total 90 neonates were included nursery and intensive care units both who...

Schwannomas are encapsulated tumors arising from Schwann cells of the nerve sheath, and usually solitary sporadic lesions. The schwannoma ilio-hypogastric especially in retro-petoneal space is very rare. We reporting a case left ilio-hypagastric over psoas muscle. diagnosis was done by ultarsonogrsphy MRI. histopathological study confirmed diagnosis. tumour excised through retro-peritoneal approach. By this approach total excision with preservation possible.
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