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  • 1
    In: Bangladesh Journal of Neurosurgery, Bangladesh Academy of Sciences, Vol. 10, No. 1 ( 2020-09-15), p. 52-56
    Abstract: Aim and Objective: Postoperative cerebrospinal fluid leak is a recognized complication of endoscopic endonasal trans- sphenoidal surgery for pituitary macroadenomas. In this study we assess the utility of prophylactic use of lumbar drain in preventing intra-operative cerebrospinal fluid leakage during endscopic endonasal transsphenoidal surgery for pituitary macroadenoma which will ultimately reduce the rate of persistent post-operative cerebrospinal fluid leakage. Materials and Methods: 34 patients who underwent endscopic endonasal transsphenoidal surgery for pituitary macroadenoma were dividedd into two groups by non-probability convenient sampling technique. In one group of which lumbar subarachnoid drain were given just before induction of anesthesia named LD Group and another group went through conventional method without giving lumbar drain named No LD Group. In all patients of LD Group 20-30 ml of CSF was drawn through lumbar drain before giving dural incision. Valsalva maneuver was used in each group to identify intraoperative CSF leaks at the end of definitive surgery before repairing the sellar floor.Zero degree rigid endoscope was used in all cases. Intraoperative CSF leak was categorized as ‘Yes’ or ‘No’ which was decided by surgeon.Lumbar drains were removed within 24 hours of operation in 16 patients of LD Group and in case 1,who developed intraoperative CSF leak, lumbar drain was removed later. Results: Thirty four patients were eligible for inclusion, of which 17 were assigned to the LD Group and 17 to the no LD Group. There were no statistically significant differences in patient demographics, tumor pathology, or radiology between the two groups. In LD Group intraoperative CSF leak occurred in 1(5.9%) patient and leak did not occur in 16(94.1%) patients, in No LD Group intraoperative CSF leak occurred in 14(82.4%) patients and leak did not occur in 3(17.6%) patients. Intraoperative CSF drainage significantly reduced the incidence of intraoperative CSF leaks from 82.4% in the No LD group to 5.9% in the LD group (P 〈 0.001). There were no catheter related complications. Conclusion: Intraoperative CSF drainage significantly reduces the incidence of intraoperative CSF leakage in patients undergoing endoscopic endonasal transsphenoidal surgery for pituitary macroadenomas. Bang. J Neurosurgery 2020; 10(1): 52-56
    Type of Medium: Online Resource
    ISSN: 2664-7915 , 2411-6637
    Language: English
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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  • 2
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2014
    In:  Bangladesh Journal of Neuroscience Vol. 27, No. 2 ( 2014-01-06), p. 83-86
    In: Bangladesh Journal of Neuroscience, Bangladesh Academy of Sciences, Vol. 27, No. 2 ( 2014-01-06), p. 83-86
    Abstract: Introduction: The parameters of fontanelle can be very reliable and helpful source to assess the internal status of hydrocephalus in early childhood. Methods and Materials: We have studied the parameters of 69 patients of hydrocephalus in early childhood to assess the status of hydrocephalus. All the patients - who were admitted in the Bangabandhu Sheikh Mujib Medical University from January 2002 to December 2003. Results: All patients were evaluated clinically as well as with imaging study. The age range was from newborn to 12 months. There was male preponderance; male to female ratio was 2.6:1. Clinical evaluation of head and face showed 97.10% patients had open anterior fontanelle, 88.41% had apparent large head, 59.04% had presence of sunset sign. Analysis of anterior fontanelle showed 66.67% had bulged fontanelle, 30.43% had flat fontanelle and 2.90% had concave fontanelle. Evaluation of the clinical status of posterior fontanelle revealed that 23.19% had open posterior fontanelle. Among them 15.94% had bulged and 7.25% had flat fontanelle. Conclusion: By analyzing the result we found that clinical evaluation of fontanelle gives good guidance to assess the status of hydrocephalus in early childhood. Bangladesh Journal of Neuroscience 2011; Vol. 27 (2) : 83-86 DOI: http://dx.doi.org/10.3329/bjn.v27i2.17574
    Type of Medium: Online Resource
    ISSN: 2408-8382 , 1023-4853
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
    detail.hit.zdb_id: 2573887-2
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  • 3
    Online Resource
    Online Resource
    OAE Publishing Inc. ; 2018
    In:  Neuroimmunology and Neuroinflammation Vol. 5, No. 4 ( 2018-04-23), p. 14-
    In: Neuroimmunology and Neuroinflammation, OAE Publishing Inc., Vol. 5, No. 4 ( 2018-04-23), p. 14-
    Type of Medium: Online Resource
    ISSN: 2349-6142 , 2347-8659
    Language: Unknown
    Publisher: OAE Publishing Inc.
    Publication Date: 2018
    detail.hit.zdb_id: 2803325-5
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  • 4
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2017
    In:  Bangabandhu Sheikh Mujib Medical University Journal Vol. 10, No. 3 ( 2017-09-03), p. 147-150
    In: Bangabandhu Sheikh Mujib Medical University Journal, Bangladesh Academy of Sciences, Vol. 10, No. 3 ( 2017-09-03), p. 147-150
    Abstract: Spondylolisthesis is forward slipping of upper vertebra in relations to its lower one, commonest is L4-L5. The ideal surgical treatment of spondylolisthesis is still controversial. Posterior lumber interbody fusion with pedicle fixation is one of treatment choices for the lumber spondylolisthesis. Forty patients who operated through posterior lumber interbody fusion and pedicle screw fixation by single surgeon was included from January 2012 to March 2015. Periodical follow-up was done both clinically and radiologically up to 6 months. Patient outcome was completed based on pain relief graphic rating scale and Oswestry disability index. In our series, the excellent outcome were 25 patients (62.5%), good were 12 patients (30%), and fair were 3 patients (7.5%). There were no poor outcome and no new neurological deficit. This study concludes that posterior lumber inter-body fusion with pedicle is an effective treatment for the lumber spondylolisthesis. It helps to maintain the biomechanics, associated with less complication and improve the quality of life of patient.
    Type of Medium: Online Resource
    ISSN: 2224-7750 , 2074-2908
    Language: English
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
    detail.hit.zdb_id: 2573885-9
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  • 5
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2017
    In:  Bangabandhu Sheikh Mujib Medical University Journal Vol. 10, No. 2 ( 2017-06-06), p. 112-114
    In: Bangabandhu Sheikh Mujib Medical University Journal, Bangladesh Academy of Sciences, Vol. 10, No. 2 ( 2017-06-06), p. 112-114
    Abstract: One of the most popular procedures for treating the unstable thoracolumbar fracture is the short segment pedicle screw fixation. Due to lack of adequate neurological improvement, progressive kyphosis and hardware failure, the efficacy of different methods remain debatable. One hundred patients of thoracolumbar burst fractures were managed from January 2010 to December 2014 by  transforaminal thoracolumbar interbody fusion and short-segment pedicle screw stabilization. Each patient was followed-up for a minimum of 2 years. Bony fusion was done in each patient in between two vertebra along with transpedicular fixation. Follow-up radiological images showed good reduction and the fusion of the vertebral body was good. Excellent neurological improvement of the Frankel grade C and D was seen in 81 patients. Eight patients had  grade B, improvement which was not satisfactory. Fifteen patients with no paraplegia/hemiplegia on admission remained neurologically intact. For the management of thoracolumbar burst fractures short segment posterior transpedicular fixation with bone graft is very economic and safe procedure with good neurological improvement.
    Type of Medium: Online Resource
    ISSN: 2224-7750 , 2074-2908
    Language: English
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
    detail.hit.zdb_id: 2573885-9
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  • 6
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2020
    In:  Bangladesh Journal of Neurosurgery Vol. 9, No. 2 ( 2020-01-14), p. 117-220
    In: Bangladesh Journal of Neurosurgery, Bangladesh Academy of Sciences, Vol. 9, No. 2 ( 2020-01-14), p. 117-220
    Abstract: Background: Share our experiences with a series of surgical removal of cerebellopontine angle with retrosigmoid suboccipital procedure. Materials and Methods: It was a retrospective study of 48 patients (mean age, 45 years) with Cerebellopontine Angle tumors (predominantly acoustic schwannoma) who underwent surgical removal and one year post-operative follow up. Results: Hearing improvement about 50% of patient. Facial nerve function as measured by the House Brackmann system was recorded in all patients 1 year following surgery: 35% had a score of 1 or 2; 25% had a score of 3 or 4; and 8% had a score of 5 or 6. Rest of the patient full recover Two death occurred during this study. There was one cerebrospinal fluid leak, and two patients were diagnosed as having bacterial meningitis. Complete gross tumor removal was not achieved in five patients (10%). Two cases had wound infections. Conclusion: The retrosigmoid suboccipital procedure was used in our series for removal CPA tumors, and outcome was good in this series. Bang. J Neurosurgery 2020; 9(2): 117-220
    Type of Medium: Online Resource
    ISSN: 2664-7915 , 2411-6637
    Language: English
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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  • 7
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2016
    In:  Bangladesh Journal of Neuroscience Vol. 32, No. 1 ( 2016-01-31), p. 39-42
    In: Bangladesh Journal of Neuroscience, Bangladesh Academy of Sciences, Vol. 32, No. 1 ( 2016-01-31), p. 39-42
    Abstract: Primary craniocerebral plasmacytomas are uncommon and represent only 0.7 % of all plasmacytomas. In this case solitary plasmacytoma in the midline frontal head region of the skull and discuss the clinical features and prognosis of this tumor. Plasmacytoma can present as multiple myeloma, solitary plasmacytoma of the bone or extramedullary plasmacytoma. Solitary plasmacytoma is a rare entity that composes of malignant plasma cells and involves the bone to form only one or two lesions without evidence of disease dissemination. It accounts for only 4% of malignant plasma cell tumors. 50 years old male was suffering from plasmacytoma in the frontal head region in our case which is pulsatile. On images showed multiple differential diagnosis but after operation histological examination revealed plasmacytoma. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 39-42
    Type of Medium: Online Resource
    ISSN: 2408-8382 , 1023-4853
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2573887-2
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