https://www.banglajol.info/index.php/BJNS/issue/feed Bangladesh Journal of Neurosurgery 2020-03-27T14:21:19+00:00 Professor ATM Mosharef Hossain bdneurosurgeons@yahoo.com Open Journal Systems <p>Published by the Bangladesh Society of Neurosurgeons, Dhaka, Bangladesh. Full text articles available.</p> <p><img style="border-width: 0;" src="https://i.creativecommons.org/l/by-nc/4.0/88x31.png" alt="Creative Commons License"><br>Articles in the <em>Bangladesh Journal of Neurosurgery</em> are Open Access articles published under the Creative Commons CC BY-NC License <a href="https://creativecommons.org/licenses/by-nc/4.0/" target="_blank" rel="noopener">Creative Commons Attribution-NonCommercial 4.0 International License.</a></p> https://www.banglajol.info/index.php/BJNS/article/view/44878 Neurosurgical Intensive Care 2020-03-24T14:19:00+00:00 ATM Mosharef Hossain faysal.bas09@gmail.com <p>Abstract not available</p> <p>Bang. J Neurosurgery 2020; 9(2): 84</p> 2020-01-14T10:07:35+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44880 CT Guided Stereotactic Brain Tumor Biopsy 2020-03-24T14:18:53+00:00 Moududul Haque moududneurosurg@gmail.com Sudipta Kumar Mukherjee moududneurosurg@gmail.com Mustafa Kamal moududneurosurg@gmail.com ABM Manwar Hossain moududneurosurg@gmail.com <p>153 cases of CT guided stereotactic biopsies for intra-axial deep seated brain lesions performed by one neurosurgeon has been analyzed regarding procedure, success rate and complications. Of the 153 cases, positive tissue biopsy was found in 143 cases. In 6 patients, biopsy showed gliotic grain tissue or normal brain tissue.4 patients had complications after the procedure. Three patient developed intracerebral haemorrhage of the two died, and other died Massive MI. There was no post operative new deficits seen. CT guided Stereotactic biopsy is a very effective and low cost procedure caomparing with frameless image guided brain biopsies or open craniotomy for biopsy due to it’s higher complication rate. The detail procedure are being discussed</p> <p>Bang. J Neurosurgery 2020; 9(2): 86-93</p> 2020-01-14T10:13:24+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44881 Endoscopic Transcortical Transventricular Colloid Cyst Excision — Our Experience 2020-03-24T14:18:46+00:00 Kaisar Haroon kaisar298@gmail.com Tania Taher kaisar298@gmail.com Abdullah Alamgir kaisar298@gmail.com Arif Reza kaisar298@gmail.com Sk Sader Hossain kaisar298@gmail.com <p><strong>Background: </strong>Colloid cyst of the third ventricle is a tumour arising from the roof of the third ventricle at the foramen of Monro. Endoscopic excision of colloid cyst is well established technique. There is less morbidity in comparison to the microsurgical resection.</p> <p><strong>Materials and method: </strong>Seven patients with colloid cyst were treated with endoscopic excision. Of these five were males and two were female patients. Age ranged thirty to fifty five years from a period from Jan 2016 to Mar 2019 in NINS&amp;H.</p> <p><strong>Results: </strong>Most patients had signs of raised intracranial pressure before surgery. Six patients needed post operative VP shunt. Some patients had contusion of the fornix but did not have any memory impairment. Five patients had remnant but there was no symptoms after surgery.</p> <p><strong>Conclusion: </strong>Endoscopic excision of the colloid cyst is a good option. Total removal of the tumour is the goal but little remnant of the tumour attached to the tela choroidae is accepted. One year follow-up showed no recurrence of the cyst.</p> <p>Bang. J Neurosurgery 2020; 9(2): 94-98</p> 2020-01-14T10:28:11+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44882 Single versus Double Burr Holes for Treating Chronic Subdural Hematoma 2020-03-24T14:18:40+00:00 Uzzal Kumer Sadhu Khan druzzalsadhu23@gmail.com Asit Chandra Sarker druzzalsadhu23@gmail.com Md Mahamudul Haq Morshed druzzalsadhu23@gmail.com Md Motasimul Hasan druzzalsadhu23@gmail.com Saiful Hoque druzzalsadhu23@gmail.com Md Riaz Ahmmed Hawlader druzzalsadhu23@gmail.com Md Rakibul Islam druzzalsadhu23@gmail.com <p>A subdural hematoma is a collection of blood below the inner layer of the dura but external to the bran and arachnoid membrane.Chronic subdural hematoma is commonly associated with cerebral atrophy, occur in the elderly after apparently insignificant head trauma. The incidence of Chronic subdural hematoma increases with age and after 70 years of age. Surgical evacuation of hematoma is indicated in patients who are clinically deteriorate or do not improve. Surgery can bring a rapid clinical improvement with a favorable outcome in over 80% of patient.</p> <p><strong>Methods</strong>: This study was a prospective intervention study.</p> <p><strong>Results: </strong>It was observed that 29 (96.6%) patients were alive in group A and 27 (90.0%) patients alive in group B in GOS scoring on the 7th POD. The alive patients were again divided into 4 sub groups, as shown in the table. Among total 60 patients, in Group A 1(3.4%) died and 3 (10.0%) died in Group B. After 3 months follow up, it was observed that 29 (96.6%) patients were alive in group A and 27 (90.0%) patients alive in group B. The alive patients were again divided into 4 sub groups, as shown in the table. Persistent vegetative and severe disability was not improved in Group B.</p> <p><strong>Conclusion: </strong>In my study it was observed that the surgical outcome in single burr hole craniotomy is better than double burr hole craniotomy for treating of chronic subdural hematoma.</p> <p>Bang. J Neurosurgery 2020; 9(2): 99-104</p> 2020-01-14T10:33:27+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44883 Functional outcome of Lumber Spinal Stenosis in Laminectomy, Laminotomy and Unilateral approach 2020-03-24T14:18:32+00:00 Md Moshiur Rahman authorinquiry@inasp.info SIM Khairun Nabi Khan authorinquiry@inasp.info Robert Ahmed Khan authorinquiry@inasp.info Md Rokibul Islam authorinquiry@inasp.info Umme Kulsum Sharmin Zaman authorinquiry@inasp.info KM Ziaur Rahman authorinquiry@inasp.info <p><strong>Objective: </strong>The objective of the study was to compare the surgical outcome between Bilateral Laminotomy, Laminectomy and Unilateral approach in Lumber Spinal Stenosis.</p> <p><strong>Methods</strong>: One hundred forty four (144) patients were going to underwent three prospective surgery such as Bilateral Laminotomy (48 patients), Laminectomy (48 patient) and Unilateral approach (48 patients). This study conducted between 2009 to 2014 at private medical hospitals in Dhaka. All the patients ages are e” 40. All the patients were observed prospectively. Clinical outcomes for back and leg pain were analyses using Oswestry Disability Index (ODI) questionnaires and Swiss score.</p> <p><strong>Results: </strong>Satisfactory decompression was accomplished in all patients. The complications were less in patients who had experienced Unilateral Laminotomy rather than Bilateral Laminotomy and Laminectomy. Mean age of patients were 52.16+/ - 6.87 years with the range of 40-68 years. Among them 101 patients are male (70.11%) and 43 patients are female (29.99%). The rates of improvements are 79.17% in Laminectomy, 85.1% in Bilateral Laminotomy and 91.9% in Unilateral Laminotomy. From here unilateral Laminotomy have quite better results than others. Minimum follow up period was 2 years. <strong>Conclusion: </strong>Unilateral Laminotomy has a satisfactory outcome in Lumber Spinal Stenosis surgery in comparison to rest of two approaches. Postoperative complications were minimum in respect to blood loss, hospital stay and revision surgery.</p> <p>Bang. J Neurosurgery 2020; 9(2): 105-110</p> 2020-01-14T10:39:46+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44884 Rohingya Crisis: An Added Challenge in Neurosurgical Arena of Chattogram Medical College Hospital 2020-03-24T14:18:25+00:00 Md Rabiul Karim rkarim_31st@yahoo.com SM Noman Khaled Chowdhury rkarim_31st@yahoo.com Syed Md Mainuddin rkarim_31st@yahoo.com Anisul Islam Khan rkarim_31st@yahoo.com Md Manzoorul Islam rkarim_31st@yahoo.com Md Saiful Alam rkarim_31st@yahoo.com Mahfujul Quader rkarim_31st@yahoo.com Humayun Rashid rkarim_31st@yahoo.com <p>Rohingya are the group of people who has an specific ethnic, linguistic and religious group lived in the former Arakan state, renamed as Rakhain state of Myanmar. These people are homeless, stateless and disowned by their own government. Chattogram Medical College Hospital is the only tertiary level government hospital nearest to the Rohingya camp where Rohingya patients are referred from local health care providers. On a cross sectional observational demographic study conducted in the Department of Neurosurgery, CMCH revealed that, total number of admitted patient in CMCH is 757 among which 137 (18.09%) patient was admitted in Department of Neurosurgery since the Rohingya citizens are forcibly displaced from their land. Traumatic brain injury (31) , spinal injury (22) and gun shot wound (3) are the most common presentation as a result of ethnic cleansing. But lack of primary health care support, proper health education leads to development of hydrocephalus (8), meningocele (8), meningomyelocele (1) in children and delayed presentation of ICSOL (15) and Spinal SOL (2) are also observed among the admitted patients. 67 (48.90%) patients were treated conservatively and 70 (51.09%) patients are treated operatively. Despite the existing over crowded patients from the Chattogram Division, these Rohingya patients made an added challenge to the Department of Neurosurgery. Proper strategic plan should be carried out for the management of neurosurgical condition for decreasing mortality and morbidity and thus support humanity above all.</p> <p>Bang. J Neurosurgery 2020; 9(2): 111-116</p> 2020-01-14T11:03:01+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44885 Surgical Outcomes of Cerebellopontine Angle Tumors in 48 Cases 2020-03-24T14:18:18+00:00 Md Atikur Rahman atiquessmc@yahoo.com Ahsan Mohammad Hafiz atiquessmc@yahoo.com KM Tarikul Islam atiquessmc@yahoo.com Pijush Kanti Mitra atiquessmc@yahoo.com Ehsan Mahmud atiquessmc@yahoo.com Kanak Kanti Barua atiquessmc@yahoo.com <p><strong>Background</strong>: Share our experiences with a series of surgical removal of cerebellopontine angle with retrosigmoid suboccipital procedure.</p> <p><strong>Materials and Methods</strong>: 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.</p> <p><strong>Results</strong>: 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.</p> <p><strong>Conclusion</strong>: The retrosigmoid suboccipital procedure was used in our series for removal CPA tumors, and outcome was good in this series.</p> <p>Bang. J Neurosurgery 2020; 9(2): 117-220</p> 2020-01-14T11:03:17+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44886 Status of ToRCH positivity among the children presented with congenital Hydrocephalus 2020-03-24T14:18:11+00:00 Sudipta Kumer Mukherjee sudipta70@hotmail.com DM Arman sudipta70@hotmail.com Holly A Roy sudipta70@hotmail.com Rafiul Karim Khan sudipta70@hotmail.com Samantha Afreen sudipta70@hotmail.com Muhammad Arif Hossain sudipta70@hotmail.com - Md Ziauddin sudipta70@hotmail.com Sk Md Ekramullah sudipta70@hotmail.com Md Moshiur Rahman sudipta70@hotmail.com Md Abdullah Yusuf sudipta70@hotmail.com Md Joynul Islam sudipta70@hotmail.com <p><strong>Introduction</strong>: ToRCH is an acronym for four congenital infections that are sometimes difficult to distinguish: <strong>To</strong>xoplasmosis, <strong>R</strong>ubella, <strong>C</strong>ytomegalovirus (CMV), and <strong>H</strong>erpes Simplex Virus (HSV). This group of organisms produces serious Central Nervous System (CNS) and other infections, which are potentially preventable and treatable.</p> <p><strong>Methods</strong>: Neonates and infants with hydrocephalus (N = 65) identified via the outpatient department of the National Institute of Neurosciences and Hospital (NINS&amp;H), were prospectively screened for ToRCH antibodies. Hydrocephalus secondary to Tumor or Trauma was excluded from this study.</p> <p><strong>Results</strong>: Evidence of 75.38 % (p = &lt;0.05) patient was positive for TORCH antibodies. Toxoplasma Gondi (T. Gondii) IgG 18.5 % ( p= &lt;0.05 ), CMV IgM 9.2 % (p = &lt;0.05), CMV Ig G47.7% ( p = &lt;0.5), Rubella, and HSV 1 &amp; 2 antibodies were also identified.</p> <p><strong>Conclusion</strong>: The vast majority of cases of neonatal hydrocephalus at one institution was post-infectious in etiology and related to ToRCH infections. Many of these cases could be prevented with improved screening and treatment. While study of a single institution may not be the representative of the entire population, further study and implementation of a standardized screening protocol would likely benefit this population.</p> <p>Bang. J Neurosurgery 2020; 9(2): 121-125</p> 2020-01-14T11:04:31+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44887 Clinical Features of Patients presented with Extra Dura Haematoma Attended at a Tertiary Care Hospital in Dhaka City 2020-03-24T14:19:29+00:00 Md Abdus Salam drsalamnins@gmail.com Md Mahfuzur Rahman drsalamnins@gmail.com Kalim Uddin drsalamnins@gmail.com Md Rafiqul Islam drsalamnins@gmail.com Amir Mohammad Khan drsalamnins@gmail.com Sudipta Kumar Mukharjee drsalamnins@gmail.com Abu Nayeem drsalamnins@gmail.com Sk Sader Hossain drsalamnins@gmail.com <p><strong>Background: </strong>The clinical presentation of head injury may vary.</p> <p><strong>Objective: </strong>The purpose of the present study was to see the clinical features of patients presented with extra dural haematoma.</p> <p><strong>Methodology: </strong>This cross-sectional study was conducted in the Department of Neurosurgery at Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2010 to June 2011 for a period of one year and six months. All patients who underwent surgery with traumatic head injury having extradural haematoma were included in the study. The clinical features of the patients were recorded.</p> <p><strong>Result: </strong>Eighty (80) patients of traumatic head injury within and after 24 hours of head injury were enrolled in this study. In this study unconsciousness was in 32(40.0%) cases. However, convulsion was found in 12 (15.0%). Vomiting was the most common presenting features which was 71(88.7%) cases. Headache was reported in 48(60.0%) cases. The normal pupillary response was found in 42(52.5%) cases. The rest 38(47.5%) cases were dilated pupil.</p> <p><strong>Conclusion: </strong>In conclusion vomiting is the most common clinical features of patients presented with extra dura haematemases vomiting followed by unconsciousness and headache.</p> <p>Bang. J Neurosurgery 2020; 9(2): 126-129</p> 2020-01-14T00:00:00+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44888 Winter – the Increment of Spontaneous ICH 2020-03-24T14:19:21+00:00 Md Amir Ali lt.col.amirali@gmail.com Aminul Islam lt.col.amirali@gmail.com RU Chowdhury lt.col.amirali@gmail.com KM Tarikul Islam lt.col.amirali@gmail.com Ahmed Mursalin lt.col.amirali@gmail.com Al Amin Salek lt.col.amirali@gmail.com Abdul Hye Manik lt.col.amirali@gmail.com Hasnain Faisal lt.col.amirali@gmail.com Rafiul Karim Khan lt.col.amirali@gmail.com <p><strong>Background: </strong>Spontaneous intracranial haemorrhage (ICH) is defined as intraparenchymal bleeding in the absence of trauma or surgery. Spontaneous ICH is most disabling and deadly type of stroke. Meteorologic factors and seasons on the incidence of spontaneous ICH with ambiguous results.</p> <p><strong>Objectives: </strong>To determine whether different seasons had any relationship with the rate of primary intracerebral hemorrhage.</p> <p><strong>Methods: </strong>Total of 209 patients were diagnosed as spontaneous ICH and they have been first time reported &amp; admitted in Combined Military Hospital (CMH) Dhaka, between Jan 2017 and December 2018. Males were 146(69.85%), females were 63(30.15%) and were aged between 18 and 95 years old. Diagnosis was based on history, clinical examination and non-contrast Computed Tomography(CT) scan of brain.</p> <p><strong>Results: </strong>209 admitted patients in CMH Dhaka from Jan 2017- Dec 2018 are included in our study who full-fill the criteria. Intracerebral haemorrhage rate among age group less than 55years old being 55(26.31%) and 55 years and above 154(73.69%).There were a significant relationship between different seasons and intracerebral haemorrhage. Intracerebral haemorrhage incidence in winter season 61(29.18%) and late autumn 19(9.09%), out of 209 patients. Among them hypertensive patients were 137(65.55%) and non-hypertensive patient 72(34.45%), 170 (81.33%) were nondiabetic &amp; 39(18.66%) diabetic of total 209 patients.Out of 61 patients in winter; 54 (88.52%) hypertensive patients had large sized haemorrhage.</p> <p><strong>Conclusion: </strong>The highest rate of intracerebral haemorrhage during December-January. There is a seasonal variation in patient’s age, incidence among hypertensive patients, size of hemorrhage and more in number in winter season.</p> <p>Bang. J Neurosurgery 2020; 9(2): 130-134</p> 2020-01-14T00:00:00+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44889 Prevalence and Risk Factors of Low Back Pain among Medical Professionals Working In Selected Tertiary Hospitals in Dhaka City 2020-03-24T14:19:14+00:00 Md Joynul Islam joynul67@gmail.com Fariha Haseen joynul67@gmail.com Sanat Kumar Saha joynul67@gmail.com Moshiur Rahman Khasru joynul67@gmail.com Mahboob Morshed joynul67@gmail.com AKM Salek joynul67@gmail.com <p><strong>Background: </strong>Health care workers are most frequently suffering from lower back pain.</p> <p><strong>Objective: </strong>The purpose of the present study was to determine the prevalence and the effects of low back pain among health care providers working in Dhaka city.</p> <p><strong>Methodology: </strong>This descriptivecross sectional study was conducted in Department of Neurosurgery at National Institute of Neurosciences &amp; Hospital, Dhaka, Bangladesh from July 2012 to June 2013 for a period of one (1) year. The physicians and nurses who were working in the public hospital at any age group of both male and female were selected as study population. The details of the history of the physicians and nurses regarding their life style, hour of practising, and the mode of work and so on were asked in face to faced interview. A survey was carried out to174 conveniently selected participants to be filled and completed. Both descriptive and inferential tests were reported.</p> <p><strong>Result:</strong>A total number of 117 medical professional were recruited from 5 hospital in Dhaka city. Majority medical professionals were from BSMMU (48.0%).The majority study subjects were mentioned that they had spent 6 to 12 hours every day for work which was 92(53.8%). Most of the respondents mentioned that the working environment was very good to fair. The prevalence of low back pain was found in almost every respondents which was 113(66.1) subjects. Interestingly most of the respondents were clearly stated that the LBP was occurred after joining in the work. In this study majority of the respondents were given the history of localized low back pain which was 86(76.1%) subjects. Moderate intensity of pain was reported by most of the respondents which was 67(59.3%) subjects. Intermittent nature of pain was mostly recorded which was 70(61.9%) subjects.There were several individual and profession risks factors were retrieved from the respondents. Many study subjects were given the answer about lifting objects or patients from bed to bed or wheel chair which was 55(48.7%) subjects. About 91(80.5%) respondents had said that pain was due to bad body posture.</p> <p><strong>Conclusion: </strong>In conclusion most of the medical professionals are suffering from moderate intensity lower back pain after joining of their job</p> <p>Bang. J Neurosurgery 2020; 9(2): 135-141</p> 2020-01-14T00:00:00+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44890 Psammomatous Thoracic spinal meningioma with osseous metaplasia: A very rare case report 2020-03-24T14:19:07+00:00 KM Tarikul Islam dr.soumen.s@gmail.com Soumen Samadder dr.soumen.s@gmail.com Nazmin Ahmed dr.soumen.s@gmail.com Shamsul Alam dr.soumen.s@gmail.com Moududul Haque dr.soumen.s@gmail.com ATM Mosharef Hossain dr.soumen.s@gmail.com <p>Thoracic spinal psammomatous meningioma is a rare subtype of meningioma. Amongdiverse types of mesenchymal differentiation, osseous metaplasia is found to be stillrarer. We are presenting a new case of thoracic psammomatous spinal meningiomawith osseous metaplasia in a middle aged female which that gives a sense of cancellousbone in the spinal canal. To conclude, meningiomas with osseous metaplasia are veryrare tumors that complicate the surgical removal in certain cases. Ossification, ifpredicted prior to operation with computed tomography reconstruction, makes planningof removal easier. In our case, maintained cerebrospinal fluid spaces despite firmconsistency of tumor made its removal easier once cerebrospinal fluid was drained.We have submitted this article because it is very rare and curable pathology andpreoperative diagnosis helps in prevention of neurological injury during its excision</p> <p>Bang. J Neurosurgery 2020; 9(2): 142-145</p> 2020-01-14T00:00:00+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44891 Bronchogenic Intraspinal Cyst-A Rare Case of Spinal Cystic Space Occupying Lesion 2020-03-24T14:18:05+00:00 Sukriti Das sukriti66@yahoo.com Md Moidul Islam sukriti66@yahoo.com Kanij Fatema Ishrat Zahan sukriti66@yahoo.com Md Mamunur Rashid sukriti66@yahoo.com Musannah Ashfaq sukriti66@yahoo.com Md Rakibul Islam sukriti66@yahoo.com Mohammed Shamsul Islam Khan sukriti66@yahoo.com <p>A 55 year old female patient presented with progressive back pain of 6 month duration,aggravated on lying down, associated with weakness and numbness of the bothlower limbs for since 4 months. On neurological examination, the tone was foundincreased in both the lower limbs with a subjective power of grade 3/5 in both thelower limbs. Ankle and knee jerks were brisk with hypoaesthesia below D12dermatomes bilaterally, plantars were extensor. A clinical diagnosis of involvement ofD9 spinal level lesion was made. Magnetic resonance imaging (MRI) of the dorsolumbarspine showed an intraduralextramedullary ventrally placed lesion at the D8–D9 vertebral level with significant compression of the spinal cord [Figure 1, 2, 3]. Thelesion appeared hyperintense on T2W image with no contrast enhancement and withsignificant compression and shifting of the cord to the left. After preoperative routinehematological investigations, she underwent operation by laminectomy of D8–D9vertebrae and total excision of the cystic lesion was performed [Figure 4, 5]. Histologicalexamination revealed respiratory type pseudostratified ciliated columnar cells and apathological diagnosis of bronchogenic cyst was rendered [Figure 6]. The patient hadan uneventful postoperative period with subjective improvement of her symptomswith reduced spasticity &amp; improvement of motor grade to 4/5 in both lower limbs.</p> <p>Bang. J Neurosurgery 2020; 9(2): 146-150</p> 2020-01-14T13:59:59+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44892 Sagittal and Partial Coronal Synostosis, Treated by Modified Pi Procedure with Barrel Stave Osteotomy : Report of One Case 2020-03-24T14:17:57+00:00 Moududul Haque moududneurosurg@gmail.com Abdullah Al Mahbub moududneurosurg@gmail.com KM Tarikul Isalam moududneurosurg@gmail.com Sujan Sharif moududneurosurg@gmail.com Rathin Halder moududneurosurg@gmail.com ATM Mosharef Hossain moududneurosurg@gmail.com <p>Craniosynostosis consists ofprematurefusion of cranial suture(s) resulting inabnormalhead shape.Sagittalcraniosynostosis involves premature closure ofthe sagittal suture,producing an abnormallyelongated skull called scaphocephaly. Multiple techniquesand their modifications have been used forthe correction of sagittal craniosynostosis.We present a case of sagittal and partial coronal craniosynostosis who was treatedwith Modified Piprocedure with barrel stave osteotomy.</p> <p>Bang. J Neurosurgery 2020; 9(2): 151-155</p> 2020-01-14T14:00:12+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44893 Reconstruction of the Sphenoid Wing in A Patient with Sphenoid Wing Dysplasia in NF1 – A Case Report 2020-03-24T14:17:50+00:00 Tania Taher kaisar298@gmail.com Kaisar Haroon kaisar298@gmail.com Shafiul Alam kaisar298@gmail.com Rakib Ul Haque kaisar298@gmail.com Sk Sader Hossain kaisar298@gmail.com <p>Spheno-orbital dysplasia is almost pathognomic for Neurofibromatosis type 1. Thereis proptosis and deviation of the eye ball medially. We present a case of a young girlwith neurofibromatosis type 1, who had pulsating exophthalmos of the right eye withdiplopia and severe dysplasia of the sphenoid boneand consecutive herniation of theright temporal lobe. She presented with pulsatile proptosis and deviation of the righteye ball to the right. Her x-ray skull showed widening of the orbit. Her MRI scanshowed an arachnoid cyst behind her right eye ball. We had operated on her andreconstructed the right sphenoid greater wing with titanium mesh and duroplastywith G-patch. This had improved her proptosis and deviation of the eye ball.</p> <p>Bang. J Neurosurgery 2020; 9(2): 156-161</p> 2020-01-14T14:08:03+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44894 A Giant Trigeminal Schwannoma, Posterior Fossa and Middle Fossa Extradural Approach: A Case Report 2020-03-24T14:17:43+00:00 Haradhan Deb Nath dr.haradhan@yahoo.com Kanak Kanti Barua dr.haradhan@yahoo.com Nur Muhammad dr.haradhan@yahoo.com Manwar Hossain dr.haradhan@yahoo.com Nowsin Jahan dr.haradhan@yahoo.com Gausul Azam dr.haradhan@yahoo.com Rathin Halder dr.haradhan@yahoo.com KH Olinur Razib dr.haradhan@yahoo.com <p>Trigeminal schwannomas are rare tumors that are located in the posterior and middlecranial fossae in about a quarter of the cases. The presentation pattern is differentaccording to the involved compartment and the goal of surgery is complete removal.We present the case of a 28-years old man who presented with a left sided trigeminalschwannomas extending from the posterior to the middle fossa. Middle fossa part ofthe tumour was removed by extradural subtemporal approach and posterior fossapart was removed by retrosigmoidretromastoid approach</p> <p>Bang. J Neurosurgery 2020; 9(2): 162-167</p> 2020-01-14T15:49:09+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44895 Total Intracranial Migration of VP shunt - A Case Report 2020-03-24T14:17:36+00:00 DM Arman armandmdr@yahoo.com Sheikh Muhammad Ekramullah armandmdr@yahoo.com Sudipta Kumer Mukherjee armandmdr@yahoo.com Joynul Islam armandmdr@yahoo.com Mirza Hafizur Rashid armandmdr@yahoo.com MA Salam armandmdr@yahoo.com Kazi Nur Asfia armandmdr@yahoo.com Md Jahangir Hossain armandmdr@yahoo.com <p>Ventriculoperitoneal (VP) shunt is a common procedure performed for treatinghydrocephalus. Recently, endoscopy has been used in selected cases. Proximalmigration of VP shunt is a rare complication. Complete intracranial migration of VPshunt is very rare with very few cases reported in literature. We report a case ofcomplete intracranial migration of a VP shunt which was endoscopically retrieved.The possible mechanisms causing this very uncommon complication and themanagement are explained.</p> <p>Bang. J Neurosurgery 2020; 9(2): 168-172</p> 2020-01-14T15:49:22+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNS/article/view/44896 A Very Rare Benign Giant Osteoma in Tempero-parieto-occipital Region 2020-03-27T14:21:19+00:00 Md Mahamudul Haque Morshed mahmudshimon@gmail.com Uzzal Kumer Sadhu Khan mahmudshimon@gmail.com Saiful Hoque mahmudshimon@gmail.com Titas Roy mahmudshimon@gmail.com Hafiz Asif Raihan mahmudshimon@gmail.com Asit Chandra Sarker mahmudshimon@gmail.com <p>Osteoma is a slow growing benign mesenchymalosteoblastic tumor formed by maturebone tissue. The most common site reported is the fronto-ethmoidal region andneighboring sinuses.Involvement of the temporal and occipital squama is extremelyrare. Like giant osteomas in other locations of the skull, they can reach large volumesbut are essentially benign and potentially curable by excision.The author present acase of giant osteoma in Temporo-Parieto-Occipital region in a teenage girl.</p> <p>Bang. J Neurosurgery 2020; 9(2): 173-177</p> 2020-01-14T15:49:32+00:00 ##submission.copyrightStatement##