Introduction: Cerebellopontine angle tumors are a surgical challenge to many neurosurgeons who want to operate in this space. Although most of these tumors are benign, they are a challenge because of the complex anatomy and important neurovascular structures that traverse this space. Most common cerebellopontine angle tumor is vestibular schwannoma. The management of these cases is essentially surgical. There has been a change in the surgical strategy over the years from simple intratumoral decompression to complete microsurgical excision, to radical excision with facial nerve and hearing preservation. Objectives: To study the clinical and radiological characteristics, know the pathological types and determine the surgical resectability and outcome of cerebellopontine angle tumor. Materials and Methods: It is a retrospective study done in the department of Neurosurgery, Apollo Hospitals Dhaka. 34 patients diagnosed with cerebellopontine angle tumor were recruited into the study. Results: Among 34 cases of cerebellopontine angle tumors vestibular schwannoma alone constituted 79%. Most of the tumors were large or giant tumors. Total resection was done in 25% of vestibular schwannoma and 50% of meningiomas. Anatomical preservation of facial nerve was achieved in 73% of patients. Facial nerve function as measured by the House Brackmann system. Postoperatively 61% had a score of 1 or 2; 29% had a score of 3 or 4; and 8% had a score of 5 or 6. Other complications included 2 cases of CSF leak, 3 cases of meningitis, 2 cases of lower cranial nerve palsy and 1 patient died. Conclusion: Cerebellopontine angle tumors show high incidence from 3rd to 5th decade with common symptoms being hearing loss and ataxia. Most of the patients presented at a delayed stage with large to giant tumors with no useful hearing. Sub total excision with keeping anterior part of tumor for preserving facial nerve function is the goal.

A 41 year old nondiabetic, non hypertensive male was admitted in AHD through neurosurgery OPD with the complaints of left eye watering and left sided weakness for 1 month. MRI examination revealed a mass / lesion in the left prepontine cistern, left CP angle with extension to left middle cranial fossa which was histologically found to be chondroma, an extremely rare tumour in the above mentioned location.

Claeys E, Bussel B, Held JP. Pure sensory stroke due to midbrain haemorrhage limited to the spino-thalamic pathway.

Background: Spinal instrumentation provides a stable, rigid column that encourages bones to fuse after spinal fusion surgery. Methods: The study was carried out in the Neurosurgery Center, CMH, Dhaka, from 01 January 2013 to July 31 2018. A total of 95 patients were included with unrestricted age and gender, underwent spinal surgery with fixation. Result: Better outcome was observed in spinal surgery with stabilization. Conclusion: Whereas early (within hours) or immediate (within 48 h) stabilization and indirect or direct decompression has excellent outcome, even delayed stabilization of the unstable spine has benefits. Bang. J Neurosurgery 2019; 9(1): 11-15

Introduction: Sturge-Weber syndrome sometimes referred to as encephalotrigeminal angiomatosis, vascular malformation with capillary venous angiomas involving face, choroid of eye, leptomeninges, is a rare congenital neurological and skin disorder.Case presentation: This is case report of 7 years old mentally disabled boy, with long-standing seizures, with a port-wine nevi on the right side of the face along the distribution of trigeminal nerve. Interictal encephalogram showed bilateral slow activity, pronounced in the right hemisphere, with epileptogenic activity in the right fronto-parietal region. Computerized tomography and magnetic resonance imaging showed intracranial calcifications, abnormally large veins in deep medullary and subependymal periventricular region, atrophy of the right hemisphere of brain and ipsilateral thickening of skull.Conclusion: Professional counselling and support in addition to drug treatment an provide help to patients and their family to overcome their problems and improve the treatment outcome.KYAMC Journal Vol. 4, No.-1, July 2013, Page 366-368