Introduction:Stroke is the second most common cause of death throughout the world and is the most common cause of severe adult physical disability 1 and third leading cause of death in Bangladesh. 2 The World Health Organization (WHO) ranks mortality due to stroke in Bangladesh as number 84 in the world. The reported prevalence of stroke in Bangladesh is 0.3%. The high number of disability-adjusted life years lost due to stroke (485 per 10,000 people) shows that stroke severely impacts Bangladesh's economy. 2 Recognized risk factors are hypertension, diabetes, smoking, heart disease, dyslipidaemia. So for primary prevention of stroke, risk factors identification is essential. 3 Hyperlipidaemia is manifested by elevation of the plasma concentrations of the various lipid and lipoprotein fractions (total cholesterol, LDL cholesterol, VLDL, triglycerides etc). Elevation of total and LDL cholesterol is associated particularly with atherosclerotic disease (like CHD, stroke etc) risk, but it is increasingly clear that moderately raised triglycerides or VLDL in the presence of low HDL-cholesterol may also be atherogenic. 4 There is a well-established inverse relation between serum concentrations of HDL cholesterol and the risk of coronary heart disease, 5 but it is not a welldocumented risk factor for stroke. Several case-control studies have noted an inverse relation between HDL cholesterol and risk of stroke or transient ischemic attack. 6,7,8 The Framingham Study, the Copenhagen Study and the Israeli Heart Disease Study have all demonstrated a trend toward higher risk of thromboembolic stroke with lower HDL cholesterol levels in men. 9,10,11 These data add to the evidence relating lipids to stroke and support HDL-C as an important modifiable stroke risk factor. 12 In conjunction with other risk factors, measurement of HDL cholesterol (commonly available from routine lipid screening) could become an increasingly useful tool for identifying elderly persons at high risk of stroke. Abstract:Stroke is an alarming health hazard all over the world as well as in Bangladesh and one of the leading causes of mortality and morbidity. There is a well-established inverse relation between serum concentrations of high density lipoprotein cholesterol (HDL-c) and the risk of coronary heart diseases but it is not a welldocumented risk factor for stroke. This study was done to evaluate of the HLD-c concentration among elderly ischaemic stroke patients. This cross sectional study was conducted

Stroke is ranked as the third leading cause of death in Bangladesh. According to the World Health Organization, mortality rate of Bangladeshi population due to stroke as number 84 in the world. The reported prevalence of stroke in Bangladesh is 0·3%, although no data on stroke incidence have been recorded. There is no well-documented data of the time of onset of ischaemic stroke. This study was done to find out timing and relationship with activity among elderly ischaemic stroke patients. This cross sectional study was conducted in Out Patient department (OPD) stroke clinic and Indoor of the department of neurology, BSMMU, Dhaka from July 2015 to June 2016. A total 200 patients suffering from ischaemic stroke within the range of 61-95 years of age of both sexes were included. Patient with TIA, hemorrhagic stroke and stoke after one month of onset were excluded. Male and female ratio was 1.95:1. Mean age was 68.4±8.24 years. clinical presentation of the patients. Hemiparesis was presented in 66.2% patients followed by 57.0% patients were inability to talk, 33.8% presented with hemiplegia, 20.4% had vertigo, 9.2% had headache, 7.0% had vomiting, 2.8% had loss of consciousness and 2.1% had convulsion. Maximum incidences were occurred during sleep (36.6%), during day to day activity 39.4% and resting condition (21.8%) respectively.University Heart Journal Vol. 14, No. 1, Jan 2018; 28-30

Background: In 2017, the international league against epilepsy (ILAE) classification of epilepsies described the “genetic generalized epilepsies”, which contained the “idiopathic generalized epilepsies”. This study delineates the four syndromes comprising the IGEs: childhood absence epilepsy, juvenile absence epilepsy, juvenile myoclonic epilepsy (JME), and epilepsy with generalized tonic-clonic seizures alone (GTCA). JME patients usually present with myoclonic seizures, and GTCA patients present with GTCS only after awakening from sleep. Aim of the study was to identify the differences between juvenile myoclonic epilepsy and epilepsy with generalized tonic-clonic seizures alone by semiology and EEG with updated terminology under the observation of the clinicians.Methods: This was a prospective observational study and was conducted in the epilepsy clinic, department of neurology, Bangabandhu Sheikh Mujib medical university, from February 2021 to July 2022. The sample size was 60. Results: Among 60 patients, family history was present in 12 (20%) and 6 (10%) JME and GTCA patients, respectively. In this study, the EEG finding of generalized spike-wave (2.5-5.5 Hz) was seen in 26 (43%) and 19 (32%) among JME and GTCA patients, respectively. Generalized Polyspike wave (2.5-5.5 Hz) was seen in 26 (43%) JME patients, and EEG was normal in 15 out of 60 patients of epilepsy. In EEG findings, 2.5-5.5 Hz generalized spike-wave should be diagnosed in JME and GTCA patients as a special group of IGEs. Conclusions: In this study, we have recognized and differentiated between juvenile myoclonic epilepsy and generalized tonic-clonic seizures alone by semiology and EEG in IGE syndromes as a special grouping among the IGEs is helpful as they carry prognostic and therapeutic implications.

Coeliac disease was considered as a gluten sensitive enteropathy but now due to its wide clinical presentation is considered as multisystem autoimmune disorder. Ataxia with peripheral neuropathy is a rare manifestation of gluten sensitivity. The presence of glutenrelated immune markers in normal population however complicates the reliable diagnosis of gluten related neurological disorders and clinical improvement on gluten free diet can serve as a diagnostic tool for this disease. We report a case of sporadic progressive cerebellar ataxia with peripheral neuropathy with positive anti tissue transglutaminase (antitTG) antibodies and subtotal villous atrophy in duodenal biopsy. This case highlights an important diagnostic and therapeutic principle in management of late onset idiopathic ataxia. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 43-46

Stroke is the third leading cause of death in adult population throughout the world and is the most common cause of severe adult physical disability. It is increasing at an alarming rate in Asia including Bangladesh. The assessment of the frequency of development of various types of complications of stroke is important for proper management after acute stroke and its primary and secondary prevention. The aims of the study were to observe the complications in patients with ischemic and hemorrhagic stroke.A cross sectional observational study was conducted from September 2015 to April 2017 in the department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka. All the patients of ischemic and hemorrhagic stroke confirmed by neuroimaging (CT scan of head/ MRI of brain), meeting the inclusion and exclusion criteria were included in the study.Our study was performed with eighty stroke patients. Among them sixty five were ischemic and fifteen were hemorrhagic stroke patients. Present study showed that maximum stroke patients were more than 50 years of age. Mean age of the study population was 59.28 ± 13.98 years and 60.07 ± 17.29 years in ischaemic stroke patients and haemorrhagic stroke patients respectively. Stroke incidence rate is 1.25 times greater in men than women. University Heart Journal Vol. 15, No. 2, Jul 2019; 42-46