Intracranial lipomas are rare benign tumour that is slow growing, generally asymptomatic, most frequently located in the midline areas and are usually an incidental finding on imaging and therefore cases are not frequently reported. This study reports a case of a patient with quadrigeminal plate lipoma presenting with obstructive hydrocephalous and the 6th cranial nerve palsy that was successfully treated with ventriculo-peritoneal shunting without addressing the lesion. Key words: Lipoma, quadrigeminal plate, the 6th cranial nerve palsy, hydrocephalus ABSTRACTArticle history:

The purpose of this article is to advocate standard skull base technique for removing the clinoidal meningioma and to delineate the technique's advantages that aid in achieving an improved extent of tumor resection and enhancing the patients' overall outcome, specially their visual outcome. Methods: A retrospective analysis was performed on 10 consecutive patients with clinoidal meningiomas who underwent surgical resection at the Bangabandhu Sheikh Mujib Medical University and other private clinics between May 2013 and July 2016. A standard pterional craniotomy technique consisting of extradural anterior clinoidectomy, coupled with optic canal unroofing and optic nerve sheath opening was used in all patients. All patients had thorough preoperative and postoperative ophthalmological evaluations. The follow-up period ranged from 6 to 42 months. Results: Total resection was achieved in 5 (50.0%) of the 10 patients in this series. The majority of the patients with preoperative visual impairment experienced significant visual improvement 7 of 10 patients; 70.0%). Conclusion: In the majority of patients with clinoidal meningiomas, total resection may be achieved with minimal complications. For large tumors encasing the optic nerve and internal carotid artery, or for those tumors causing preoperative visual impairment, use of the cranial base technique delineated in this study may lead to significant improvement in the patients' visual and overall outcomes.

<p class="Abstract">Hand-Schuller-Christian disease (HSC) is a rare disease of unknown cause. We report a case of Hand-Schuller-Christian disease with a solitary swelling over left parieto-occipital region of scalp, and increased thirst with polyuria. Prompt diagnosis and treatment of the disease will improve the life expectancy.</p>

The beginning of Neurosurgery is not very new in Bangladesh. Prof.Rashiduddin Ahmed established the first Neurosurgery unit in the then Institute of Postgraduate Medical Research (IPGMR) with only six beds in 1970. The first generation neurosurgeons left the field of neurosurgery in the safe hands of their disciples. There was a rapid progression of neurosurgery further both in private and in government level after 2000.In 1997 the first MS (Neurosurgery) course was started in IPGMR which was replaced by a 5-year residency course under Bangabandhu Sheikh Mujib Medical University (BSMMU) in 2010. Till now over 154 candidates are the active members of Bangaldesh Society of Neurosurgeons and are practicing independent neurosurgery. It is a very popular course and at present there are about 89 residents in various phases of the course in 4 institutions under BSMMU. With the available investigations, diagnostic facilities, operative facilities and good neuroanesthesia; now neurosurgeons also developed their skills in vascular neurosurgery, pediatric neurosurgery, endoscopic neurosurgery, spinal stabilization procedures, stereotactic neurosurgery and stem cell therapy. We are also hopeful that, very soon we would be able to achieve and develop our standard of neurosurgery to an international level by our determination and continuous effort, and by suitable and update learning, teaching and training. Bang. J Neurosurgery 2019; 8(2): 57-62

Choroid plexus tumors are rare intracranial tumors which account for 0.4-0.6% of all brain tumors. Choroid plexus tumors represent a spectrum of neoplasms derived from papillary epithelium of normal choroid plexus, including well-differentiated papilloma (WHO grade I), intermediate form as atypical Choroid Plexus Papilloma (WHO grade II) and highly aggressive choroid plexus carcinomas (WHO grade III). Though rare, it is responsible for the communicating hydrocephalus in children due to overproduction of cerebrospinal fluid. Due to advances in molecular biology and better understanding of the tumorigenesis of choroid plexus papilloma, now it is established that several genetic syndromes and central nervous sytem abnormalities are associated with this tumor. Here, we reported a case of a 10 months old child who presented with sudden deterioration of consciousness level and after thorough evaluation, diagnosed as a case of Choroid Plexus Papilloma with Dandy Walker Variant. Till date, this is the first reported case of the association/ co-existence of such two conditions which needs further evaluation. Bangladesh Med J. 2017 May; 46 (2): 61-65