Abstract:Peripheral neuropathy is common in chronic renal failure patients and it '

Background and purpose: Stroke is a leading cause of mortality and morbidity in both developed as well as developing countries. The clinical presentation of stroke depending on the site and extent of lesions. For the management purpose it is important to know whether we are dealing with a bleed or an infarct. Methodology: Computed Tomography (CT scan) is available most of the tertiary level hospitals in Bangladesh. This study was carried out to compare clinical diagnosis of stroke with Computed tomography (CT) scan findings in ascertaining the type of stroke (hemorrhagic or ischemic). Materials and methods: This cross-sectional comparative study was conducted in the Department of Neurology, Rajshahi Medical College Hospital during the period of January 2010 to December 2010. Total 200 stroke patients were selected by purposive sampling technique on the basis of inclusion and exclusion criteria as the study sample. . CT brain scan was done for all the patients. The clinical diagnosis was compared with the results of CT scan and performance test was done. Results: Clinically 67 patients were diagnosed as hemorrhagic stroke and 133 patients were diagnosed as ischemic stroke. Out of these 67 hemorrhagic patients CT scan revealed that 56 patients had intracerebral hemorrhage, 5 had infarct, 4 had subarachnoid hemorrhage and 2 had space occupying lesions in the brain. Out of these 133 ischemic patients CT scan revealed that 119 patients had infarction, 6 had intracerebral hemorrhage and 8 had space occupying lesions in the brain. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of clinical diagnosis of hemorrhagic stroke were 90.32%, 92.03%, 83.58%, 92.02% and 91.5% respectively. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of clinical diagnosis of ischemic stroke were 95.96%, 81.58%, 89.47%, 92.53% and 90.5% respectively. Conclusion: The diagnosis of stroke in clinically with high accuracy, but perform a CT scan will help to confirm and differentiate to type stroke. Thus CT scan should be done in all cases stroke to specify the diagnosis. DOI: http://dx.doi.org/10.3329/bjn.v28i2.17179 Bangladesh Journal of Neuroscience 2012; Vol. 28 (2): 96-101

Spinal tuberculosis (Pott’s disease) during pregnancy reported to be rare & can be associated  with destruction of the intervertebral disc & adjacent vertebrae that can lead to cord compression  & thereby paraplegia or quadriplegia. Delay in diagnosis is common & most cases are diagnosed  when paraplegia has already been occurred. This serious complication requires special attention  during pregnancy & delivery. Here we reported a case of term pregnancy with Pott’s paraplegia.  As the patient had complete motor & sensory loss from D7 level, (above the level of umbilicus  to the lower limbs) LUCS was done without anesthesia & a healthy female baby was delivered.  She did not require any analgesia post operatively DOI: http://dx.doi.org/10.3329/bjog.v25i1.13731 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 37-40

Spinal tuberculosis (Pott's disease) during pregnancy reported to be rare & can be associated with destruction of the intervertebral disc & adjacent vertebrae that can lead to cord compression & thereby paraplegia or quadriplegia. Delay in diagnosis is common & most cases are diagnosed when paraplegia has already been occurred. This serious complication requires special attention during pregnancy & delivery. Here we reported a case of term pregnancy with Pott's paraplegia. As the patient had complete motor & sensory loss from D7 level, (above the level of umbilicus to the lower limbs) LUCS was done without anesthesia & a healthy female baby was delivered. She did not require any analgesia post operatively.TAJ 2009; 22(1): 282-286

Mollaret's meningitis is defined as a benign recurrent aseptic meningitis characterized by three to ten episodes of fever and signs of meningeal irritation lasting between 2 to 5 days, associated with spontaneous recovery. Mollaret in 1944 described this rare form of self limiting aseptic recurrent benign meningitis. It is an extremely rare condition. Till 2002 approximately 50 cases of recurrent HSV meningitis have been described in the United States and in Europe. Here a report of a patient with recurrent meningitis, which resembles the criteria of Mollaret's Meningitis, is presented.   doi: 10.3329/taj.v17i1.3489 TAJ 2004; 17(1) : 41-46