No abstract

Background: Brain abscess is a relatively uncommon but life-threatening infection in children. It can originate from contiguous site infections (eg, chronic otitis media, mastoiditis, sinusitis, meningitis), from distant pathologic states (eg, cyanotic congenital heart disease, chronic lung infections), after head trauma or neurosurgical procedures, or from cryptogenic sources. Predominant etiologic microorganisms vary depending on these predisposing factors. Proper selection of antimicrobial agents with good penetration of the central nervous system and with adequate coverage of both anaerobic and aerobic bacteria is critical for the medical management of brain abscess. Delay in surgical drainage can be associated with high morbidity and casefatality rates. Methods: The study was carried out at Department of Paediatric Neurosurgery, NINS&H, Dhaka from November 2017 to till date. Data collection sheet was used to collect the necessary information. Subjects was included from a NINS Pediatrics neurosurgery electronic registry. Structured questionnaire was used to collect the necessary information. Risks and benefits of this study were explained to the patient and patient’s legal guardian/parents in an easily understandable local language. Informed written consent was taken from each guardian before data collection. Results: Most of the patients were within >5 years age group 21 (38.3%). Second large were <2 years age group 19 (34.5%). According to gender. 33 (60%) patients were males and 22 (40%) patients were females. Distribution of subjects among OPD patients and admitted patients. 41 patients were admitted indoor among 55 patients. Predisposing factors were identified in 24 of 41 admitted cases. 11 abscesses developed in a child with cyanotic congenital heart disease (CCHD) and 2 occurred after head trauma. 2 abscesses were secondary to ear infections. In 28 patients, the abscess was drained through a burr hole, without the need for craniotomy; the other 4 underwent open craniotomy. 9 patients improved only with conservative management. Among the admitted patients, 34 patients were discharged from the ward in clinically stable conditions and 7 patients expired. Conclusion: Advances in the diagnosis and treatment of brain abscess and subdural empyema with neuroimaging techniques such as computerized tomography, magnetic resonance imaging, magnetic resonance spectroscopy, the availability of new antimicrobials, and the development of novel surgical techniques have significantly contributed to the decreased morbidity and mortality associated these infections. Bang. J Neurosurgery 2022; 11(2): 70-74

Third ventricular colloid cyst is slow-growing benign tumor comprising <1% of intracranial tumors. Previously it was removed by interhemispheric transcallosal or transcortical approach. Now a days, endoscopic removal of colloid cyst is a popular option because it is less invasive, panoramic view helps in total removal of tumor. Here we are reporting a 8 years old boy presented with occasional headache, vomiting, seizure and loss of consciousness for 3 months. Neuro-imaging revealed anterior third ventricular colloid cyst. We removed the tumor completely with rigid neuroendoscope which was confirmed by histopathology. After three months follow up patient was quiet healthy. Bang. J Neurosurgery 2020; 10(1): 119-122

Objective: To evaluate the solitary & multiple site of extracranial and intracranial atherosclerotic arterial stenosis in patients of ischemic stroke with diabetes mellitus. Methodology: This retrospective observational study was conducted among the patients having ischemic stroke with diabetes mellitus who were admitted in Dhaka Medical College & Hospital (DMCH) out patient department during March 2010 to February 2011. A total of 30 patients with ischemic stroke and diabetes mellitus were included in the study. CT scan of brain was done to every patient to confirm the diagnosis. Digital subtraction angiography was performed for complete evaluation. Result: The mean (±SD) age was 57.9±9.2 years with a range from 43 to 80 years and male female ratio was 29:1. Among 21 patients with extracranial stenosis, either single, double and triple or more lesions were found in 53.3%, 85.7% and 87.5% of patients respectively. Again among 9 patients with intracranial stenosis, it was observed that 46.7% of patients had single lesion stenosis, 14.3% of patient had double lesion stenosis and 12.5% of patients had triple or more lesion stenosis. Double (85.7%) and triple (87.5%) lesions were significantly (p<0.05) higher in extracranial stenosis compared to intracranial stenosis (14.3% and 12.5% respectively). Most (78.9%) of the patients had >70% stenosis in extracranial arteries and 21.1% in intracranial arteries. Patients with >70% stenosis were significantly (p<0.05) higher in extracranial arteries. Conclusion: A conclusion can be made from the above mentioned result that occurrence of multiple site of lesions and more severe stenosis occurred more in extracranial group than in intracranial group of ischemic stroke patients among diabetic population of Bangladesh. Bangladesh Journal of Neuroscience 2013; Vol. 29 (1) : 1-4