Background: Road traffic accident (RTA) is a common problem of neurosurgery department. It is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills over 21,000 people in the country annually. Aims: This study aims at to give special attention to RTA patients having head injury or spine injury rather than other injury. Method: The data were collected using a set of structured questionnaires from January/2018 to December/2018. Result: Maximum (93.3%) of RTA patients were managed conservatively and only a few number (6.7%) of patients needed surgery. Recovery was 83% and death was in 17% cases. Conclusion: Head injuries remain the most common and serious type of trauma in RTA and demand good neurosurgical care for such patients. Immediate attention is needed to reduce preventable deaths and morbidities in rural Bangladesh. Bang. J Neurosurgery 2019; 9(1): 22-25

Epidural Haematoma (EDH) develops in 1-3% of all major head injuries and most common in the young. This crosssectional descriptive study was done to find out the management strategy and outcome of EDH in relation to clot volume. This study was performed from December'2006 to November'2007, by purposively selecting 77 cases of EDH from the Department of Neurosurgery, Dhaka Medical College Hospital (DMCH), Dhaka. The study showed that highest number of patients was in most active period of life, with male predominance (Male: Female =7.5:1). Causes of EDH were mostly due to assault (37.7%), followed by RTA (32.5%) and fall from height (29.8%). The study showed Patient having EDH Volume (EDHV) > 30ml will have 8.55 times more chance of having unfavorable outcome than patient having EDHV < 30 ml. Patient having EDHV > 30 ml will have 187.83 times more chance of requiring surgical intervention than those having EDHV <30 ml, which is statistically highly significant (p<0.001). Mortality rate of EDH can be reduced by giving early management either conservative or surgery. Delay in the management of EDH patients with poor level of consciousness and EDHV >30 ml has adverse effect on mortality and morbidity. Key words: EDH; EDHV; Burr hole; GOS; GCS. DOI: http://dx.doi.org/10.3329/fmcj.v6i2.9208 FMCJ 2011; 6(2): 89-91

Background: Motor bike is a popular two wheeler vehicle in Bangladesh especially among young generation, newly married couple and service holders. It is also popular vehicle among female NGO workers. Female like to travel on motor bike along with life partner or with guardian hanging their both legs on one side of seat increasing the tendency to fall down from motor cycle due to imbalance body weight during turning the road or crossing the uneven road or sudden increasing the speed of the motor bike or crossing on a speed breaker. Aims: Encourage female to travel on motor bike hanging their legs on both sides of the seat to maintain the body weight balance for reducing the mortality and morbidity of RTA. Methods: All the female patients admitted in neurosurgery ward having motor cycle accident from January/2019- December/2019 were included in this study. Results: There is a strong association between fall from motor cycle (RTA) and hanging two legs on one side in female motor cycle traveler. Conclusions: female should travel on motor cycle hanging their legs on both side of seat to avoid avoidable head injury due to RTA. Bang. J Neurosurgery 2020; 10(1): 33-38

Introduction: In recent trauma practice, a Computed Tomography (CT) scan is the initial study of choice to regulate the type, extent and severity of traumatic brain injury as well as to control the management protocol. There are no guidelines on the necessity of repeat CT scan. Objective: Our main aim in this present study was to determine whether serial CT scans demonstrated momentous change from the findings in the first CT scan and whether repeat scans had influence on management possibilities. Methodology: This cross sectional study was carried out at Department of Neurosurgery, Rangpur Medical College Hospital, from January 2016 to June 2017 where 80 patients’ data were evaluated on the basis of their history, clinical examination. On admission, a detailed history of the illness was taken from the patient or attendant, thorough neurological and general examinations were carried out, and findings of the performed investigations were recorded. On admission GCS were recorded. Result: In the study, out of all patients of group I maximum 40% patients belonged to 25 to 34 years age range and in group II maximum 35% belonged to 25 to 34 years age group. Also group I, 95% were male and 5% were female and in group II, 92.5% were male and 7.5% were female. Conclusion: From our result, we can conclude that for detecting new lesions or enlargement of existing lesions in traumatic brain injury repeat CT scans were found to be of significance which results in changing of management in a substantial percentage of patients.

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