Objective: To examine the burden of neurologic disorder as encountered in a specialized neurology clinic at tertiary care level. Methods: This retrospective study was carried out in specialized neurology outpatient clinic of Dhaka Medical College Hospital from July 2010 to June 2011, which included 3173 patients. Data were collected through a predesigned questionnaire from the hospital database kept at the clinic. Result: Among all the patients attending outpatient clinic, 88.7% had 44 types of neurological disorders. Distribution of disease was similar in all age group from 21-30 years to 51-60 years. Stroke (28.2%) and Headache (24.7%) were two most common neurologic disease, where headache was prevalent among female aged less than 30 years and stroke in male of >40 years. Epilepsy, peripheral neuropathy, Parkinson’s disease, pseudo vertigo were also present in a considerable number of patients. Patients with peptic ulcer (3.02%), anxiety neurosis (2.6%) and other non neurological disease were also given consultation in the clinic. Conclusion: Neurological diseases are not uncommon. Different diseases predominate in different age and sexes. Knowing pattern of disease distribution in community will help managing them properly. DOI: http://dx.doi.org/10.3329/jom.v13i1.10045 JOM 2012; 13(1): 39-42
EEG is not so commonly used in patients attending psychiatry department. It is predominantly required to rule out any organic cause behind the behavioral changes. Purpose of this study was to assess the referred cases from psychiatry department and determine the clinical factors associated with an abnormal EEG in patients with psychiatric problem. We retrospectively reviewed and analyzed the data of all the cases referred to EEG lab.
Introduction:Electroencephalography (EEG) is the recording of electrical activity along the scalp produced by the firing of neurons within the brain. In clinical contexts, EEG refers to the recording of the brain's spontaneous electrical activity over a short period of time, usually 20-40 minutes, as recorded from multiple electrodes placed on the scalp. In neurology, the main diagnostic application of EEG is in the case of epilepsy, as epileptic activity can create clear abnormalities on a standard EEG study. A secondary clinical use of EEG is in the diagnosis of coma, encephalopathy, and brain death. 1
Dengue fever is very common in Bangladesh. Every year a large number of urban populations suffer from this viral infection. Various presentations of dengue fever have been documented. Neurological complications in dengue fever are relatively uncommon. Among these, Acute Disseminated Encephalomyelitis (ADEM) has been observed in very few cases. Here we present a case of 13 year old girl suffering from ADEM following dengue fever. Keyword: Acute Disseminated Encephalomyelitis, Dengue fever, Neurological complication.DOI: http://dx.doi.org/10.3329/jom.v12i2.8428 JOM 2011; 12(2): 185-187
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