This prospective study was conducted to compare the outcome between medical and surgical treatment of primary intracerebral haemorrhage at the department of Neurosurgery, Dhaka Medical College

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

Acute subdural empyema is a surgical emergency. It is life threatening for the patient. It has to be evacuated as soon it is diagnosed. But subdural empyema in a COVID 19 patient is uncommon. Its management put the surgical team to a new dilemma. On one side the patient’s life was at risk and on the other side the whole surgical team might get infected.In this case report, we describe such a case which saved the patient’s life at same time many doctors, nurses and OT attendants became infected. Abbrevaitions: OPD- Out patient department, COVID 19-Corona Virus Disease 2019, NINS- National Institute of Neurosciences, RT-PCR- Reverse transcription polymerase chain reaction. SDE- Subdural empyema, PNS- para nasal sinuses Bang. J Neurosurgery 2021; 10(2): 206-209

Cavernoma is benign tumour of the orbit. It results in proptosis, visual disturbance, diplopia and ptosis of the eye. It is amenable to surgery and this results in complete after surgical removal without recurrence. We report a case of right orbital cavernoma in a female, who presented with non-pulsatile painless proptosis, slight ptosis and double vision while looking at the right side. Her MRI revealed that she had a cavernoma of the right orbit. She was operated by the lateral orbitotomy. This easily removed the tumour, cosmetically acceptable and she became symptom free. Bang. J Neurosurgery 2020; 10(1): 102-105

Aspergillus is a fungus found in the environment. In an immunocompetent person, inhalation of spores may cause localized infection. Invasive aspergillosis has a poor prognosis. We describe a case of cerebral aspergillosis in an immune competent patient. A 30-year-old man was admitted with seizures and headaches. Magnetic resonance imaging (MRI) of the brain showed contrast enhancing lesion at the suprasellar region. Excision biopsies showed granulomatous reactions, mixed inflammatory infiltration, fibrosis, and necro-purulent material mixed with fungal hyphae featuring acute-angle branching and septation, which was compatible with aspergillosis. Amphotericin B was begun. The results of testing for human immunodeficiency virus (HIV) was negative. Unfortunately the patient died on twentieth postoperative day. Most cases of invasive aspergillosis show that this organism is pathogenic in immunocompromized patients; however, some case reports show that invasive aspergillosis may not be so rare in immunocompetent patients. In these patients, virulent and drug-resistant forms of Aspergillus may be responsible for the disease, and treatment with antifungal agents is often ineffective, so that surgical excision is required. [Bangladesh Journal of Infectious Diseases 2017;4(2):52-55]