Abstract:Background: In our country, there are many studies on stroke, its associated conditions and their effect on stroke
Objective: Metabolic syndrome is the cluster of vascular risk factors including insulin resistance, elevated bloodpressure, hyperlipidemia, and obesity. Metabolic syndrome is strongly associated with cardiovascular andcerebrovascular disease. The aim of this study is to find out association between stroke and metabolic syndrome inour population.Methods: In this observational study, a total number of fifty randomly selected patients were studied from July2009 to December 2009 at Medicine ward of Dhaka Medical College Hospital. Definition of metabolic syndromewas taken from the guidelines by the National Cholesterol Education Program Adult Treatment Panel III.Results: Among the study population 46% had metabolic syndrome. This study estimated that Ischaemic stroke ismore common among metabolic syndrome patients (65.2%), but patient without metabolic syndrome had morehaemorrhagic stroke (55.6%).Only 12% patient was found obese. With or without metabolic syndrome most of thepatient had elevated TG (64%) and raised blood pressure (64%).Conclusion: Without obesity, metabolic syndrome is an important risk factor for cerebrovascular disease. Majorityof the patients with metabolic syndrome present as ischemic stroke.Keywords: Stroke; Metabolic syndrome; hypertension; fasting blood sugar; hyperlipidaemia.DOI: 10.3329/jom.v11i2.5453J MEDICINE 2010; 11 : 124-127
Focal Brain and skin abscesses due to Salmonella are rarely reported. They tend to occur in patients who are immunosuppressed and in those with other predisposing factors like; sickle cell disease. We presented a case of a 28-year-old female of multiple skin and brain abscesses caused by Salmonella Typhi with no predisposing factor. After starting treatment according to culture and sensitivity report, she completely recovered without any residual disability.Bangladesh J Medicine Jul 2015; 26 (2) : 83-85
Perthes' disease is a disorder of the hip joint in children. Femoral head became softens, flattened or deformed because of the lack of blood supply of unknown cause. It is a very rare cause of bilateral avascular necrosis of the head of the femur, which can easily diagnosed by clinical correlation with the X-ray pelvis findings. Here we present a typical case of Perthes disease, who was finally diagnosed after a long periods of time. In Perthes disease early detection is very important to preserve, restore the femoral head, relieve pain and prevent long term osteoarthritis. DOI: http://dx.doi.org/10.3329/akmmcj.v4i1.13684 AKMMC J 2013: 4(1): 40-41
A 15-year-old previously healthy girl developed unconsciousness and repeated generalized convulsion 12 hours after taking an unknown herbal substance from a local traditional healer. But she had no history of fever, headache, vomiting. Patient was found to be unresponsive (GCS-5/15). Blood pressure, pulse and temperature were normal but she had quadriparesis, areflexia and bilateral extensor planter reflexes. The pupilary reaction was sluggish with normal fundal examination. Her all routine blood biochemistry and CSF examination reports were normal. An initial CT scan of the brain (fig-a) showed extensive white matter changes throughout the frontal and parietal lobes. In addition, areas of lower density lesions involving the basal ganglia bilaterally. T1-weighted axial MRI of the brain (fig-b) showed decreased signal in cerebral white matter, especially in frontal, parietal areas and putamens. T2-weighted (fig-c) and FLAIR weighted (fig-d) MRI showed increased signal in cerebral white matter and in both putamen suggestive of non-haemorrhagic necrosis.Majority of toxin induce encephalopathy involve the optic nerve and the central nervous system with a predilection for basal ganglia, resulting in symptoms of visual Images in Medical Practice(J Bangladesh Coll Phys Surg 2010; 28: 128) disturbances, blindness, drowsiness, seizures and coma. 1 Bilateral necrosis of the putamen with white matter changes has been reported as characteristic in brain imaging.
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