“…However, there was an outbreak in 2008 at Rajshahi District caused by Aedes albopictus mosquito commonly presented with high fever, headache, maculopapular rash and painful arthralgia 4 . Furthermore central nervous system involvement can also be found by Chikungunya viral infection like brain swelling, disseminated intravascular coagulation, cerebral or cerebellar hemorrhage, scattered parenchymal petechiae, cerebellar hematoma and hematemesis 7 . In children and adults, neurological manifestations include altered levels of consciousness, cranial nerve deficits, seizures, decreased deep tendon reflexes, psychosis, hemi/paraparesis, paraplegia and involuntary movements.…”