Journal of Dhaka Medical College最新文献

{"title":"Cerebral Venous Sinus Thrombosis With Hereditary Antithrombin Iii Deficiency After COVID-19 Vaccination: A Case Report","authors":"S. J. B. Sayeed, Reaz Mahmud, Sabrina Rahman, M. Moniruzzaman, A. Kabir, P. Biswas, M. Yousuf","doi":"10.3329/jdmc.v30i2.56931","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56931","url":null,"abstract":"Hereditary antithrombin III deficiency is a prothrombotic disorder with an associated 50-90% risk of venous thrombosis. It rarely causes cerebral venous thrombosis in adults. Variable clinical presentations make the diagnosis a challenge. Careful clinical history, extensive clinical examinations, comprehensive investigations, and prompt management are necessary to save lives. COVID-19 vaccine-induced immune thrombotic thrombocytopenia may be a risk factor for cerebral venous thrombosis in these cases. Here, we are reporting an adult female with cerebral venous sinus thrombosis after receiving the COVID-19 vaccine. Subsequently, she was diagnosed with hereditary antithrombin III deficiency.\u0000J Dhaka Med Coll. 2021; 30(2) : 227-231","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124382522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and Renal Outcome Of Pregnancy Related Acute Kidney Injury Requiring Dialysis in a Tertiary Care Centre","authors":"Md. Shahadat Hossain, SM Imrul Anwar, A. Morshed, Ishtiaque Musharraf, Ariful Islam Majumder, Afroza Huq","doi":"10.3329/jdmc.v30i2.56927","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56927","url":null,"abstract":"Introduction: Acute kidney injury (AKI) is a rare complication of pregnancy, but may be associated with significant morbidity and mortality in young and often otherwise healthy women. In a developing countries like Bangladesh due to low resource settings intermittent hemodialysis is the usual mode of renal replacement therapy. It opens up a field of investigation to assess the maternal and renal outcome of pregnancy associated acute kidney injury after getting dialysis.\u0000Materials and method: This analytic, descriptive, prospective study was performed over 46 patients with pregnancy associated AKI requiring dialysis during July 2015 to June 2016. Etiology and spectrum of pregnancy related acute kidney injury (PR - AKI) requiring dialysis were assessed and maternal and renal outcome were analyzed.\u0000Result : Puerperal sepsis(25, 54.3%) was the most prevalent cause, followed by preeclampsia/ eclampsia, (7,15.2%), septic abortion ( 5 ,10.9%), PPH/APH (5 ,10.9%), sepsis with PPH (2 ,4.3%), HELLP syndrome (1 ,2.2%) and sepsis with HELLP (1 ,2.2%)36 (73.3%) patients remained alive and 10 (22.8%) patients expired. HELLP syndrome and maternal mortality was more commonly observed in dialysis requiring group. Delivery at term was more commonly observed in dialysis requiring group and preterm delidery was more common in dialysis not requiring group. 26(56.5%) patients had delivery at term , 15(32.6%) had preterm delivery and abortion was found in 5(10.9%). Renal out come was better in dialysis not requiring group when compared with dialysis requiring group.Complete recovery was found in 19(52.8%) patient at 3 months follow up, 10(27.8%) had partial recovery seven patients remained dialysis dependent. According to the RIFLE criteria,19 patients were in the Injury category and 27 patients were in the Failure category.Relative risk of mortality in Injury is 0.94 and in Failure is 1.05. Multivariate logistic regression analysis showed that RIFLE classification did not discriminate the prognosis ( p value 0.788) in pregnancy associated AKI requiring dialysis.\u0000Conclusion : PR- AKI requiring dialysis is associated with high maternal mortality and poor renal outcome.\u0000J Dhaka Med Coll. 2021; 30(2) : 202-207","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121511787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Episode Psychosis During COVID-19 Pandemic: Study in a Tertiary Care Psychiatric Hospital","authors":"M. M. Maruf, B. R. Podder, Z. D. Laila, S. Parveen, F. Rahman, N. Khan, Z. Kamal","doi":"10.3329/jdmc.v30i2.56930","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56930","url":null,"abstract":" \u0000Background: Apart from being suffered from the Coronavirus disease 2019 (COVID-19), the pandemic has been associated with mental health conditions related to the fear of being affected by the virus, relative insufficiency of the healthcare system and the alleviating measures. We aimed to determine the types and associated sociodemographic factors of first episode psychosis (FEP) occurred during COVID-19 pandemic.\u0000Materials and methods: This was a cross-sectional study carried out at the outpatient department of National Institute of Mental Health (NIMH), Bangladesh. Individuals whose psychiatric symptoms were noticed for the first time during the covid outbreak, were included in the study using a convenient sampling technique during September, 2020 - December, 2020. After having informed written consent, data were collected through face-to-face interview of the respondents using a semistructured questionnaire. Psychotic features were elicited and psychiatric diagnoses were assigned by qualified psychiatrists after a thorough assessment according to Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-5). Completed data of 288 respondents were analyzed using Statistical Package for Social Sciences (SPSS), version 24. The institutional review board of NIMH approved the research.\u0000Results: About three-fifths (58.3%) of the respondents suffered from first episode psychosis. Around half (47.0%) of the patients with psychosis was suffering from schizophrenia spectrum and other psychotic disorders and 39.3% from bipolar and related disorders. Majority (36.2%) of the respondents with FEP belonged to the age group of 20-29 years, with the mean age of 28.01±12.859 years. There was a significant association between gender and the presence of psychosis (p<.05).\u0000Conclusion: Majority of the FEP were schizophrenia spectrum and other psychotic disorders having a younger age of onset.\u0000J Dhaka Med Coll. 2021; 30(2) : 220-226","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132205115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Oral Tranexamic Acid in Reducing Peroperative and Postoperative Hemorrhage in External Dcr Surgery","authors":"Nasima Aktar, F. Hasan, Anisur Rahman, Tarzeen khadiza Shuchi, Mossammat Shoheli Nasrin","doi":"10.3329/jdmc.v30i2.56926","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56926","url":null,"abstract":"Background: External dacryocystorhinostomy (DCR) is now a well-established, effective approach to relieve nasolacrimal duct obstruction. Per operative hemorrhage obscure the operative field during surgery.so it is difficult to carry on an uncomplicated surgery. Moreover postoperative hemorrhage has become an added problem. The objective of this study is, to evaluate the effect of oral tranexamic acid in reducing both per operative and postoperative hemorrhage in external DCR surgery.\u0000Methods: This hospital based interventional quasi experiment included 60 patients with chronic dacryocystitis at DMCH between January 2014 to June 2014.Oral formulation of tranexamic acid 500mg two capsule and tablet Vit B complex as placebo started 1 hour prior to DCR surgery and continued up to second postoperative day in intervention and control group respectively. In every case, the rate of hemorrhage was evaluated peroperatively and postoperatively.\u0000Findings: In this study, mean duration of operation was 35.98 (range 30 to 51) min in group-A and 54.13(45-75min) minutes in group-B. Perioperative mean blood loss was of 15.03 ml with a maximum blood loss of 25ml in group A and was 33.57ml with maximum blood loss of 39ml in group B. Mean postoperative bleeding was 2.55ml with maximum blood loss 5ml In group A and was 5.53ml with maximum blood loss 13ml in group B. postoperatively no bleeding was found in 24(73.33%) cases in group A and 10(40%) cases in group B.\u0000Conclusion: This study suggests that oral tranaxemic acid significantly reduces peroperative and postoperative hemorrhage and reduces duration of surgery and improves the quality of DCR surgery.\u0000J Dhaka Med Coll. 2021; 30(2) : 196-201","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116029156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post COVID Mucormycosis Prevention With Oro-Nasal Application of Povidone Iodine (Pvp-I)","authors":"M. K. Arefin, Mala Khan, Sk. Nurul Fattah Rumi, Md Nazmul Islam, Debesh Chandra Talukder, Husne Qumer Osmani, Mohammod Delwar Hossain, Muhammad Shaharior Arafat, A. Kaiser, Md. Sazzad Samad, Md. Baha Uddin, Joybaer Anam Chowdhury, Aslam Hossain, Jahin Tareq Bhuiyan","doi":"10.3329/jdmc.v30i2.56923","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56923","url":null,"abstract":"In March 2020 WHO declared COVID-19 as pandemic while April 2021 Indian authority concede to declare a significantly increased incidence of “Black Fungus” among the COVID-19 patients. The primary route of infection for Mucormycosis or fungal infection following COVID-19 is inhalation or ingestion resulting accumulation of the agents in nose, para-nasal sinuses and mouth. The spores of black fungus intrude neural and vascular structure, which cause mucosal necrosis due to thrombosis in vasculature. The extension of the disease then increases through further destruction of bones of para-nasal sinus as well as neural and vascular route dissemination. We thought about removing, neutralizing or destroying the culprit fungi from its route of entry zone, i.e. nose and mouth. Povidone Iodine (PVP-I) is a microbicidal agent having effective fungicidal as well as virucidal and bactericidal property. PVP-I can be used in both oral and nasal cavity safely. Efficacy and safety of PVP-I is proved in nose in case of COVID-19. PVP-I is proved effective against different fungi at different concentration at different site. So, we recommend Povidone Iodine nasal spray or irrigation and mouthwash for gargling for these vulnerable group of patients in large scale to prevent post-COVID mucormycosis or fungal infection.\u0000J Dhaka Med Coll. 2021; 30(2) : 176-179","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"864 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116424935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging Study & Surgical Perspective Of Cochlear Implantees","authors":"M. D. Hossain, M. K. Arefin, M. B. Hossain, Iftekharul Alam, A. Asaduzzaman, Syed Zoherul Alam","doi":"10.3329/jdmc.v30i2.56922","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56922","url":null,"abstract":"Introduction: A cross-sectional prospective clinical study was done to evaluate the inner ear anomalies in candidates undergoing cochlear implantation.\u0000Materials and Methods: Study was carried out over a period of 07 years (Jan 2013 to Dec 2019) at Cochlear Implant Centre, Combined Military Hospital Dhaka. A total 206 deaf candidates, both pre and post lingual, were included in convenient sampling method.\u0000Result: The sample consisted of 206 candidates, of whom 117 (56.80%) were female and 89 (43.20%) were male. All candidates had severe to profound bilateral deafness. 182 (88.35%) of them were pre and 24 (11.65%) were in post lingual group. All patients diagnosed audiologically as profound deafness underwent HRCT scan of temporal bone with 3D reconstruction of cochlea and MRI of internal auditory canal & brain. Radiological examination revealed that 36 (17.47%) candidates had ear anomalies. Mondini deformity 14 (06.80%), cochlear ossification 11 (5.34%), large vestibular aqueduct 04 (1.94%), high jugular bulb 04 (1.94%) and anteriorly placed sigmoid sinus 03 (1.45%) were noted. During intervention, 42 (20.39%) candidates had anomalous intra operative findings. Among them CSF gusher 19 (9.23%), ossification of basal turn 12 (5.83%), isolated rotated Cochlea 02 (0.97%), high jugular bulb 04 (1.94%), anteriorly placed sigmoid sinus 03 (1.45%), and very high facial nerve 02 (0.97%) were observed. During surgery, electrode insertion difficulty due to high CSF gusher was experienced in19 (9.23%) cases, full length of electrode insertion was not possible due to ossified basal turn 12 (5.83%), difficult to find out round window membrane due to rotated cochlea 02 (0.97%), prevented direct visualization of the round window due to high jugular bulb 04 (1.94%), difficult to approach round window due to very high facial nerve 02 (0.97%). and approach to round window membrane was compromised due to anteriorly placed sigmoid sinus 03 (1.45%). Most of these difficulties were effectively managed during surgery.\u0000Conclusions: This study highlights the importance of preoperative radiological scanning in the assessment of patients undergoing cochlear implantation. It provides vital information on cochlear status and in ruling out non cochlear causes where cochlear implantation is not feasible. Detection of anatomical abnormalities with appropriate evaluation, specially imaging should be mandatory in every patient undergoing cochlear implantation.\u0000J Dhaka Med Coll. 2021; 30(2) : 167-175","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"69 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128451947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Hemorrhagic Dengue Encephalitis: A Rare Presentation of Dengue Expanded Syndrome","authors":"Reaz Mahmud, S. J. B. Sayeed, M. Islam","doi":"10.3329/jdmc.v30i2.56932","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56932","url":null,"abstract":"Dengue encephalitis is a rare manifestation of dengue fever. Headache disorientation and or seizure gives the clinical suspicion of encephalitis in the case of dengue. Hemorrhagic encephalitis has been reported very scarce. Here we reported a case of hemorrhagic encephalitis who presented with fever, severe headache, and disorientation. MRI of the brain revealed early subacute in both temporal and frontal lobes.\u0000J Dhaka Med Coll. 2021; 30(2) : 232-236","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126141788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Neck Node Metastases In Laryngeal Carcinoma","authors":"Bashudev Kumar Saha, Md. Abu Yusuf Fakir, Mohammad Nazrul Islam, D. Talukder, N. Islam, M. K. Arefin","doi":"10.3329/jdmc.v30i1.56903","DOIUrl":"https://doi.org/10.3329/jdmc.v30i1.56903","url":null,"abstract":"Background: Cancer continues to be a major health problem despite advances in medical technology for its diagnosis and treatment. Cancer of the larynx is the eleventh most common cancer in the world. Carcinoma larynx is a multifactorial disease. Smoking, betel-nut, betel-leaf chewing habit and drinking alcohol are the most important factors associated with carcinoma larynx.\u0000Objective: To find out the patterns of neck node metastases in laryngeal carcinoma.\u0000Methods: Observational cross-sectional study was carried out in the Department of ENT and Head Neck Surgery, Dhaka Medical College Hospital (DMCH) from January’ 2018 to December’ 2019. Total 100 patients diagnosed as laryngeal carcinoma with neck metastases were included in this study. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 23.0 for Windows (SPSS Inc., Chicago, Illinois, USA).\u0000Results: The mean age was found 57.8±12.7 years with range from 37 to 79 years. Males were predominant (76.0%) and females were (24.0%). Male: female ratio was 3.17:1. More than two third (68.0%) patients had supraglottis, 26.0% had glottis and 6.0% had subglottis. Supraglottic was found in 68 patients among them 27(39.7%) were T3, 18(26.5%) were T3. Glottic was found in 26 patients among them 16(61.5%) were T3, 6(23.1%) were T2, 4(15.4%) were T4a. Subglottic was found in 6 patients among them 4(66.7%) were T3 and 2(33.3%) was T2. Supraglottic was found in 68 patients among them 34(50.0%) were N1, 28(41.1%) were N2 and 6(8.8%) were N3. Glottic was found in 26 patients among them 20(76.9%) were N1 and 6(23.1%) were N2. Subglottic was found in 6 patients among them 4(66.7%) were N1 and 2(33.3%) was N2. supraglottic was found in 68 patients, among them majority 17(50.0%) patients were found in level II of neck nodes. Glottis was found in 26 patients, among them 16(61.5%) patients were found in level III of neck nodes. Subglottic found in 6 patients, among them 4(66.7%) patient was found in level IV of neck nodes. Unilateral neck node metastasis was more common 9(96.0%) than bilateral neck node metastasis 4(4.0%), out of them single neck node metastasis 84(84.0%) is more than multiple neck node metastasis 16(16.0%). Majority 46(46.0%) patients had stage III, 38(38.0%) had stage II, 10(10.0%) had stage I and 6(6.0%) had stage IV.\u0000Conclusion: Laryngeal carcinoma is a common clinical entity in otolaryngology practice. Male were more predominant and the highest age group was 51-60 years. Common clinical presentation was difficulty in swallowing and hoarseness of voice. In this study most common Laryngeal carcinoma was supraglottic in nature and majority of them were in level II. N1 was the most common pattern of neck node metastasis. Most of the neck nodes are unilateral and single. Stage III was the commonest stage of involvement.\u0000J Dhaka Med Coll. 2021; 29(1): 52-60","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115633918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation of Serum Zinc Concentrations Among Kala-Azar Endemic and Nonendemic Population in Bangladesh","authors":"K. Basu, M. Hoque, P. K. Datta, S. M. Samsuzzaman, M Zahid Hasan, Muhammad Faizur Rahman, M. M. Khan, Muhammad Saifullah, M. M. Kamal, M. Z. Hossain, Md. Titu Miah","doi":"10.3329/jdmc.v30i1.56911","DOIUrl":"https://doi.org/10.3329/jdmc.v30i1.56911","url":null,"abstract":"Background & objectives: Visceral Leishmaniasis (VL) or Kala-azar is a deadly disease putting 350 million people from 88 countries at risk. In Bangladesh, 45 districts are endemic. Zinc is an essential trace element and its relevance for proper functioning of the entire immune system is already well documented. Though low serum zinc levels have been reported in many parasitic diseases, limited information is available regarding zinc status in human leishmaniasis. This study was conducted to evaluate the zinc level in endemic and non-endemic population of kalaazar.\u0000Methods: This cross-sectional study was conducted to assess the serum zinc concentrations in kala-azar endemic and non- endemic population of 06 to 60 years of age range during the period of July 2014 to June 2015.Venous blood was collected from 92 subjects to estimate serum zinc concentrations.\u0000Results: Mean Serum zinc levels were found 63.66 microgm/dl in kala-azar patients of endemic area, 69.44 microgm/dl in kala-azar endemic populations and77.34 microgm/dl in non-endemic populations.\u0000Conclusion: The average serum zinc concentrations is lower in populations of kala-azar endemic zone compared to populations from kala-azar nonendemic zone. It was also found that kala-azar patient had lower zinc concentrations compared to non-kala-azar patients. There may have potential association of low zinc level and occurrence of kala-azar.\u0000J Dhaka Med Coll. 2021; 29(1): 111-117","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133416286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sturge-Weber Syndrome (Sws) With Occipital Epilepsy: Two Cases Presented In A Tertiary Care Hospital","authors":"Reaz Mahmud","doi":"10.3329/jdmc.v30i1.56912","DOIUrl":"https://doi.org/10.3329/jdmc.v30i1.56912","url":null,"abstract":"Sturge-Weber syndrome is a rare sporadic, neurocutaneous syndrome. In most instances, the patients present with seizures other than the port-wine stain and ipsilateral leptomeningeal angiomata. The documentation of seizures’ semiology in the current literature is scarce. Here we reported two cases who presented with visual hallucination as an ictal phenomenon and associated ictal headache and vomiting. The phenomenology was very close to migraine with aura. A careful history, associated seizure, and EEG findings helped in differentiation. Both the cases responded well with carbamazepine.\u0000J Dhaka Med Coll. 2021; 29(1): 118-222","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132760277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}