Bangladesh Journal of Neuroscience最新文献

{"title":"GBS with Bilateral plantar extensor – A case report","authors":"H. Rahman, M. Hannan, M. Arifuzzaman, Mahabub Ara Abbasi","doi":"10.3329/bjn.v31i1.57378","DOIUrl":"https://doi.org/10.3329/bjn.v31i1.57378","url":null,"abstract":"GBS is an immune mediated polyradiculoneuropathy classically characterized by acute symmetrical ascending lower motor type weakness and areflexia. But sometimes, in axonal variants of GBS, reflexes are preserved or exaggerated. We report a case of GBS with bilateral extensor plantar response during the course of the disease. A 36- year-old male presented with acute quadriplegia with asymmetrical muscle weakness and extensor plantar response. Sensory, bowel and bladder function was intact. He was treated with intravenous methylprednisolone daily for 5 days without improvement. NCS revealed AIDP and AMAN variants of GBS. So, in any patient presenting with acute quadriplegia with extensor plantar response, GBS should be considered as differential diagnosis. \u0000Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 42-44","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86702604","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 Study of Pituitary Adenoma Surgery: Transphenoidal Microscopic Versus Endoscopic Endonasal Approach","authors":"H. Nath, K. Barua, K. H. Uddin, Monirul Islam, O. Faruque, Atiqur Rahman, S. Bari, Rahul Quddus","doi":"10.3329/bjn.v31i1.57372","DOIUrl":"https://doi.org/10.3329/bjn.v31i1.57372","url":null,"abstract":"Background: Transphenoidal endoscopic approach is minimal invasive surgery in case of pituitary adenoma. \u0000Objective : To see the outcome of transphenoidal endoscopic and microscopic approach in case of pituitary tumor. \u0000Results : This study showed among the 37 patients, 25 (67.6%) were done by transphenoidal microscopic approach and 12 (32.4%) patients were done by endonasal endoscopic approach. Among the 12 patients 8(66.7%) were male and 4(33.3%) were female. Among the 25, patients 15(60%) were male and 10(40%) were female. It was documented that in 12 patients, 10(83.3%) were macroadenoma and 2(16.7%) were microadenoma. It was evident that among the 25 patient 18(72%) were macroadenoma and 7(28%) were microadenoma. Among 12 patients, 11 (91.7%) had preoperative visual disturbance and 1(8.3%) had normal vision. It was observed that among 25 patients, 23(92%) patients had preoperative visual disturbance and 2 (8%) patients had normal vision. Tumor was totally removed in 9(75%) patients in endoscopic approach and 14(56%) in microscopic approach. Clinically 10(83.3%) patients were improved in endoscopically and 16(64%) patients were improved in microscopic group. \u0000Conclusion: It was concluded that endoscopic endonasal approach is better than transphenoidal microscopic approach. \u0000Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 21-29","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88681782","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":"“Short Segment pedicle screw fixation for the treatment of unstable thoracolumbar fracture”- a study of 50 cases.","authors":"Sukriti Das, Md. Atikur Rahman, Md. Manirul Islam, Md. Mahfuzur Rahman, Md Reaz Ahmed Howlader, Kazi Irfan Subhan","doi":"10.3329/bjn.v31i1.57376","DOIUrl":"https://doi.org/10.3329/bjn.v31i1.57376","url":null,"abstract":"Introduction: Short segment pedicle screw fixation is a popular procedure for treating unstable thoracolumbar burst fracture. But due to lack of adequate neurological improvement, progressive kyphosis and hardware failure- the efficacy of different methods remain debatable. \u0000Method : 50 patients with isolated thoracolumbar burst fractures were treated by short segment pedicle screw fixation and transforaminal thoracolumbar inter body fusion (TLIF) between January 2010 to December 2013. All patients were followed up for a minimum 2 years. Demographic data, Neurological improvement (Frankel) grade and Hardware failure related complication were evaluated. \u0000Results: All patients recovered with solid bony fusion by inter vertebral bone graft and pedicle screw without complications like misplacement of screw, nerve or vessel lesion or hardware failure. The post-operative radiographic demonstration reveals- good fracture reduction and it was well maintained until the bone graft fusion. Neurological recovery of the one to three Frankel grade was seen in 42 patients with partial neurological deficit. Among the 30 patients 3 grade improvements was seen in 4 patients, 2 grade of improvement was observed in 20 patients and 1 grade of improvement was found in 18 patients. 3 patients with Franke-D on admission showed no improvement. 5 patients with no paraplegia/hemiplegia on admission remained neurological intact. \u0000Conclusion: Posterior short segment pedicle fixation in conjunction with TLIF seems to be a feasible option in the management of selected thoracolumbar burst fracture with good neurological improvement. \u0000Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 30-33","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89137747","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 Study of Surgical Outcome of Supratentorial Meningioma","authors":"H. Nath, K. Barua, K. H. Uddin, P. Bhandari, Ranjit Kumar Chowrasia, S. Bari","doi":"10.3329/bjn.v31i1.57371","DOIUrl":"https://doi.org/10.3329/bjn.v31i1.57371","url":null,"abstract":"This was descriptive study. This study was carried out at the Department of Neurosurgery Bangabandhu Sheikh Mujib Medical University from April 2010 to April 2014. We have studied 35 cases. After collecting patients admission data, a brief history and clinical examination was done. Supratentorial meningioma was diagnosed primarily by contrast CT scan and MRI of brain which was confirmed by surgery & histopathological examination. After surgery close follow up were done. Most of the sufferer were female 19(54%). The commonest age group was 40-59 years (37.14%). The commonest site of tumors were frontal convexity8(22.9%) and the commonest histological types were meningotheliomatous 12 (34.3%). All of the patients were undergone surgery. Majority of patients were improved after treatment 31(88.6%). \u0000Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 15-20","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87727456","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":"Dorsal Spine Giant Cell Tumor with paraplegia: A Case Report","authors":"Md. Atikur Rahman, Mohammad Hossain, A. Hossain","doi":"10.3329/bjn.v31i1.57374","DOIUrl":"https://doi.org/10.3329/bjn.v31i1.57374","url":null,"abstract":"Patients of Giant cell tumors (GCT) of the spine is rarely seen . We reported a case of GCT of the eleventh dorsal vertebra presented by severe backache with paraplegia in a 30 year old woman. Imaging showed an osteolytic lesion invading the vertebral body, the posterior arch and compression of the spinal cord. Neurological decompression was performed but pain recurred after 2 months. The MRI of spine revealed recurrence of tumor and again surgical decompressions was done along with long segment transpedicular fixation and patient was significantly improved. A surgical biopsy was obtained at the same time to confirm the diagnosis. Giant cell tumor is not so common in thoracic region. We believe that the gross removal of tumor provide good outcome for the patient. \u0000Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 45-49","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"46 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80508163","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":"Association of Serum Uric Acid and Parkinson’s Disease: A Case Control Study","authors":"Md Enayet Ul Islam, Aminur Rahman, Farhan Salam, Takib Uddin Ahmed, U. K. Saha, Z. Ali, Sakhawat Hossain, Md. Rafiqul Islam","doi":"10.3329/bjn.v31i1.57377","DOIUrl":"https://doi.org/10.3329/bjn.v31i1.57377","url":null,"abstract":"Aim: Recent studies have provided evidence that uric acid (UA) is supposed to play a neuro-protective role in Parkinson’s disease (PD). Uric acid is a natural antioxidant that may reduce oxidative stress, a mechanism thought to play a role in the pathogenesis of PD. This study aimed to evaluate whether the serum UA level was associated with PD in a relatively small population of Bangladeshi patients. \u0000Materials and methods: An observational prospective case control Study was conducted in Neurology department of Sir Salimullah Medical College & Mitford Hospital including both the male and female wards during July 2012 to December 2013. Serum uric acid were determined from 40 PD patients and compared with 70 age and sex matched control; following the uric acid colorimetric method, the serum creatinine (Scr) levels were also measured to reduce the bias caused by possible differences in renal excretion function. Data were analyzed with software SPSS 16 and statistical descriptive methods (mean percentage, SD) and t-test. \u0000Result: In this study, 22 men (55%) and 18 women (45%) with PD were evaluated. The mean serum uric acid in patients was 3.7±0.97 and in the control group was 5.32 ±0.44. This difference was statistically significant.(p=0.001) Also, the mean serum uric acid in both men (3.48±0.98) and women (4.1±1.17) patients group was statistically lower than both men (5.39±0.46) and women (5.17±0.35) in control group.(p=0.001). \u0000Conclusion: This present study showed a positive association between low serum UA and PD . \u0000Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 9-14","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85949927","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":"Spinal Arterio- venous lesions: Variable Clinical and Angiographic Feature","authors":"-. Md Shahidullah, S. Dey, A. Ahmed, N. Sultana","doi":"10.3329/bjn.v30i2.57388","DOIUrl":"https://doi.org/10.3329/bjn.v30i2.57388","url":null,"abstract":"Background: Spinal Arterio-Venous Shunts are rare but treatable diseases. AVF has a direct shunt between artery and vein. AVM has a nidus between artery and vein. Differentiation is necessary because, the clinical presentation, angiographic architecture, and treatment options are different. \u0000Rationale: Presenting clinical features are nonspecific and vary in age and sex. MR images raise the suspicion of diagnosis. For proper understanding of disease and planning of treatment DSA is necessary. Objectives: To evaluate the nature of clinical feature, angiographic findings, and initial outcome after embolization in patients of spinal arterio-venous shunt. \u0000Materials & Methods: It was prospective study. Patients were referred for spinal DSA. Risk of complication was properly discussed with the patient and attendant and informed written consent was taken. \u0000Results: Among 9 patients, 5 were female and 4 were male. Male female ratio was 1: 1.25. Three patients were diagnosed as type I, three as type II, and three as type IV. All 3 patients (100%) of dural fistula were male, all 3 patients (100%) of pial fistula were female. Average age at presentation was 36 yrs. And mean age of dural AVF was 60.33 yrs, pial AVF was 18.33 yrs and spinal AVM was 29.33 yrs. Spinal DAVF occurred in patients ranging from 57 to 64 years of age, with an average age of 60.33 years. The average length of time between onset of symptoms and diagnosis was 16.44 months (ranging from 3 to 36 month). All 9 patients (100%) of patients had motor weakness, sensory disturbance was found in 66.66% (six of nine patients) and urinary disturbance was found in 77.77% (seven of nine patients). Progressive clinical course was followed in 100% of patients (all of nine patients). MRI findings revealed flow void in 77.77% of patients (seven of nine patients). Increased T2 signal in the spinal cord was present in 88.88% of patients (eight of nine patients). After DSA total 77.7% (seven of nine patients) feeder was located in low thoracic and lumbar region. \u0000Conclusion: Spinal AVM & AVF remain undiagnosed for a long period. They should be treated early for prevention of progressive morbidity and disability. MRI features of cord edema, contrast enhancement, and peri-medullary vessels may lead to the diagnosis of these vascular lesions. \u0000Bangladesh Journal of Neuroscience 2014; Vol. 30 (2): 62-68","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84446170","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":"Economic Burden of Head Injury Patients Attending a Tertiary Level Hospital in a Developing Country Like Bangladesh","authors":"Akm Jakirul Alam, Asifur Rahman, M. M. Haque, A. Hossain, Z. Islam","doi":"10.3329/bjn.v30i2.57394","DOIUrl":"https://doi.org/10.3329/bjn.v30i2.57394","url":null,"abstract":"Objective: Objective of the study was to estimate the economic burden of head injury (HI) patients attending a tertiary level hospital. This study also tried to determine the socio-demographic characteristics, to estimate direct and indirect cost incurred by the head injury patients and to assess economic burden by different types of accidents causing head injury. \u0000Methods:The study was a cross-sectional descriptive study carried out to estimate the economic burden of head injury patients attending a tertiary level hospital during the period from January to June 2010, conducted at the neurosurgery department of Dhaka Medical College Hospital (DMCH). All the conscious head injury patients of both sexes, treated in Neurosurgery department of DMCH, willing to participate in the study were included in the study. Convenience type of non-probability sampling technique was followed and sample size of this study was 110. Face to face interview was conducted with the patient and / or attendant for data collection and specific pre-designed semi-structured and pre-tested questionnaire was used for the interview session. After Categorizing, coding, cleaning and summarizing, all data were analyzed by the software SPSS windows program version 12.0. \u0000Result: More than half (53.6%) of the patients of this study, were in younger age group (21 to 30 years) with mean (±SD) age of 29.1(±8.36) years. Majority of the patients (69.0%) were males, Average monthly family income of the patients was Tk.14,509.09 (±5762.49). Majority (36.4%) of the patients had primary level education while 20.9% were housewives. Major incidences of different types of accidents included road traffic accident (63.6%), assault (20.0%), industrial accident (8.0%) and fall from height (8.0%). Average length of the stay of the patients in the hospital was 7.43 (±3.64) days. In respect of direct cost, average travel cost incurred by the patients was Tk.3,628.18 (±2055.56), average drug cost was Tk.1,618 (±801.51), average laboratory investigation cost was Tk.2390 (±626.47) and average cost of food was Tk.2235.45 (±1208.19). Average direct treatment cost incurred by the patients was Tk.9590.10 (±4041.13). The average duration of absent from work place was 7.07 (±3.316) days and most of the patients average daily income (self) was Tk.340.65 (±158.97). Average loss of income due to illness was Tk.2415.32(±1623.68) and average cost behind giving tips to hospital staff by the patients was Tk.221.50 (±78.34). The average indirect cost of these study patients was Tk.2001.72 (±1869.27). Overall, average treatment cost incurred by the patients was Tk.12,008.05 (±5051.95). Majority (38.0%) had a cost from Tk10001 to Tk.15000. \u0000Conclusion: The study finding can help policy makers, public health specialists, future researchers and enthusiastic individuals to formulate specific strategies for reduction of economic burden of head injury patients by providing cost-effective health care services throughout the c","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88511286","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":"Relationship between Blood Lipids, Lipoproteins and Ischemic Stroke","authors":"Md Rezaul Karim Khan, A. Anwarullah, Md Shafiqus Saleheen, Sk. Mahbub Alam, Md. Rafiqul Islam, S. T. Alam","doi":"10.3329/bjn.v30i2.57393","DOIUrl":"https://doi.org/10.3329/bjn.v30i2.57393","url":null,"abstract":"Objective: To find out the relationship of different lipids, lipoproteins and ischemic stroke patients in Bangladesh. \u0000Methodology: This case control study was conducted among the patients having ischemic stroke who were admitted in Department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period from July, 1997 to June, 1999 and age, sex matched apparently healthy volunteers. Sixty ischemic stroke patients confirmed by CT scan of brain and sixty age and sex matched apparently healthy volunteers were enrolled as controls. 12 hours fasting lipid profile (Total cholesterol, LDL-cholesterol, HDLcholesterol and Triglyceride) was done for both ischemic stroke patients and healthy volunteers for comparison. The students (unpaired) t test was used to compare group means for lipids and lipoproteins. Chi square test, odds ratio with confidence interval were done to evaluate differences between the groups for other variables. P<0.05 was considered as minimum level of significance. \u0000Result: The mean age (±SD) of the patients and controls were 58.45±10.12 and 59.40±10.41 years respectively and 44 (73.3%) were male and 16 (26.7%) were female and male- female ratio was 2.75:1 in both cases and controls. Total cholesterol (Means) was 201.62±5.52 mg/dl and 169.13±3.49 mg/dl in cases and controls respectively (P<0.001). HDL cholesterol (Means) was 38.36±0.81 mg/dl and 44.03±0.84 mg/dl in cases and controls respectively (P<0.001). LDL cholesterol (Mean±SE) in ischemic stroke patients and controls were 125.45±4.63 mg/dl and 96.40±3.23 mg/dl respectively (P<0.001). Triglyceride (Mean±SE) in cases and controls were 188.50±9.35 mg/dl and 142.85±4.72 mg/dl respectively (P<0.001). \u0000Conclusion: This case-control study showed significant differences of serum lipids and lipoproteins (Total cholesterol, HDL cholesterol, LDL cholesterol and triglyceride) in ischemic stroke patients than the controls in our community. \u0000Bangladesh Journal of Neuroscience 2014; Vol. 30 (2): 96-103","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88150790","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":"Ischaemic Stroke and occult cardiac abnormality-A Transthoracic Echocardiography based study","authors":"Md Mahabubul A Khandker, -. Md Hassanuzzaman, K. K. Barman, M. Sam, Kayasthagir Pk, Touhidur Rahman, Mofakkurul Islam","doi":"10.3329/bjn.v30i2.57391","DOIUrl":"https://doi.org/10.3329/bjn.v30i2.57391","url":null,"abstract":"Background: Most of the cases of stroke are of ischemic origin. Various cardiac diseases have been shown to increase risk of stroke. Cerebral embolism derived from a diversity of cardiac disorders is responsible for H”20% of ischemic stroke. AF is the most powerful and treatable cardiac precursor of stroke. Cardiac abnormalities are important risk factors for stroke. A cardiac source of thromboembolism must be excluded in patients presenting with a definite embolic occlusion of a peripheral artery, or multiple thromboembolic episodes in diverse anatomical regions. These patients should undergo transthoracic echocardiography initially and transoesophageal echo if image quality is unsatisfactory because of obesity, lung disease or chest deformity. \u0000Methods: An descriptive and observational study done in Neurology unit, Chittagong Medical College hospital from January 2007 to December 2007.Patients presented primarily as ischemic stroke was examined to find out prevalence of occult cardiac abnormality and to find out the frequency of different type cardiac abnormality in ischemic stroke through echocardiography. \u0000Results: A total number of 265 patients were examined. Different types of cardiac findings, the maximum number are LV hypertrophy (23%) and followed by Diastolic dysfunction (17%), than multiple vulvular disease (8.5%). Small number of other abnormality found but no PFO and mitral valve prolapse identified in this study. In under 30yrs age group of cases all the abnormal findings found are valvular abnormality. They are mitral stenosis (2), multiple valvular disease (2) and mitral regurgitation (1). In 30 – 49 yrs age group different abnormal findings, most of which are also valvular lesions including aortic stenosis(2), multiple valvular disease(2) and mitral regurgitation(1). Intracardiac thrombus found in one case.In e”50- 69 yrs age group of patients, maximum abnormality found is LVH(7) followed by Diastolic dysfunction(4).Maximum abnormality found in e”70 yrs of age group is LVH(3) and next to it is distolic dysfunction(2). \u0000Interpretation: Echocardiography may provide important information on the cause of ischemic stroke. Taking into account a low rate of findings with direct impact on evidence-based therapeutic strategies, routine use of echocardiography is not warranted in all patients with stroke. In patients younger than 50 years, echocardiography has higher diagnostic yield and should routinely be performed. \u0000Bangladesh Journal of Neuroscience 2014; Vol. 30 (2): 84-89","PeriodicalId":8727,"journal":{"name":"Bangladesh Journal of Neuroscience","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86320326","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}