scholarly journals A Comparative Study of Magnetic Resonance Angiography & Digital Subtraction Angiography in Diagnosis of Cerebral Arteriovenous Malformation

2014 ◽  
Vol 24 (2) ◽  
pp. 51-58
Author(s):  
AH Chowdhury ◽  
M Islam ◽  
A Rahman ◽  
SJH Chowdhury ◽  
MN Islam ◽  
...  
Keyword(s):  
Observational Study ◽  
Digital Subtraction Angiography ◽  
Brain Area ◽  
Venous Drainage ◽  
Haemorrhagic Stroke ◽  
Retrospective Observational Study ◽  
Digital Subtraction ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College

Background and purpose: Although phase-contrast MR angiography (MRA) provides some information regarding hemodynamics of cerebral arteriovenous malformations (AVMs), but mos t Conventional MR angiographic techniques have not been helpful in this respect. We attempted to determine the value of MR digital subtraction angiography (DSA) in assessing AVM hemodynamics. Soin this retrospective observational study was carried out to compare MRA and DSA in diagnosis of cerebral AVM. Methods and materials: It was a retrospective observational study conducted in the Department of Neurology Dhaka Medical College Hospital (DMCH), Dhaka during the period of January 2010 to December 2010. Thirty patients with haemorrhagic stroke age ranging from 13 to 65 years were selected on the basis of inclusion and exclusion criteria as the study sample. MRA and DSA were done in all the selected patients. Results: The mean age of the patients of haemorrhagic stroke was 30.3±14.3years and male female ratio was 2.7:1.The venous drainage of AVM 13 and 12 were superficial and deep respectively evaluated 100% by MRA. In the diagnosis of cerebral AVM  nidussize S1<3, S2:6 cm sensitivity 100% but accuracy 100% and 73.3% respectively. Sensitivity 33.3% found in diagnosis of cerebral AVM nidus size S3:>6cm, 100% sensitive in the diagnosis of superficial and deep venous drainage AVM. Regarding the eloquence of brain area 15 was no eloquence by both MRA and DSA and identification of eloquence of brain area sensitivity 73.3% and accuracy 86.7%.The feeding vessels main vessels was found 22(73.3%) in both DSA and MRA findings. Distal vessels was seen 8(26.7%) in DSA but not seen in MRA findings. Intranidal aneurysm and Angiopathic AVM were seen 3(10.0%) and 4(13.3%) respectively in DSA, Conclusion: This study was carried out to diagnose the patients presented with cerebral AVM by MRA and DSA. MRA could not be evaluated flow status of AVM, distal feeding arteries, intranidal aneurysm and angiopathic AVM which could be detected by DSA. So, DSA is superior to MRA in diagnosis of cerebral AVM. DOI: http://dx.doi.org/10.3329/bjmed.v24i2.18699 Bangladesh J Medicine 2013; 24 : 51-58

scholarly journals A comparative study of computed Tomographic Angiography and digital subtraction Angiography in evaluation of Aneurysmal Subarachnoid Haemorrhage

2015 ◽  
Vol 22 (2) ◽  
pp. 195-200
Author(s):  
Mahmudul Islam ◽  
Ahmed Hossain Chowdhury ◽  
Md Shah Jahirul Hoque Chowdhury ◽  
Md Nahidul Islam ◽  
Abu Nayeem ◽  
...  
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Digital Subtraction Angiography ◽  
Computed Tomographic Angiography ◽  
Aneurysmal Subarachnoid Haemorrhage ◽  
Digital Subtraction ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Computed Tomographic ◽  
Tomographic Angiography

Context: The aim of the study was to retrospectively analyze the performance of Computed Tomographic Angiography (CTA) in detecting, localizing and sizing intracranial aneurysms in patients of aneurysmal subarachnoid haemorrhage using Digital Subtraction Angiography (DSA) as standard. Methods: The study was carried out from December 2009 to November 2010 in the Dept. of Neurology of Dhaka Medical College Hospital, Dhaka. Among 81 patients of SAH admitted in the above mentioned period, 30 were enrolled in the study as they met the inclusion criteria. Patient’s age range was 26 to 70 years; male female ratio was 1.5: 1. All the study patients underwent both DSA and CTA examinations. The findings of both procedures were recorded and compared. Results: A total of 30 aneurysms in 30 patients were identified on DSA. Among 10 small sized aneurysms (<4 mm) detected by DSA, CTA incorrectly diagnosed 2 and overlooked 2 aneurysms. Out of 14 medium sized (5- 12 mm) identified on DSA, CTA missed 2 aneurysms. But CTA correctly diagnosed all 6 large (e”13 mm) aneurysms. The overall sensitivity of CTA was 60% for small, 85.7% for medium and 100% for large aneurysm. Regarding identification of aneurysmal sites, CTA correctly localized 22 (73.4%), incorrectly localized 4 (13.3%) and missed 4 (13.3%) cases. Sensitivity of CTA in identification of aneurysmal site was 73.3%. Conclusion: CTA is less sensitive than DSA in detecting small and medium sized aneurysms. However it correlated perfectly with DSA in detection of large aneurysms. The performance of CTA in identification of aneurysmal site is also lesser than DSA. So, DSA remains the standard technique for evaluation of aneurysmal SAH. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21542 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 195-200

Detection of Predictors of Hemorrhage in Patients with Cerebral Arteriovenous Malformation by Digital Subtraction Angiography

2019 ◽  
Vol 8 (2) ◽  
pp. 87-92
Author(s):  
Fazlul Haque ◽  
Shariful Islam ◽  
Monzurul Haque ◽  
Shafiul Alam ◽  
Raziul Haque
Keyword(s):  
Arteriovenous Malformation ◽  
Digital Subtraction Angiography ◽  
Venous Drainage ◽  
High Flow ◽  
Cerebral Arteriovenous Malformation ◽  
P Value ◽  
Digital Subtraction ◽  
College Hospital ◽  
Multiple Imaging ◽  
Arterial Feeder

Background: Cerebral arteriovenous malformation (AVM) is a complex tangled of dilated blood vessels in which arteries flow directly into veins without capillaries. The main cause of death in patients with cerebral AVM is intraparenchymal hemorrhage. There are multiple imaging tools that can detect the predictors of hemorrhage in cerebralarteriovenous malformation. But nowadays digital subtraction angiography (DSA) is playing a wonderful role to detect these predictors. Objectives: To detect the common predicting factors of hemorrhage from in brain by DSA. Methodology:This observational cross-sectional study was carried out in the department of Neurosurgery, Dhaka Medical College Hospital and study period was from October, 2014 to March, 2016. 76 patients of hemorrhagic stroke with clinical and radiological (CT scan) suspicion of ruptured cerebral AVM were selected by non-probability purposive sampling technique. After that enrolled patients were scrutinized according to selection criteria. Finally selected 50 patients who underwent DSA and were positive for AVM were included in this study. All the included patients’ demographic, clinical and DSA profile were recorded in pre-structured data collection sheet. All the data were compiled, edited and plotted in tabular and figure forms. Data analysis was done by chi-square test. P value was determined significant when it was <0.05. Results: In angiographic presentation, maximum cases were found deep seated (72%), small sized (<3 cm) (70%), having compact type of nidus (58%), having superficial arterial feeder (62%), having high flow draining vein (70%), having deep venous drainage (56%) and single draining vein (78%). Associated aneurysm and venous ectasia were 12% and 4% respectively. The statistically significant predictors were deep location (P=0.036) and superficial arterial feeder (P=0.03) between male and female subjects. Conclusion: Our results showed that small sized, deep-seated Cerebral arteriovenous malformation, having high flow draining vein, having deep venous drainage and single number of draining vein are the possible causes of hemorrhage. Lesions that have associated aneurysms have a risk of bleeding. Bang. J Neurosurgery 2019; 8(2): 87-92

scholarly journals Evaluation of total abdominal hysterectomy over the decade in Holy Family Red Crescent Medical College Hospital - A retrospective observational study

2016 ◽  
Vol 44 (2) ◽  
pp. 87-91
Author(s):  
Rumana Nazneen ◽  
Fahmida Monir ◽  
Salma Yeasmin ◽  
Sharmin Akhter ◽  
Lipy Bakshi ◽  
...  
Keyword(s):  
Observational Study ◽  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Retrospective Observational Study ◽  
College Hospital ◽  
Common Indication ◽  
Medical College ◽  
Life Threatening ◽  
Post Menopausal

Hysterectomy is the commonest major surgical procedure in Gynaecology & usually performed to improve quality of life rather than to cure life-threatening conditions. The rates differ between countries depending on differences in morbidity, health economical aspects, traditions and attitudes. This retrospective observational study was carried out from 2001-2010 & included all cases of abdominal hysterectomy done for benign and non emergency conditions in the department of Obstetrics & Gynaecology, Holy Family Red Crescent Medical College and Hospital, Dhaka with the intention to assess the proportion and the indications of total abdominal hysterectomy over a 10-year period. Percentage of the total abdominal hysterectomy remained between 50-70% of the total major operations over the decade. Fibroid was found to be the most common indication among the admitted patients (around 36%) with highest percetage in 2006 and 2007 (43% and 46% respectively). Next important indication was dysfunctional uterine bleeding (20%) followed by pelvic inflammatory disease (13%), ovarian mass (5%), endometriosis & adenomyosis (4%) and post menopausal bleeding (2%). The majority of hysterectomies were abdominal and the most common indication was uterine fibroids. The overall rate for hysterectomy remained reasonably stable.Bangladesh Med J. 2015 May; 44 (2): 87-91

scholarly journals Clinical Presentation and Risk Factors of Stroke-A Study of 100 Hospitalized Stroke Patients in Bangladesh

2016 ◽  
Vol 11 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Radheshyam Saha ◽  
MM Shahin Ul Islam ◽  
Ahmed Manadir Hossain ◽  
Mohammad Rafiqul Kabir ◽  
Abdullah Al Mamun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Haemorrhagic Stroke ◽  
Medical Emergency ◽  
Stroke Patients ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio ◽  
History Of

Stroke is one of the most common medical emergency. A total number of 100 randomly selected clinically and CT proven acute stroke patients were studied at medicine and neurology ward of Faridpur Medical College Hospital (FMCH), Faridpur from January to July, 2014 with a view to study the clinical features and risk factors of Stroke. Among 100 patients, stroke was found most commonly in 59-70 years age group. Ischaemic stroke was 56%, haemorrhagic stroke was 39% and haemorrhagic infarct was 5%. Most of the patients were male with male-female ratio was 1.6:1. The commonest risk factor was hypertension found in 60%, diabetes mellitus found in 17%, smoking was present in 54% patients and dyslipidaemia was present in 22% cases. History of heart disease (Myocardial infarction was present in 2% patients, valvular heart disease was present in 4% patients) was present in 6% patients. The commonest presentation in both ischaemic and haemorrhagic stroke was hemiplegia (61%). Headache (14%) and vomiting (10%) were found to be more common accompaniment in haemorrhagic stroke. Loss of consciousness was present in 34% patients. Alcohol intake was not found in any patient.Faridpur Med. Coll. J. Jan 2016;11(1): 23-25

scholarly journals Digital Subtraction Angiography Findings in Aneurysmal Subarachnoid Haemorrhage: Experience of 30 Cases in Bangladesh

2017 ◽  
Vol 2 (2) ◽  
pp. 51-54
Author(s):  
Mahmudul Islam ◽  
Mashfiqul Hasan ◽  
Maliha Hakim ◽  
Sharif Uddin Khan ◽  
Kazi Mohibur Rahman ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Anterior Communicating Artery ◽  
Aneurysmal Subarachnoid Haemorrhage ◽  
Digital Subtraction ◽  
Common Site ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Narrow Neck ◽  
History Of

Background: Digital subtraction angiography (DSA) is an important diagnostic tool for aneurysmal subarachnoid haemorrahage (SAH). Objectives: The purpose of the present study was to observe the findings of DSA in patients with SAH. Methodology: This cross-sectional study was performed in the Department of Neurology at Dhaka Medical College Hospital, Dhaka from December 2009 to November 2010 for a period of one (1) year. Patients at any age in both sexes who were admitted with SAH were included by purposive sampling technique. Demographic and clinical data were recorded in a semi-structured questionnaire. Angiography was performed after 4 weeks by DSA technique among all patients. Results: The mean age of the participants was 44.9±9.7 years (mean±SD). Male female ratio was 3:2. Hypertension, smoking, diabetes mellitus and family history of SAH were found in 14(46.6%) cases, 13(43.3%) cases, 3(10.0%) cases and 2(6.7%) cases patients respectively. All the study patients (100%) had headache and vomiting while 19(63.3%) cases had history of unconsciousness. Signs of meningeal irritation were present in 23(76.7%) patients. Anterior communicating artery was the most common site of aneurysm (36.7%) followed by middle cerebral (26.7%) and posterior communicating artery (23.3%). Majority of aneurysms were medium sized (46.7%), while 33.3% were small and 20.0% were large. Saccular aneurysm was found in 93.3% and aneurysms of narrow neck size in 86.7%. Conclusions: DSA has demonstrated that anterior communicating artery is the most common site of aneurysms in patients with SAH and is most often saccular with a narrow neck. Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 51-54

scholarly journals Successful Treatment of Life Threatening Intracranial AVM by Endovascular Embolization in Dhaka Medical College Hospital

1970 ◽  
Vol 11 (1) ◽  
pp. 60-62
Author(s):  
Sharif Uddin Khan ◽  
Kazi Mohibur Rahman ◽  
Md Mahmudur Rahman Siddiqui ◽  
Md Azharul Hoque ◽  
Md Badrul Alam Mondol ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Haemorrhagic Stroke ◽  
Endovascular Embolization ◽  
Medical College Hospital ◽  
Clear Understanding ◽  
Digital Subtraction ◽  
College Hospital ◽  
Medical College ◽  
Life Threatening ◽  
Digital Subtraction Angiogram

Arteriovenous malformations (AVMs) are tangled, dilated blood vessels in which arteries flow directly into veins. AVMs can bleed or directly compress brain tissue; seizures or ischemia may result. Haemorrhagic stroke from AVM represents 2% of all haemorrhagic strokes. A clear understanding of the diagnostic and treatment algorithms of cerebral AVM management is very important because AVMs are a cause of hemorrhage in young adults. We report a 16 years old boy with cerebral arteriovenous malformation (AVM), complicated by recurrent throbbing headache, vomiting and seizure. This was clearly diagnosed by Digital subtraction angiogram (DSA). He was successfully treated by endovascular embolization at Dhaka Medical College Hospital. This was the second successful cerebral endovascular embolization in any government hospital of Bangladesh. Keywords: Arteriovenous malformation, seizure, digital subtraction angiogram, endovascular embolization. DOI:10.3329/jom.v11i1.4275 J Medicine 2010: 11: 60-62

Utility of Tolonium Chloride Rinse in the Diagnosis of Oral Cancer

2020 ◽  
Vol 26 (1) ◽  
pp. 11-17
Author(s):  
Md Kamruzzaman ◽  
Kazi Nurjahan ◽  
AS Gazi Sharifuddin ◽  
SK Ballav
Keyword(s):  
Developing Countries ◽  
Oral Cancer ◽  
Prospective Study ◽  
Diagnostic Delay ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Biopsy Report ◽  
Patient Side ◽  
Tolonium Chloride

Background: Oral cancer burden in developing countries is huge. In Bangladesh and India incidence were 10.6% and 10.4% respectively on 2018. At the same time worldwide incident was only 2%. Majority patients present at advanced stage and their survival rate is poor. Diagnostic delay from patient side and health delivery system side is significantly longer and it is more in developing countries. Like other malignancy early diagnosis can save a lot of these patient. Methods: This prospective study was carried out in Khulna Medical College Hospital from July 2017 to July 2019. Patients who will meet the criteria for this prospective study and capable and willing to give informed consent were enrolled. 20 second rinse/gargle with 10ml of 1% Tolonium chloride solution was done. Biopsy were taken from stained lesion, biopsy report were compared with TC stained lesions. Results: Out of 1650 patients in our outdoor department for various problem and only 30 cases were selected for this study according to selection criteria. Of 30 patients, 18 (60%) were male and 12 (40%) were female. The male-to-female ratio was 3:2. It was found that the sensitivity of 1% Tolonium Chloride rinse for oral precancer and cancer detection was 83.33%, whereas the specificity was 84.21%. Conclusion: Tolonium chloride rinse is a good screening test for oral cancer diagnosis with sensitivity 83.33% and specificity 84.21%. Bangladesh J Otorhinolaryngol; April 2020; 26(1): 11-17

scholarly journals Surgery at Cranio-vertebral (CV) Junction: Our Experience of 32 Cases

1970 ◽  
Vol 29 (2) ◽  
pp. 78-84
Author(s):  
FH Chowdhury ◽  
MR Haque ◽  
NKSM Chowdhury ◽  
MS Islam ◽  
Z Raihan ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Surgical Techniques ◽  
Clinical Findings ◽  
Type I ◽  
College Hospital ◽  
Chiari Malformation Type I ◽  
Female Ratio ◽  
Medical College ◽  
Neoplastic Lesion ◽  
Wide Range

Cranio vertebral (CV) junction is one of the critical sites for surgery. It's anatomy, physiological aspects and pathological involvement varies in a wide range of margins. Common problems are developmental anomalies, traumatic involvement, inflammatory, infective and neoplastic lesion. Management of these problems varies a lot from each other. Aim of the article is to overview the pathologies in this area and to study presentations, investigations, surgical procedures and results of these pathologies. We prospectively analyzed 32 cases of Cranio-vertebral (CV) region surgery in the Department of Neurosurgery Dhaka Medical College Hospital and Mitford Hospital, Dhaka, from 2000 to 2008. In our series, male and female ratio was 7.2:1. Pathologies were atlanto- axial dislocation (AAD), Chiari malformation type –I, schwannoma, meningioma, hydatid cyst and tuberculosis. Common clinical findings were- neck pain, quadriparesis, quadriplegia, hand atrophy, autonomic dysfunction and hypertension. Various types of surgical procedures were done in this series according to the pathology. Death was in 01 case, neurological deterioration seen in one case, 2 cases were neurologically stable and 28 cases (87.5%) improved neurologically where one was non useful improvement (Frankel grade-C). Complete pre operative radiological study is a very important adjunct for a successful surgical result. Proper evaluation of patients with selection of appropriate surgical procedures along with safe surgical techniques are the necessary things for successful surgery in this area. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7952 (J Bangladesh Coll Phys Surg 2011; 29: 78-84)

scholarly journals Predisposing Factors of Scabies among the Patients Attending Skin and Venereal Disease Outdoor of Dhaka Medical College Hospital

1970 ◽  
Vol 9 (2) ◽  
pp. 82-86
Author(s):  
Afzalur Rahman Mahmood ◽  
Zannatun Nur
Keyword(s):  
Standard Deviation ◽  
Venereal Disease ◽  
Family Members ◽  
Predisposing Factors ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Female Ratio ◽  
Level Of Education ◽  
Medical College

This cross sectional type of descriptive study was carried out among the patients attending the Skin and Venereal Disease (VD) Out Patient Department (OPD) of Dhaka Medical College Hospital (DMCH) from August 2006 to November 2006 with a view to explore the current situation of scabies and its predisposing factors. In this regard 213 clinically diagnosed scabies contracted patients were interviewed randomly by using pre-tested questionnaire. Risk factors were assessed considering their dwelling places, types of families, number of family members, persons living in each room, using fomites of infected persons, socioeconomic condition, occupation, level of education, regular bathing and cloth washing habit along with age, sex distribution and clinical presentation of scabies. The mean age of the respondents was 13.16 years with a standard deviation (SD) of ±5.38 years and majority (36.15%) was in the age group of 1-5 years. Male, female ratio was 1.15:1. Major level of education was in the group of class I to V (38%). 50.73% had family members comprised of 4 to 6. Majority (38.50%) belonged to lower middle class (income 3001-6000 taka/month). Among the respondents maximum (54.93%) were infected by family members. 77.94% respondents used fomites of affected persons and 66% respondents shared beds of infected persons. Mean duration of illness was 42 days with standard deviation of ±4.47 days. Among the male, majority (82.63%) had lesion on lower abdomen and buttock. In contrary, 80.28% female had lesion on hand. 58.68% presented with papule. The study recommends that emphasis should be given on personal hygiene and life style of people as well as educating them about scabies. Key words: Scabies, Predisposing factors, Skin and VD outdoor DOI = 10.3329/jom.v9i2.1436    J MEDICINE 2008; 9 : 82-86

Delayed Venous Drainage in Ruptured Arteriovenous Malformations Based on Quantitative Color-Coded Digital Subtraction Angiography

2017 ◽  
Vol 104 ◽  
pp. 619-627 ◽  
Author(s):  
Jan-Karl Burkhardt ◽  
Xiaolin Chen ◽  
Ethan A. Winkler ◽  
Daniel L. Cooke ◽  
Helen Kim ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Arteriovenous Malformations ◽  
Venous Drainage ◽  
Digital Subtraction
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