Department of PEDIATRIC NEUROLOGY - nins.com.bd · Bell’s palsy 39 0.31 ... Cerebaral palsy 180...
Transcript of Department of PEDIATRIC NEUROLOGY - nins.com.bd · Bell’s palsy 39 0.31 ... Cerebaral palsy 180...
03 Year Book - Nins 2038 1
Department of
PEDIATRIC NEUROLOGY
GROUP PHOTO OF FACULTY
No. Name of faculty members Designation
1. Prof Dr. Narayan Chandra Saha Professor
2. Dr.Sk. Azimul Hoque Associate professor
3. Dr Ariful Islam Assistant professor
4. Dr. Yamin Shahriar Chowdhury Assistant professor
5. Dr.Nazmul Haque Assistant professor
6. Dr .Bithi Debnath Assistant professor
7. Dr. Shyamal Sarker Registrar
8. Dr. Mohua Chandra Junior Consultant
9. Dr. Shameem Ara MO
10. Dr.Bonita Mistri MO
11. Dr. Jobaida Parvin AR
Name of the Faculty
Academic staff of the department
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No. Name of faculty members Designation
12. Dr.Shamsun Nahar Sumi MO
13. Dr. Nusrat Shams AR
14. Dr. Mustab Shira Mou MO
15. Dr.Farzana Binte Rashid MO
16. Dr. Samsun Nahar MO
17. Sufia Khatun Sumi MO
17. Dr.Md.Shahjahan MO
18. Dr.Md. Alauddin MO
19. Dr.Ahmed Hossain MO
20. Dr.Dipa Saha HMO
Name of the Faculty
Activities:
1. Out Patient Department (OPD) service
2. Inpatient department Service
3. Botox Clinic
4. Psychological Assessment Division
5. Academic activities
• Journal club/Case report presentation
• Seminar/Clinical meeting
• Participation in the central presentation of Journal club, neuroanatomy and clinical meeting
• Teaching session with post graduate students of Paediatrics and Paediatric neurology
6. Research works and publications
Out Patient Department (OPD) service
Duration of OPD patient care (In hours per week) - 39 hours
Number of patients attending the OPD per day-50-80/day
Everyday complicated and referred patients are seen by senior faculties
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Disease No. of Patient Percentage (%)
Epilepsy 4032 32.61
Headache 2592 20.96
Developmental Brain Disorder 996 8.05
Developmental delay 324 2.62
Neurometabolic disorder 756 6.11
Neurodegenerative disorder 96 0.77
Ataxia 37 0.29
Bell’s palsy 39 0.31
CP with complications 1296 10.48
ICSOL 108 0.87
TBM 72 0.58
CNS infection 576 4.65
Movement disorder 149 1.2
Myopathy 144 1.16
Neuromuscular disorder 60 0.48
Neural Tube defect 120 0.97
NEAD 72 0.58
Neurocutaneus syndrome 121 0.99
Non Neurological diseases 200 1.61
Others 571 4.61
Total patient 12361
Disease profile of the OPD patients (n=12361) (From01.01.2016-31.12.2016)
Diagnosis Number of patients
Cerebaral palsy 180
Hemifacial spasm 179
Post Stroke Spasticity 93
Cervical Dystonia 83
Blepharospasm 72
Writer’s cramp 29
Oromandibular Dystonia 25
Craniofacial Dystonia 02
Sialorrhoea 01
Lingual Dystonia 08
Trigeminal Neuralgia 20
Others 03
Botox Clinic:
Inj. Botulinum toxin given to the referred patent on every Saturday
The clinic is run by Prof. Narayan Chandra Saha
BOTOX was given in the following neurological disorders (n=686)
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Disease No. of patient Percentage (%)
Epilepsy 66 14.01
Neurometabolic 69 14.64
Neurodegenerative 23 4.88
Movement disorder(mostly Dystonia) 24 5.09
Acute Flaccid paralysis) 24 5.09
Vascular malformation 60 12.73
ADEM 11 2.33
CNS infection 102 21.56
ICSOL 19 4.03
Congenital infection(mostly CMV) 17 3.6
CP with complications 37 7.8
TBM 6 1.27
Ataxia 6 1.27
Others 7 1.4
Disease Profile of Indoor patients (2016)
Total admitted patient 471
Male 239
Female 232
Discharge with advice 431
DOR 13
DORB 09
Referred/Transferred 6
Death 12
Average hospital stay 9.2days
Indoor Services
Total number of beds 12
Number of paying beds - on demand
Number of Cabins- on demand
Annual statement of the indoor patients, Year-2016 (January-December)
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Annual statement of the indoor patients, Year-2016 Jan-April)
Total admitted patient 172
Male 95
Female 77
Discharge with advice 168
DOR 03
DORB 00
Referred/Transferred 00
Death 01
Average hospital stay 8 days
Records of Invasive procedure/investigation done in the department (last one year):
Period: From 01/01/2016 to 31/12/2016
Name of invasive procedure done Number of
in the department procedures
Lumber Puncture 192
CT Scan Brain 448
MRI of Brain and spinal cord 902
MRS of brain 187
EEG 1809
Psychological Assessment Division:
Psychologist: Ms. Ayrin Parvin Tamanna
Psychological assessment of the referred patient done in all working days
Psychological assessment report of last 1 year (2016)
Number of patients : 766
Male : 467
Female : 299
Suspected cases of ADHD, Intellectual Disability (ID) patients and Developmental delay are sent from
OPD for psychological assessment.
Academic activities
Journal club/Case report presentation—every Monday
Seminar/Clinical meeting—every Wednesday
Central:
Participation in the central presentation of Journal club, neuroanatomy and clinical meeting
Teaching session with post graduate students of Paediatrics and Paediatric neurology
Research works and publications.
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Sl.No Title Journal Year
1. Case report: Examination of Huntington’s Open Access 2016
disease with atypical clinical features in
a Bangladesh family tree
2. Age and gender depend correlates as Mymensingh Medical 2016
risk factors of recurrent Headache among journal
Bangladesh i secondary school children
3. Cysticercal encephalitis --a rare case BPA journal 2015
4. Type A niemanpick disease case report Dhaka Shishu hospital journal 2014
5. Clinical and lab finding in children suffering BPA journal 2016
from neurometabolic disorder
6. Side effects of sodium valproate among Dr. Farhana Afroj Complete,
child with epilepsy below 2 years of age Not yet
published
Publication/s by the faculty members of the department:
Title Journal Year
2014
Dr. Farhana Afroj Complete,
child with epilepsy below 2 years of age Not yet
published
Title Journal Year
risk factors of recurrent Headache among journal
Bangladesh i secondary school children
fering
child with epilepsy below 2 years of age Not yet
published
Sl.No
disease with atypical clinical features in
a Bangladesh family tree
risk factors of recurrent Headache among journal
Bangladesh i secondary school children
from neurometabolic disorder
child with epilepsy below 2 years of age Not yet
published
Sl.No Name of project Sponsoring agency On-going/proposed
1 Epilepsy Surveillance WHO On going
2 Efficacy of modified Atkins diet in Dr. Nazmul Haque On going
intractable epilepsy in children
3. Response and outcome of ACTH in Dr. Mohua Chandra On going
the treatment of Infantile spasm
4. Safety and effectiveness of combination Dr.Shamsun Nahar Sumi On going
therapy (ACTH and Vigabitrine) in
Infantile Spasm
5. Evaluation of the effect of antiepileptic Dr. Shyamal Sarker On going
drugs on thyroid function in children
with epilepsy
Research projects conducted by the department.
Sponsoring agency
1 Epilepsy Surveillance WHO On going
2 Efficacy of modified Atkins diet in Dr. Nazmul Haque On going
Dr. Mohua Chandra On going
On going
1 Epilepsy Surveillance WHO On going
2 Efficacy of modified Atkins diet in Dr. Nazmul Haque On going
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Deficiencies:
1. Absence of a
• Child Psychologist
• Developmental Therapist
• Child Development Centre(CDC)
• Children’s play corner
• Breast feeding corner
2. Insufficient spaces in the OPD
Recommendations:
1. To increase the manpower of the department for providing better healthcare and academic activities.
2. To increase the number of nonpaying beds for expanding the indoor services
3. To take necessary actions for starting MD and FCPS courses in Pediatric Neurology at NINS
Duties Frequency
per month
Lecture 04/month
Tutorial 4/month
Group discussion 8/month
Bed side teaching 26/month
Teaching at OT NA
Journals Club 4/month
Seminar 4 month
Trainers’ Academic Involvement
per month
Tutorial 4/month
Teaching at OT NA
Teaching Infrastructures
Physical facilities Number Accommodation/Seats
Class room one 40
Seminar room One 500
Students’ common room one 80
Name and number of audio-visual aids Projector 1
Laptop 1
Speaker 2
Screen 1
Skill Lab Procedure room 1
Laptop 1
Speaker 2
Screen 1
Laptop 1
Speaker 2
Screen 1
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Department of
NEUROANESTHESOLOGY
GROUP PHOTO OF FACULTY
No. Name of faculty members Designation
1. Dr. Jahangir Hossain Associate Professor
2. Dr. Kazi Nur Asfia Assistant Professor.
3. Dr Aminul Hasanat Assistant Professor.
4. Dr Md. Abdul Quddus Mia Junior Consultant.
5. Dr.Mohammad Abdul Karim Miah Junior Consultant.
6. Dr.Chadan Kumar Banik Junior Consultant.
7. Dr.Farhanaz Zainab Junior Consultant(CC).
8. Dr. A Z M Saifuddin Ahmed Medical Officer.
9. Dr. Saima Anwar Medical Officer.
10. Dr. Tanjilla Rahrman Tonnee Indoor Medical Officer.
Name of the Faculty
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Deficits:
1. Inadequate Manpower.
2. Training in Neuro-Anaesthesia is not
recognized.
3. Post Graduate course in
Neuro-Anaesthesia is not recognized.
Type of operation Jan&Feb Mar Apr May June July Aug Sep Oct Nov Dec Total
ACDF 4 10 7 7 7 3 8 5 4 10 7 72
Burhole 4 5 - 3 4 5 5 - 3 - 2 31
Chairi malformation repair 1 1 1 1 2 - 2 1 2 1 2 14
Clipping of Aneurysm 2 3 - - - - 2 - 1 1 - 9
Cranioplasty 2 - 1 1 3 - - 1 - - 1 9
Craniotomy 23 40 27 23 32 30 33 29 36 36 37 346
CTS repair - - - - - - - - 1 - - 1
Decompresion & Stabilization 6 10 13 7 6 6 3 3 12 3 4 73
Decompressive Craniectomy 2 - 02 2 3 - 2 1 1 1 1 15
EDAS - - - - - - 1 - 3 1 1 6
Encephalocele repair 1 - - - 1 1 7 2 - - 5 17
ETV 3 4 2 4 11 12 4 7 5 4 12 68
EVD 2 9 4 2 3 5 5 - 2 6 2 40
F&D 12 15 11 12 19 7 19 12 14 8 18 147
Myelomeningocele repair 1 1 2 2 2 2 2 6 1 3 5 27
Re-Exploration 1 2 1 3 5 4 1 2 10 4 3 36
Spinal SOL removal 1 5 12 7 4 4 12 7 6 7 3 68
(Laminectomy & removal of SOL)
Strip craniotomy 1 - - - - - - - - - - 1
Transphenoidal removal of 2 2 3 2 3 3 3 1 6 1 2 28
pituitary SOL
V-P Shunt 17 18 14 7 18 10 6 6 14 10 18 138
Optic Nerve Phenestation 2 - 2 - 1 - - - - - 5
Others - 5 2 3 6 3 2 - 2 6 7 36
Inrevention/ Cathlab 5 3 9 5 6 2 4 3 7 7 4 55
MRI 68 43 48 30 19 46 50 31 38 33 29 435
Neurotrauma 41 23 21 24 22 24 18 14 12 18 20 191
Patient Profiles: 01/01/2016-31/12/2016
Services
1. Operation:
(a) Routine-6 days in a weak.
(b) Emergency-24 hours.
2. Pre-anaesthetic Checkup.
3. Post-operative management.
4. Other duties: (a) Rhyles tube insertion (b) Central Venous Catheterization
(c) Lumber puncher (d) Endotracheal Intubation.
Recommendations:
1. Creation post:
(a) Associate Professor - 1
(b) Assistant Professor - 2
(c) Junior Consultant - 3
(d) Medical Officer - 6
2. Ensure presence of personale in the
Professor post.
Total No. of Anaesthesia 1868
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Department of
NEURO-INTERVENTION
GROUP PHOTO OF FACULTY
No. Name of faculty members Designation
1. Dr. Sharif Uddin Khan Associate Professor
2. Dr. Kazi Mohibur Rahman Associate Professor
3. Dr. Sirajee Shafiqul Islam Assistant Professor
4. Dr. Khairul Kabir Patwary Assistant Professor
5. Dr. Dewan Md. Elyas Assistant Professor
6. Dr. MA Momen Khan Assistant Professor
7. Dr. Amir Hossain Assistant Professor
Name of the Faculty
Academic staff of the department
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Activities:
• Diagnostic angiogram of brain and spine
• Endovasculr Coil embolization of intracranial aneurysm
• Endovascular embolization of brain and spinal AVM
• Carotid and vertebral artery stent/balloon angioplasty
Instrument
SL.no Machine Name Quantity
01. Biplane Flat Panel Angiogram Machine 01
02. Single Plane Flat Panel Angiogram Machine 01
03. Mobile c- arm 01
04. TCD Machine 01
05. Anaesthesia Machine 01
06. Cardiac Monitor 01
Manpower:
SL.No Designetion Quantity
01. Nurse 04
02. Interventional Neurology Technician 01
03. Ward Boy 03
04. Clener 02
Insufficiency:
SL.No Designetion Quantity
01. Interventional Neurology Technician 03
02. OT Attendent 02
03. Mobile c- arm Table 01
04 Aya 02
Recommendation:
SL.no Machine Name Quantity
01. Anesthesia Machine 01
02. Cardiac Monitor 01
03. ECG Machine 01
04. Manpower 03
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Patient profile/Total Patient turn over
Service Activity From 01/01/2016 to 31/12/2016
Name of Procedure
Cerebral Therapeutic- Therapeutic- Therapeutic- Therapeutic- Total
DSA & Aneurysm AVM(Major Stenting(Major CCF/AVF Patient
Spinal DSA Coiling (Major Operation) Operation) (Major
(Minor Operation) Operation)
Operation)
301 34 14 10 02 361
Total 301 34 14 10 02 361
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Department of
NEURO-PHYSIOLOGY
GROUP PHOTO OF FACULTY
(From Left) Dr. AFM AL Masum Khan, Dr. Md. Nahidul Islam, Dr. Rajib Nayan Chowdhury, Dr. Md.
Ferdous Mian & Dr. Md. Enayet Hussain
Introduction:
Department of Neurophysiology was established on 2012, since the inception of this institute. This
Dept. is headed by Assoc. Prof. Dr. Rajib Narayan Chowdhury along with a group of Neurologists and
Physicians from other disciplines.
Dr. Rajib Nayan Chowdhury Teaching experience; 13 years
MBBS, MCPS (M) FCPS (Medicine)
MD (Neurology)
Associate Professor, Neurophysiology
National Institute of Neurosciences & Hospital
Sher-E-Bangla Nagar, Dhaka
Email: [email protected]
Name of the Faculty
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Dr. Md. Enayet Hussain Teaching experience; 8 years
MBBS, FCPS (Medicine), MD (Neurology)
Fellowship in Epilepsy & EEG (Malaysia)
Assistant Professor, Neurology
National Institute of Neurosciences & Hospital
Sher-E-Bangla Nagar, Dhaka
Email: [email protected]
Dr. Md. Nahidul Islam Teaching experience; 4 years
MBBS, MD (Neurology)
Assistant Professor (Neurology)
National Institute of Neurosciences & Hospital
Sher-E-Bangla Nagar, Dhaka
Email: [email protected]
Dr. Md. Ferdous Mian Teaching experience; 3 years
MBBS MD(Neurology)
Assistant Professor (Neurology)
National Institute of Neurosciences & Hospital
Sher-E-Bangla Nagar, Dhaka
Email :[email protected]
Dr. A.F.M. Al Masum Khan Teaching experience; 3 years
MBBS, MD(Neurology)
Fellowship in Epileptology and clinical EEG (Japan)
Medical Officer (Neurology)
National Institute of Neurosciences & Hospital
Sher-E-Bangla Nagar, Dhaka
Email: [email protected],
Organogram of Department of Clinical Neurophysiology
Teaching staff
Name of post No of allocated post Name of doctor
1. Professor 01
2. Associate Professor 01 Dr. Rajib Nayan Chowdhury
3. Assistant Professor 03 Dr. Md. Enayet Hussain
Dr. Md. Nahidul Islam
Dr. Md. Ferdous Mian
4. Registrar 01
5. Medical Officer 03 Dr. A.F.M. Al Masum Khan
Name of the Faculty (Contd.)
No of allocated post
01
01
03
Dr. Md. Nahidul Islam
Dr. Md. Ferdous Mian
01
03 Dr. A.F.M. Al Masum Khan
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Activities of the department- (1) EEG, NCS & EMG, RNS, EPs
(2) Training of Doctors
Academic wing
We participate in all academic activities of National Institute of Neurosciences & Hospital. We attend
regular lectures, seminars, case presentations, journal club, grand round & other academic activities
of this institute. There are separate internal classes like lectures, case presentations & journal
presentation of our unit.
• Bed side classes.
• Case discussion and management strategy of patient.
Research wing
Our research wing is engaged in different research activities.
• Electroencephalogram (EEG) recording and reporting.
• Electromyogram (EMG) performing and reporting.
• Nerve conduction study (NCS) performing and reporting.
• Repetitive nerve stimulation (RNS) test performing and reporting.
• Evoked potentials (VEP)- recording and reporting
• Providing hands on training on neurophysiology among neurologist and technician.
• Conducting research activities on epileptic and neuromuscular disorders.
• Participating in scientific seminar, symposium, journal presentation and clinical meeting regularly.
• Delivering lectures and bedside teaching to postgraduate students.
• Providing treatment to indoor and outdoor patients.
• Record keeping of patient’s clinical profiles and report.
List of published papers
1. Chowdhury RN, Hussain ME, Islam MN, Hosen M, Khan AFMAM, Mian MF, Hasan ATMH, Mondal
MBA, Mohammad QD. An Audit of Patients Referred for Nerve Conduction Study in a Tertiary Care
Hospital in Bangladesh. Journal of Dhaka Medical College (j DMC).Vol 23, number 1, April 2014
2. Md Enayet Hussain, Rajib Nayan Chowdhury, Md Nahidul Islam, AFM Al Masum Khan, Md. Ferdous
Miah. Early Onset Benign Occipital Epilepsy (Panayiotopoulos syndrome): a caseReport & Literature
Review. Journal of National Institute of Neurosciences Bangladesh, 2015; 1(1): 27-30
3. Md Enayet Hussain, Md Nahidul Islam, AFM Al Masum Khan, Md Ferdous Mian, Md. Abdullah Yusuf,
Rajib Nayan ChowdhuryKennedy’s Disease, a Mimic of Amyotrophic Lateral Sclerosis: A Case
Report. American Journal of Medical Case Reports, 2015, Vol. 3, No. 7, 195-197
4. Md Enayet Hussain, Afjal Momin, Mahmudul Islam, S R Haque, Mohammad Akter Hossain, Rajib
Nayan Chowdhury, Md Azharul Hoque. Lafora Body disease: a rare type of progressive myoclonic
epilepsy. American Journal of Medical Case Reports, 2016, 4(3), 80-82
5. Md. Nahidul Islam; Mohammad Shah Jahirul Haque Chowqdhury; Md. Tuhidu Islam Chowdhury;
Ahmed Hossain Chowdhury, Mahmudul Islam; Enayet Hussain; Murshed Baqui; Rajib Nayan
howdhury; Mansur Habib; Selina Daisy; Quazi Deen Mohammad. Identification of Common Risk
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Factors Associated with Carpal Tunne Syndrome. Bangladesh Journal of Neuroscience 2013; Vol.
29(2) : 70-78
6. Ahmed Hossain Chowdhury, Rajib Nayan Chowdhudry, Sharif Uddin Khan et al. Sensitivity and
Specificity of Electroencephalography (EEG) Among Patients Referred to an Electrophysiology Lab in
Bangladesh.J Dhaka Medical College, Vol.23, No2, October, 2014, Page215-222
7. Yamin Shahriar Chowdhury, Narayan Chandra Saha, M. Abdullah Yusuf, Ariful Islam, S. K. Azimul
Hoque, Rajib Nayan Chowdhury, M. Enayet Hussain. Role of Routine Benzodiazepin in Eliciting
Classical Electroencephalogram (EEG)Response in Suspected Sub-Acute Sclerosing
Panencephalitis (SSPE) Cases.
Ongoing projects
• Study of MND & it’s variants
• Study on GBS with electrophysiological correlation
• Clinical correlation with EEG in different types of epilepsy
• Clinical & EEG correlation of SSPE
SL Name And Details Subject On Training Training Period
01 Dr. Uttom Kumar Sarker
Registrar ( Neurology) NCS&EMG 26.05.201-25.06.2014
Mymensingh Medical College & Hospital
02 Dr. Md Salahuddin
Registrar ( Neurology) NCS&EMG 19.05.2014-18.06.2014
Chittagong Medical College &Hospital.
03 Dr. Mohammad Rezaul Karim Talukder
Registrar ( Neurology)
Mymensingh Medical College & Hospital NCS&EMG 01.06.2015-0.07.2015
04 Dr. Reza Nasim Ahmed
Medical Officer NCS&EMG 28.06.2015-27.07.2015
Rajshahi Medical College & Hospital
05 Dr. Nuruddin Mohammad Yusuf
MD ( Neurology) NCS&EMG 01.01.2016-30.01.2016
06 Dr. Md. Masud Hashan
Assistant Professor ( Neurology) NCS&EMG 31.07.2016-13.08.2016
Shahid Tajuddin Medical College, Gazipur
Trained Personnel From NINS
• Doctors List
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• Technician List
SL Name And Details Subject On Training Training Period
01 Sayeda Akter
Senior Staff Nurse EEG 01.11.2014-15.11.2014
Shohid Showardi Medical College & Hospital
02 Gupin Hembrom
Senior Staff Nurse EEG 20.12.2014-19.01.2015
Sir Salimullah Medical College &Hospital.
03 Ms. Shompa Akhter EEG 06.04.2015-30.09.2015
Victaria Health Care Ltd.
04 Md. Mahmud Alom (2008860)
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital,
Dhaka 12.09.2015-26.09.2015
05 Imran Ali (2008384)
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital, Dhaka 12.09.2015-26.09.2015
Senior Staff Nurse EEG 01.11.2014-15.11.2014
Shohid Showardi Medical College & Hospital
Senior Staff Nurse EEG 20.12.2014-19.01.2015
Sir Salimullah Medical College &Hospital.
Victaria Health Care Ltd.
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital,
Dhaka 12.09.2015-26.09.2015
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital, Dhaka 12.09.2015-26.09.2015
Senior Staff Nurse EEG 01.11.2014-15.11.2014
Senior Staff Nurse EEG 20.12.2014-19.01.2015
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital,
Dhaka 12.09.2015-26.09.2015
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital, Dhaka 12.09.2015-26.09.2015
Senior Staff Nurse EEG 01.11.2014-15.11.2014
Senior Staff Nurse EEG 20.12.2014-19.01.2015
06.04.2015-30.09.2015
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Dhaka 12.09.2015-26.09.2015
Corporal , Bangladesh Army. EEG 12.08.2015-26.08.2015
Combined Military Hospital, Dhaka 12.09.2015-26.09.2015
2016Month
NCS&EMG EEG
January 208 149
February 169 109
March 205 84
April 207 106
May 180 175
June 172 148
July 122 113
August 208 125
September 130 103
October 178 133
November 168 120
December 120 110
Total 2067 1475
Grand Total 3542
Patient profile/Total Patient turn over
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SL Disease Type Diagnosis Subtypes Number
1 Mononeuropathy CTS (Median) 368
Other nerves Radial 21
Peroneal 07
Ulnar 09
Sciatic 05
Facial 11
Lateral cutaneous 05
2 Polyneuropathy GBS AIDP 205
AMAN 52
AMSAN 21
MFS 06
CIDP 38
MAMA 04
Sensory Motor Polyneuropathy 139
Sensory Neuropathy 25
Mononeuritis multiplex 20
Hereditary Neuropathy HMSN-1 22
HMSN-2 13
Traumatic Neuropathy 55
MMNCB 02
MADSAM 05
Findings at Clinical Neurophysiology lab (NCS & EMG) (N=2067)
SL Disease Type Diagnosis Subtypes Number
1 Mononeuropathy CTS (Median) 368
Other nerves Radial 21
Peroneal 07
Ulnar 09
Sciatic 05
Facial 11
Lateral cutaneous 05
2 Polyneuropathy GBS AIDP 205
AMAN 52
AMSAN 21
MFS 06
CIDP 38
MAMA 04
Sensory Motor Polyneuropathy 139
Sensory Neuropathy 25
Mononeuritis multiplex 20
Hereditary Neuropathy HMSN-1 22
HMSN-2 13
Traumatic Neuropathy 55
MMNCB 02
MADSAM 05
SL Disease Type Diagnosis Subtypes Number
1 Mononeuropathy CTS (Median) 368
Other nerves Radial 21
Peroneal 07
Ulnar 09
Sciatic 05
Facial 11
Lateral cutaneous 05
2 Polyneuropathy GBS AIDP 205
AMAN 52
AMSAN 21
MFS 06
CIDP 38
MAMA 04
Sensory Motor Polyneuropathy 139
Sensory Neuropathy 25
Mononeuritis multiplex 20
Hereditary Neuropathy HMSN-1 22
HMSN-2 13
Traumatic Neuropathy 55
MMNCB 02
MADSAM 05
SL Disease Type Diagnosis Subtypes Number
1 Mononeuropathy CTS (Median) 368
Other nerves Radial 21
Peroneal 07
Ulnar 09
Sciatic 05
Facial 11
Lateral cutaneous 05
2 Polyneuropathy GBS AIDP 205
AMAN 52
AMSAN 21
MFS 06
CIDP 38
MAMA 04
Sensory Motor Polyneuropathy 139
Sensory Neuropathy 25
Mononeuritis multiplex 20
Hereditary Neuropathy HMSN-1 22
HMSN-2 13
Traumatic Neuropathy 55
MMNCB 02
MADSAM 05
SL Disease Type Diagnosis Subtypes Number
1 Mononeuropathy CTS (Median) 368
Other nerves Radial 21
Peroneal 07
Ulnar 09
Sciatic 05
Facial 11
Lateral cutaneous 05
2 Polyneuropathy GBS AIDP 205
AMAN 52
AMSAN 21
MFS 06
CIDP 38
MAMA 04
Sensory Motor Polyneuropathy 139
Sensory Neuropathy 25
Mononeuritis multiplex 20
Hereditary Neuropathy HMSN-1 22
HMSN-2 13
Traumatic Neuropathy 55
MMNCB 02
MADSAM 05
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SL Disease Type Diagnosis Subtypes Number
3 Plexopathy 46
4 Radiculopathy 40
5 MND & variants ALS 137
PLS 09
PMA 11
Bulbar 07
Pseudobulbar 09
HSP 05
Anterior Horn Cell (SMA) 53
Monomelic amyotrophy 16
Post polio syndrome 13
6 Neuromuscular Myasthenia Gravis 46
Junction disorder LEMS 01
7 Muscle Disease Noninflammatory myopathy 57
Inflammatory myopathy 24
Myotonic dystrophy 33
Mitochondrial myopathy 02
8 Others 105
Stroke
Cerebral palsy
Myelopathy
Adhesive capsulitis
Fibromyalgia
Conversion Disorder
9 Normal NCS EMG 420
Total 2067
Findings at Clinical Neurophysiology lab (NCS & EMG) (N=2067)
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Table 2: Findings at Clinical Neurophysiology lab (EEG) (N=1475)
Machines in the Department
01 Normal 519
02 Abnormal
• LRE
Temporal 158
Frontal 93
Parietal 78
Central 44
Occipital 40
Mixed 172
Multifocal 20
• Generalized
IGE 109
JME 73
CAE 34
• Epileptic encephalopathy Neonatal myoclonic encephalopathy/
Early Infantile epileptic
encephalopathy with SB
(Otahara syndrome) 12
West syndrome (Hypsarrhythmia) 32
Lannox – gastaut syndrome 38
LK syndrome 02
CSWS 04
• Other Type
SSPE 18
NCSE 11
Focal Cortical Dysfunction 08
Diffuse Cortical Dysfunction 10
Total 1475
Sl No Name of the Machine Quantity Name of Machine Company Model
01 EEG Machine 03 Nihon Kohden
Corporation, Japan MEB-9400
02 NCS & EMG Machine 03 Nihon Kohden
Corporation, Japan 1200K
03 Colour Printer 03 Samsung- 2 ML-926
Brother -01 J-100
04 Black & White Laser Printer 03 Samsung M-1866
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03 Year Book - Nins 2038 21
Deficiency
• Manpower
• More Doctors experienced in neurophysiology are required.
• Trained technicians are needed
• Machine accessories (e.g. Lead, Ground, Needle, Needle Cable & Others) Should be supplied as
per need.
• Delay in the maintenance/servicing of the machine, when these become non-functioning.
• Shortage of room (each machine should be placed in separate room)
Recommendations:
• Creation of two separate wings of Clinical Neurophysiology department:
• Epilepsy and EEG, EPs
• Neuromuscular disorders and EMG
• Two separate Neurophysiology lab.
• EEG and Evoked potentials lab.
• EMG lab.
• Upgrading of the previous EEG machine with adding video camera for video EEG monitoring.
Setting up a central EEG reporting room.
• Creation of separate room for each EEG and NCS machine.
• Supplying desktop computer machine for patient appointment, serial and record keeping.
• Creation of central computer networking system for information with all departments.
• Fixed outdoor for Clinical neurophysiology
A. Epilepsy outdoor;
• Adult wing
• Pediatric wing
B. Nerve & muscle disorder OPD
1. Adult wing
2. Pediatric wing
• Separate indoor ward for Clinical neurophysiology; at least 20 bed should be allocated for admitted
patients
• Providing adequate manpower
Future requirement
Doctor
• Medical officer - 06
• Assistant registrar- 02
• Registrar- 01
• Assistant Professor -02
75