Dr Md Moshiur Rahman

Holy Family Red Crescent Medical College · Neurosurgery Department

Anterior communicating artery aneurysm is the most common form of intracranial aneurysm. We present a rare case of a rare case of internal carotid occlusion with anterior communicating aneurysm of a 33 years male patient. The male patient presented with sudden severe headache with transient visual loss in right eye and double vision with squint on...

Background: Pituitary adenomas are the third most common intracranial neoplasm, accounting for 10%–25% of intracranial neoplasms with a prevalence of 16.9%. Recently for treating pituitary adenomas two important endoscopic approaches are used: a uninostril endonasal transsphenoidal approach and a binostril endonasal transsphenoidal method. Objectiv...

Traumatic brain injury (TBI) is a significant global health concern with substantial contributions to illness and mortality rates. This study aims to scrutinize the intricate interplay between neurological and circulatory abnormalities post-TBI, particularly focusing on the challenge posed by cardiac arrest in TBI patients. The study employs a comp...

Abstract Introduction: Direct cortical stimulation has been used for brain mapping and localization of eloquent areas in awake patients. This simplified technique is to provide the positive areas which can be preserved if the tumor or lesions are involved eloquent areas. Objective: The main objective of this study is to determine whether direct...

The effectiveness of dexamethasone in managing chronic subdural hematoma (cSDH) patients remains uncertain although the drug is widely used in this condition. The present systematic review aims to understand the role of dexamethasone in reducing the need for surgery in cSDH patients. This study was conducted as per the 2020 Preferred Reporting Item...

Background: Degeneration is a progressive phenomenon in lumbar spinal stenosis patients. The outcome of surgery predictors is sometimes biased. Fusion and stabilization in such cases are unnecessary in many situations. There is still a debate to decompress only versus fusion in low-grade listhesis. Fusion and stabilization in the aged lumbar spine...

Recurrent artery of Heubner (RAH) infarction is a potential complication following the surgical clipping of anterior communicating artery (A-comm) aneurysms. RAH plays a crucial role in supplying blood to the basal ganglia and anterior limb of the internal capsule. Understanding the pathogenesis, prognosis, and surgical result of RAH infarction is...

Although the use of robotic surgery has increased dramatically over the past three decades, its progress in skull base surgery has been relatively slow. This chapter introduces the principle of robotics in skull base surgery and summarizes the current state of the art in this field. It provides an overview of the evolution of robotics in surgery in...

Sphenoid-orbital meningiomas (SOMs) are difficult to completely resect because they involve the sphenoid wing, orbit, and cavernous sinus. As the tumor invades the optic canal, SOMs frequently present with visual deficits. The authors of this case report dealt with the case of a 65-year-old male patient who had right-sided proptosis. We diagnosed t...

Background: Ventriculoperitoneal (VP) shunt is a common procedure for treating hydrocephalus of various causes. Malfunction of VP shunt like obstruction, infection etc. are encountered with revision surgeries which may not have favourable outcome. Endoscopic third ventriculostomy (ETV) in such cases is challenging, and can be salvageable in appropr...

Introduction and importance Septo-optic dysplasia (SOD) is a rare congenital disorder characterized by abnormal development of the optic nerve, pituitary gland, hypothalamus, and midline brain structures, with heterogeneous presentation among cases. Case presentation We report a seven-month-old male infant presented with persistent vomiting and de...

Introduction and importance: Langerhans cell histiocytosis (LCH) is a rare idiopathic disease that uncommonly affect the spine in adults. Case presentation: In this report, we presented a rare adult case of symptomatic spinal LCH with asymptomatic systemic involvement. She was a 46-year-old previously healthy lady who presented with subacute tho...

Background: Brainstem cavernous malformations are benign subset of cerebral cavernous malformations, which need a special intervention owing to being vital and complex. The diffusion tensor imaging technique, a well-recognized neuroimaging tool, can visualize the white matter tracts and their surroundings and provide promising surgical outcomes....

Introduction and importance: Pituicytomas are extremely rare cancers of the sellar and suprasellar region that appear from the infundibulum or posterior pituitary. World Health Organization in 2007, described pituicytoma as a low-grade tumour (Grade I) in the taxonomy of CNS cancers. The tumour can frequently simulate a pituitary adenoma and is al...

Introduction: Postoperative complications after craniotomy for brain tumors include pain, nausea/vomiting, and infection. A standardized Enhanced Recovery After Surgery (ERAS) protocol is not widely accepted for this common neurosurgical procedure. Few studies have explored its application. Methods: A literature search of PubMed, Cochrane, and G...

Background: Paragangliomas of the spine are extremely rare, and they should be considered in the differential diagnosis of spinal tumors due to its overlapping clinical and radiological features with many spinal tumors. Case report: In this article, we present a 30-year-old lady who presented with low back pain and radicular neuropathic pain at L1...

This commentary discusses the effect of misuse of intravenous sedation regimens in lowering the systemic blood pressure in mechanically ventilated neurosurgical patients in the intensive care unit.

Traumatic brain injury carries a high risk of neurological disability and fatality. The extent of the injury to the neuronal tissue following a head impact defines the primary injury. The acceleration energy delivered at the time of impact provokes this injury. There are numerous secondary responses to the injury that mostly intensify the primary i...

Sphenoid-orbital meningiomas (SOMs) are difficult to completely resect because they involve the sphenoid wing, orbit, and cavernous sinus. As the tumor invades the optic canal, SOMs frequently appear with visual deficits. The authors of this case report dealt with the case of a 65-year-old male patient who had right-sided proptosis. We diagnosed th...

We read with great interest the recent publication by Dashti., et al. entitled “ Single low-dose targeted bevacizumab infusion in adult patients with steroid-refractory radiation necrosis of the brain: a phase II open-label prospective clinical trial”. We are intrigued to find how effective and safe they found intra-arterial single low-dose targete...

Chronic subdural hematoma (cSDH) is one of the most studied clinical entities in neurosurgical literature. Management of cSDH is complicated by its propensity of having recurrence. Various factors for the development of recurrence of cSDH have been described in various clinical, epidemiological and observational studies, yet evidence available is l...

Vitamin D, a fat soluble vitamin plays a crucial role in micronutrient (calcium and phosphate) homeostasis, also engaged in bone metabolism. Vitamin D can be found in different chemical forms. VitaminD3-cholecalciferol can be ground in fish, fish oil,liver, meat.In addition, skin can also form vitamin D3 in adequate sun exposure due to UV-B subject...

rapid global expansion caused an abrupt change in the management of diseases in all medical departments, due to the risk of contagion and death (2). The outcomes of acute surgical pathologies have been one of the main questions due to organizational modifications in hospitals, in order to control the dynamics of emergency and critical care for COVI...

ABSTRACT Introduction Risk factors for “Talk and Die” phenomenon following Traumatic Brain Injury (TBI) are poorly identified in literature, and studies attempting to identify those factors yielded conflicting results. Aim To provide level 1 evidence on the significance of potential risk factors predictive of “Talk and Die” phenomenon following TB...

Introduction The surgical outcome of lumbar spinal stenosis is variable. Appropriate patient selection, surgical procedure, multi-level involvement, body mass index, mental stability, etc., are factors related to outcome. According to the patient’s perspective, the Patient-Reported Outcomes Measurement Information System (PROMIS) gives clinicians a...

The primary concern for symptomatic back pain in elderly patients is to treat them according to guidelines. Surgical decompression for lumbar spinal stenosis may be laminotomy, laminectomy, or unilateral approach. Endoscopic or microscopic approaches are also promising though bony decompression is still the gold standard. Functional evaluation for...

Traumatic brain injuries (TBIs) cause inflammation in the brain and have been related to neurodegenerative diseases, like Alzheimer's, dementia and chronic traumatic encephalopathy (CTE), among others. It is the most frequent health problem, the leading cause of morbidity and disability, and it has a large socioeconomic impact. Researchers are wo...

Citation: K M Ziaur Rahman and Md Moshiur Rahman. "Role of Vitamin D in Cerebral Vasospasm". EC Neurology 14.2 (2022): 14-15. CVS is a threatening consequence of subarachnoid hemorrhage (SAH), which can lead to subsequent stroke [1]. Current CVS therapy options, such as nicardipine, a calcium channel blocker, and clazosentan, an endothelin-1 antago...

Subdural hematoma (SDH) can be encountered in the pediatric population. The psychosocial context where this cerebrovascular disease has a place is unique in this field, such as in non-accidental traumas. Moreover, children’s central nervous system is under development, so this population responds differently to therapy. Management of SDH in childre...

Introduction and importance Rosai-Dorfman disease is a rare, histiocytic lymphoproliferative disease of unknown etiology. It manifests mainly as painless cervical lymphadenopathy, with very few cases reported extranodal involvement in the central nervous system. Isolated spinal Rosai-Dorfman disease is sporadic. Case presentation This case report...

We read the systematic review by Li et al 1 with great interest. We were interested in the growing numbers of robotic-assisted spine surgery. However, the growing numbers of robot applications in neurosurgery are confined to certain regions in the world, particularly the United States as reported in the review. 1 The past 2 decades have witnessed...

The term "Post-Concussion Syndrome" (PCS) refers to a group of non-specific symptoms that occur after a concussion or Mild Traumatic Brain Injury (MTBI) and last longer than expected. Headaches, weariness, vertigo/dizziness, irritability, emotional lability or irritability, cognitive problems, sleep disturbance, anxiety, and depression are all poss...

The occlusion of a cerebral artery by a thrombus accounts for about 80% of strokes. Reperfusion can save hypoperfused brain tissue from early cerebral blood flow restoration (CBF), thus limiting neurological impairment. The most successful treatments for stroke care have proven to be reperfusion techniques. One of the key drawbacks of these treatme...

Rahman., et al. During the development of the COVID-19 pandemic, surgical sciences were one of the most affected fields in biomedicine globally. The fear of infection, the collapse of health care systems, the redistribution of resources, the increase in costs, the depletion of supplies, and confinement, among other aspects, caused a delay in the ma...

Research journals publish scientific articles after a meticulous and thorough review process. However, there may be new insight about the topics or the readers may need more info regarding the topics. As writing an article is often tenacious and time-consuming work, most journals accept this kind of short communication between readers and authors i...

Ergonomics for healthcare professionals

Background Intraoperative neurophysiological monitoring (IONM) has improved the diagnosis and surgical treatment of brainstem and posterior fossa tumors. Several modalities are available for IONM such as electroencephalography, brainstem mapping (BSM), cranial nerves evoked potentials), somatosensory evoked potentials (SEP), motor evoked potentials...

Introduction and importance The primal instinct of neurosurgeons has been to maintain spinal stability and motion since the beginning of spinal procedures. Conventional anterior approaches without fusion eliminate motion in time as fusion invariably sets in and hampers the vertebral column's normal dynamic physiology. Case presentation We reported...

The percentage of robot-assisted radical cystectomy (RARC) is comparatively low in Asia compared to other continents [11]. Few studies showed, RARC with intracorporeal urinary diversion causes less bleeding and hospital stay compared with extracorporeal urinary diversion.

The COVID-19 pandemic is the most serious threat to national health systems in a century. The rapid development and spread of the COVID-19 disease necessitated a significant shift in clinical practice and a restructuring of institutional structures. Elective surgery has been drastically reduced in Spinal Surgery Units around the world since the sta...

Rahman., et al. The recent pandemic associated with the new coronavirus has represented a new paradigm in different aspects of medicine [1]. The neuroinvasive properties verified regarding SARS-Cov2 have allowed us to know how this virus affects multiple organs and systems in the human body [2,3]. One of the affected structures is the hypothalamus,...

Introduction and importance Several neuro-ophthalmic manifestations have been reported with coronavirus disease 2019 (COVID-19) infection. However, isolated optic neuritis was infrequently reported in humans with COVID-19. If it occurred, optic neuritis was usually a part of a demyelinating syndrome. Case presentation In this paper, we report a ca...

Introduction and importance Brain metastasis of prostatic cancer is highly a rare condition. Its intracranial metastatic process and presentation are poorly understood and limited to case reports, making it challenging to detect and diagnose. We aim to highlight the rare case, brain metastasis of prostate cancer, and review the literature regarding...

Risk of cerebral stroke in coronavirus patients and its prevention

Neurocritical care is an important and integral part of neurosurgical management. In this global war without any smoke, it is a pivotal need for a holistic effort, as a health unit, in combating the virus. In this new era of SARS-CoV-2, neurosurgeons must acknowledge the insights regarding neurocritical care to safeguard our patients and quest for...

Vertigo can be classified in many ways. Commonly it is classified as either central or peripheral vertigo. Central vertigo is related to brain lesions mostly, whereas peripheral lesions are mainly related to the involvement of the vestibulocochlear system. The main differentiating point between central and peripheral vertigo is the presence of vest...

Simulation has shown good results in medical scenarios in which the patient's problem can be solved by following protocols previously established in clinical practice guidelines. Therefore, the implementation of simulation programs in neurocritical care improves the outcomes of patients at clinical centers because a properly trained professional wi...