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

55



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

56



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)

57


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)

58


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.

59


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,


published

Title Journal Year



fering


published

Sl.No

disease with atypical clinical features in

a Bangladesh family tree



from neurometabolic disorder


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



Dr. Mohua Chandra On going

On going



60


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

61


Department of

NEUROANESTHESOLOGY



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

62


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

63


Department of

NEURO-INTERVENTION



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

64


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

65


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

66


Department of

NEURO-PHYSIOLOGY


(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

67


Dr. Md. Enayet Hussain Teaching experience; 8 years

MBBS, FCPS (Medicine), MD (Neurology)

Fellowship in Epilepsy & EEG (Malaysia)

Assistant Professor, Neurology




Dr. Md. Nahidul Islam Teaching experience; 4 years

MBBS, MD (Neurology)

Assistant Professor (Neurology)




Dr. Md. Ferdous Mian Teaching experience; 3 years

MBBS MD(Neurology)

Assistant Professor (Neurology)



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)



Email: [email protected],

[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

68


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

69


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

70


• 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


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)


Combined Military Hospital, Dhaka 12.09.2015-26.09.2015


Shohid Showardi Medical College & Hospital


Sir Salimullah Medical College &Hospital.

Victaria Health Care Ltd.



Dhaka 12.09.2015-26.09.2015







Dhaka 12.09.2015-26.09.2015





06.04.2015-30.09.2015


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

71


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)




Peroneal 07

Ulnar 09

Sciatic 05

Facial 11



AMAN 52

AMSAN 21

MFS 06

CIDP 38

MAMA 04





HMSN-2 13


MMNCB 02

MADSAM 05




Peroneal 07

Ulnar 09

Sciatic 05

Facial 11



AMAN 52

AMSAN 21

MFS 06

CIDP 38

MAMA 04





HMSN-2 13


MMNCB 02

MADSAM 05




Peroneal 07

Ulnar 09

Sciatic 05

Facial 11



AMAN 52

AMSAN 21

MFS 06

CIDP 38

MAMA 04





HMSN-2 13


MMNCB 02

MADSAM 05




Peroneal 07

Ulnar 09

Sciatic 05

Facial 11



AMAN 52

AMSAN 21

MFS 06

CIDP 38

MAMA 04





HMSN-2 13


MMNCB 02

MADSAM 05

72



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)

73


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

74


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

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