A Cross Sectional Study on the Type of Patients and Treatment Intervention in a Neurosurgery Department of a Tertiary Level Hospital in Bangladesh.

Abstract

Background: Neurosurgery or neurological surgery is the medical specialty concerned with the diagnosis and treatment of conditions, illnesses and injuries involving the nervous system and its support structures. This includes various conditions involving the brain, the spinal cord, the actual nerves, the skull, the bones of the spine, spinal disks, as well as the blood vessels, ligaments and the protective coverings that offer support to the nervous tissues. Intervention by a neurosurgeon can be surgical but is most often non-surgical and is determined by the condition or injury as well as the general health of the person. Objectives: The objectives of this study were to find out the type of patients and treatment intervention of the neurosurgery patients at neurosurgery department in a tertiary level hospital in Bangladesh (during 1st April, 2015 to 28th October, 2015). Methodology: This cross sectional study was carried out among 190 patients at neurosurgery department in Bangabandhu Sheikh Mujib Medical University (BSMMU). Sample was selected by simple random sampling technique. Results: Among the 190 patients, 22 types of diseases were found in neurosurgery department. The study shows that the diseases such as meningioma (16.85%), spinal stenosis (15.79%), acromegaly (11.06%), hydrocephalus (10%), cervical myelopathy (8.95%), and glioma (8.43%) were occurred in most of the patients. The most commonly used drugs were clonazepam, phenytoin, diazepam, amitriptyline, dexamethasone, naproxen, phenobarbital, flucloxacillin, paracetamol, pregabalin, and vitB1+vitB6+vitB12. Some diseases such as diabetes, hypertension, low blood pressure, hypercholesterolaemia, allergy, and fever were also associated with major diseases in patients.