Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
neurosurgery.fr
3
PARTS - PART 2.
The patient was sent for another MRI with contrast, which showed
decrease in the size of the sac and a small clot in the bottom of
the ruptured sac. Despite that the patient is receiving Epanutin and
decadron, the condition of the patient continued to deteriorate and
the cyanotic spells became more frequent up to 40 attacks per
day.
The patient was admitted to Al-Shmaisani hospital 6-April-2002
and was operated. In the sitting position, a wide posterior
craniectomy was performed up to the course of the transverse sinuses
and sigmoids. Laminectomy of C1-2-3 and 4 was done. The dura was
opened in its entire course. Considering the very small volume of
the posterior fossa, most of the brainstem and cerebellum were
shifted downward below foramen magnum. Dissection of all abnormal
thick membranes was done to obtain adequate CSF circulation.
