www.neurosurgery.tv 
   

neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

Surgical group is like a football team.

 
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.tv

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tw
neurosurgeryspine.org
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com

Neuroanatomical Sites
diencephalon.org
humanneuroanatomy.com
medullaoblongata.info
mesencephalon.org
microneuroanatomy.com

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spondylolisthesis.info
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

05-MAY-2010  HUSSEIN ABDEL-FATAH HAMDAN  PERSISTENT CSF LEAK AFTER CRANIOTOMY FOR RETROBULBAR MASS RIGHT EYE 13 DAYS AGO.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

 


 

Anamnesis

bullet

The patient was operated by me 22-April-2010 for retrobulbar B-cell low grade lymphoma, during which decompression of the upper and lateral wall of the right orbit was performed.

bullet

The patient improved in all parameters, but CSF leak took place and did not resolve with conservative measures.

bullet

Considering that 13 days elapsed without stopping the CSF leak, the wound was opened only in the right half and the bone flap reflected to the right ear. Inspection of the source of the CSF leak revealed that, the very thin dura under the mediobasal frontal lobe was oozing from 2 points. Nylon 6 zero was used to stitch the tiny dural defects and artificial dura with gluebran was applied in all suspicious points of CSF leak.  The patient head was lowered and Valsalva maneuver was applied to check for CSF leak. It was negative. Routine closure of the wound.

bullet

Smooth postoperative recovery with no complications. and the patient was asked to set down and put his nose down. No CSF leak was noted as before surgery.


Comments

bullet

The patient  had previously very thin dura at the mediobasal surface of the frontal lobe which was dissected from the superior orbital roof. During the first surgery the patient was in Mannitol and Lazix for what the CSF leak was not noticed at the end of the surgery.

bullet

Usually the CSF leak disappear after 3-4 days after surgery, but the patient has allergic cough from the roses, which were brought by the family, which triggered the CSF leak.

bullet

Since 13 days elapsed after surgery, repair of the CSF leak source must be managed surgically to avoid future complications.


Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

     WELCOME TO AL-SHMAISANI HOSPITAL

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved