www.neurosurgery.tv 
   

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

Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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 .

12-OCTOBER-2011  IBTISAM MUHSEN AL-HATABY   25 YEARS  CSF LEAK AND MASSIVE ICH AND LACERATION OF LEFT TEMPORAL LOBE AFTER ENT INTERVENTION.

Anamnesis

bullet

The patient was seen at the ICU 10-October-2011 2 days after performed ENT intervention to the left ear. The patient was lethargic  with right sided paresis and plegia of the right upper limb and dilated pupil left eye and paralysis of the left oculomotor nerve and a massive CSF leak coming from the external meatus.

bullet

On examination: the patient has full dilated left pupil with complete paralysis of the left oculomotor nerve. Broca area is preserved, but she has dense plegia of the upper limb and deep paresis of the right side of the face and less of the lower limb.

bullet

MRI brain and CT-scan of the brain with DICOM were requested and the investigations showed massive ICH and infarction of the brainstem left side and the crus cerebri with laceration of the left temporal lobe with IVH of the left lateral ventricle. Using ORSVisual  the character of the bone defect and the dural defect were identified.

bullet

Left temporal approach was performed and the dural defect was circumferentially identified over the bone defect. The internal temporal artery was coagulated and cut, for further exposure of the torn dura. Lacerotomy of the temporal lobe was done until the normal brain matter was seen.  Using 30x20 mm lyodura, the dural defect was water-tightly closed and another layer of lyodura was used with glue over this layer to aid more security to prevent possible CSF leak. A piece of muscle was used to cover the inner ear cavity, over what several pieces of bone were used to cover the bone defect aided with glue.

bullet

Routine closure of the wound.  Smooth postoperative recovery  with disappearance of the dilated pupil and improvement of the power of the right side of the body.


 

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

 

Comments

bullet

The patient has huge dural and bone defect. Conservative treatment is not considered in this case.

bullet

Lacerotomy is a powerful measure to reduce arterial spasm and improve the neurological outcome.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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

  

[2011] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved