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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

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Multigen RF lesion generator .

13-OCTOBER-2011  KHULUD SULAYMAN ALI  40 YEARS HUGE RIGHT CONVEXITAL CHRONIC SUBDURAL HEMATOMA WITH PENDING CONNING.

Anamnesis

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The patient came to the clinic in somnolence state with complain of agonizing headache bifrontal location for 2 weeks with projectile vomiting with inability to set or walk.

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On examination: the patient had left sided paresis with nuchal rigidity and inability to move the neck to all direction.

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The patient was urgently sent for MRI of the brain with MRA, which was done and confirmed the presence of huge right convexital chronic subdural hematoma with severe shifting of the midstructures and the pons shifted down with hydrocephalus. The patient was lucky, that the tentorium was of wide variation.

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The patient was urgently taken to the operation room and 2 burr holes were performed in the right frontal and parietal region. Huge amount of hematoma came out, and irrigation after inserting the external drain was performed with saline.

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Closure of the burr holes and fixation of the external drain for 36 hours.


 

 

 

 

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

 

Comments

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The patient was progressing conning during visit. Urgent measures must be taken to prevent the eminence of catastrophic squeals.

 

 


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 .

 

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