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The group in action.

 
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

 
14-JUNE-2006 JALLAL YOUSEF SALEH AL-TCI 64 YEARS COMPLETE OCCLUSION OF THE LEFT ICA AFTER STENTING- PART -1
The patient came to the clinic 30-January-2006 complaining right sided weakness with dysarthria sudden onset 18-January-2006. He is known hypertensive for 7 years in capoten 50 mg three times a day, tenormin 100 mg once daily modeuretic once daily and baby aspirin once daily.

The patient was sent for MRI investigations and cardio-consultation.  The patient came 01-March-2006 and stenting of the coronaries were performed including stenting of the left carotid. The patient neurological status showed slight deterioration, but the hypertension became milder in severity.

The patient came 26-April-2006 with progressing deterioration with difficulty in speech  and spastic right hand with difficult walking, nominal aphasia, acalculia, right hemihypalgesia  and hemiparesis more the upper limb.

The patient was sent for another investigation. MRA showed complete occlusion of the left ICA and partial of the proximal segment of the ECA.

Considering the progressive deterioration of his neurological course, carotid atherectomy of the left ICA was advised.


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved