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NEWS

January/06/2007

Surgical treatment in paraplegia survey:

Cross-anastamosis in paraplegia below D9 started to give results. The last documented case operated 1 year ago in a patient from Israel came to the clinic 3 weeks ago. ECS and EMG performed showed that there is starting innervation of Th 11 and 12. The patient's lower limbs muscles became bulky and he could contract the lower abdominal muscles and some movements in the pelvic girdle. Crude sensation descended down to the inguinal level both sides. If you are more interested in this topic, click here! 

March/08/2007

Tuberculosis of the spine

In the last 2 years the incidence of tuberculosis of the spinal column is becoming more frequent and having different clinico-morphologic picture. This phenomenon is alarming sign as the residual of the use of dirty bombs and several radioactive materials in the surrounding dirty wars in the region. For demonstration click here! and here!

20-AUGUST-2007

SIEMENS Digital C-arm is implemented and functioning in the Shmaisani hospital.

30-AUGUST-2007

The Inomed ISIS Highline neurophysiologic navigation system start to work at the operating room.

28-November-2013

Magnetom Skyra 3 tesla with all clinical applications start to run.

 

 
 
 
 

11. 17-APRIL-2007  UMAR AHMAD ARAFEH  38 YEARS  ARTERIO-VENOUS MALFORMATION OF MIDEOBASAL FRONTAL LOBES WITH MAIN FEEDERS FROM THE LEFT PERICALLOSAL ARTERY AND NIDUS IN THE LEFT FRONTAL LOBE: PART TWO

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Fig-1: Angiography early arterial left ICA showing only part of the feeders

Fig-2:  More late arterial stage of the avm more clearly showing the nidus.

Fig-3: Immediate postoperative CT-scan showing the placement of the 2 clips.

Postoperative:

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The patient 2 hours later is full conscious with improvement of the strength of the right upper limb.

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Check CT-scan done 4 hours after surgery showing no hematomas or infarction and the placement of the clips.

Comments:

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This arteriovenous malformation is not suitable for Gamma knife, neither endovascular maneuvers, because it had plenty of feeders and and big nidus with high flow type.

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The best choice for this type of arteriovenous malformation is direct surgery, since  the area is functionally is not critical and the already damaged neural tissues by the primary insult will exclude further damage from the surgery.

Return to the first part!

 

 
     
 

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