www.neurosurgery.tv 
   
TRUMPH TruSyatem 7500

 
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

 

The patient 5 years old with right sixth nerve paresis since childhood got for several weeks unsteady gait with progressing headache and blurred vision. MRI preformed 12-November-2005 showed a huge vascular mass in the right cerebellar hemisphere compressing the brain stem and causing hydrocephalus. Romberg was unstable swaying to all directions. Otherwise, except for the right 6th nerve paresis was intact.

The patient was operated in the sitting position with osteoplastic suboccipital craniotomy of my personal modification, with pedicle to ligamentous structures to C1 and was reflected inferiorly. V-shaped incision of the dura. The vascular lesion was attacked from several direction, trying during that to preserve the most tiny normal vascular architecture. The main feeders were arising from the right PICA. It had no communication with the transverse or sigmoid sinus as was anticipated.  The vascular mass was resected totally. The cerebellum was hanging free with good cardio-pulmonary pulsation. Water-tight closure of the dura and the flap returned back.

Postoperative period was smooth and the patient showed no complications. Postoperative CT-scan performed the next day confirm the radical resection of the mass and absence of any complications. 

For theoretical information about cavernous heamangiomas, click here!   

 

 


 

  

[2005] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved