www.neurosurgery.tv 
   

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

Surgical group is like a football team.

 
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 .

 

23-DECEMBER-2009  UMAR FATHI  SUBHI ABDALLAH  35 YEARS  RESIDUAL AFTER GUN SHOOT 2002  OF THE RIGHT KNEE WITH SUSPECTED PAINFUL NEUROMA  AND NON-FUNCTIONING RIGHT TIBIAL NERVE.

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

Anamnesis:

bullet

The patient came to the clinic 16-June-2003 complaining of condition after gun shoot to the right knee 01-June-2002  with non-functioning tibial nerve of the right leg. The patient was operated several times.

bullet

The patient then came to the clinic 30-July-2007 still complaining of non functioning right tibial nerve and pain behind the right knee, which was suspected as painful neuroma.

bullet

The patient the n came 11-July-2009 and 19-December-2009 with ECS performed 17-December-2009 confirming that the right tibial nerve is not functioning and very mild involvement of the right peroneal nerve. The patient to this moment underwent 5 surgeries to the lesion.

bullet

The lower third of the sciatic nerve was exposed and it was involved in massive scar in its lower part. Using ISIS HIghLine IOM the peroneal side of the sciatic nerve was functioning well and was responding well to currents with 1mA stimulation, but the tibial side was not functioning at all.

bullet

Neurolysis was undertaken and the tibial and peroneal nerves were neuroyzed down 7-8 cm below their emergence. The division was of low variant and the tibial nerve start to respond gradually to 4mA the 2 mA and the 1 mA. This was recorded and documented in the ISIS IOM and video-recorded. It was possible to record brisk response of planterflexion group of muscles during tibial nerve stimulation.

bullet

Routine closure of the wound. The movement of the right foot improved slightly and some planterflexion appeared after recovery.


Comments

bullet

The suspected painful neuroma could be a swelling of the nerve above some scar constriction, which disappear usually after neurolysis.

bullet

Without using IOM, it is impossible to make the proper decision of the best treatment modality fit to the patient.


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

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved