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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

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 .

27-JANUARY-2002  ABU-BAKER MUHAMED ABDEL-SALAM  11 YEARS  HUGE CRANIOPHARYNGIOMA WITH MASSIVE INTRAVENTRICULAR GROWTH AND SECONDARY HYDROCEPHALUS.

Anamnesis

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The patient came to the clinic 25-January-2002 complaining of headache with blurred vision for more than 1 year with progressive course. CT-scan of the drain was done 11-October-2000 reported as having hydrocephalus.

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MRI of the brain done recently showing huge craniopharyngioma with massive intraventricular and retrosellar extension.

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On examination: The patient has left sided hemiparesis.

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Bifrontal craniotomy with mobilization and preservation of the olfactory tracts was achieved. The tumor mass was seen under the chiasm and it was resected in piece meal fashion. Radical resection was achieved. It was necessary to create small flap at the base of the bone defect, over the nasion and drill the posterior part of the tuberculum sella, to gain better exposure of the intraventricular part of the tumor from under the chiasm. The basilar artery was seen and the Liliquest membrane not violated. Papaverine irrigation was used all the time to avoid arterial spasm.  The pituitary stalk was shifted to the right. All the vascular structures were preserved.

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Routine closure of the wound. The patient was kept in ventilator for 24 hours after then he showed acceptable recovery and was discharge after one week.

Follow Up

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The patient was seen several times in the clinic after  surgery and control MRI was done 07-March-2002 and 18-May-2002 were the same confirming radical resection of the tumor. The patient did not show diabetes insipidus nor pituitary insufficiency. The pituitary stalk and the olfactory tracts were anatomically and functionally preserved. The weakness left side disappeared.

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It was advised for precaution. to be followed by endocrine specialist and undergo radiotherapy to prevent future recurrence.

Comments

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The patient had huge craniopharyngioma causing secondary hydrocephalus. Radical resection is the best goal to achieve in this case.

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For more details, please visit: http://craniopharyngiomas.com/

 

 

 

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

 

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision and very bad MRSD4 quality.


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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