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Dr. Fuad Al-Masri Syrian neurosurgeon.

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.fr

Functional Neurosurgery
functionalneuro.surgery
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IOM Sites
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Neurosurgical Sites
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neurosurgeryspine.org

Neurosurgical Encyclopedia
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Neurooncological Sites
acousticschwannoma.com
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ependymomas.com
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glioma.co
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neurooncology.me
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onconeurosurgery.com
pinealomas.com
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schwannomas.com
theneuro-oncology.com

Neuroanatomical Sites
diencephalon.info
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Neuroanesthesia Sites
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Neuroendocrinologiacl Site
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Neurobiological Sites
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Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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03-JULY-2013  ALI YAHIYA AL-QUFAILY  65 YEARS  TUMOUR OF THE RIGHT CEREBELLAR HEMISPHERE WITH POSTOPERATIVE PERSISTING HYPERTENSIVE ENCEPHALIC SYNDROME.

 

Anamnesis

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The patient was operated by me 30-June-2013 for high grade glioma. The patient was doing well in the ICU. Control CT-scan done 8 hours after the surgery. The tumor bed was acceptable, but the hydrocephalus still persisting. The patient walked the next day, but still complaining of bifrontal headache. Considering that the hypertensive Encephalic syndrome still persisting, Torkildsen procedure was an option to provide the most possible best outcome to the patient.

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The incision was reopened and extended up in setting position. The bone defect also widened to have more lateral and near the foramen magnum. The dural incision was also widened. All the suspected tissues were removed until a healthy cerebellar tissue was seen. Insertion of Torkildsen shunt was performed from the right posterior horn, down to the cisterna magna down to the foramen magnum.

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Routine closure of the wound. Smooth postoperative recovery. The patient was sent to the ICU.


Control CT-scan after the first operation. The hydrocephalus still persisting.


Control CT-scan after second surgery. Notice that the shunt was unintentionally inserted to the quadrigeminal cistern and it was functioning. 

 

Comments

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The patient after the second surgery got the histologic result of benign hemagioblastoma. Total resection was achieved at the second surgery and shunting was performed.

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The prognosis is excellent in this case.

Leica HM500

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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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved