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
gliomas.uk
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 .

30-APRIL-2007 AMAL ADNAN AL-AZAB 36 YEARS RESIDUAL AFTER EXCISION OF GIANT CLIVAL MENINGIOMA LEFT CLIVO-TEMPORAL WITH LEFT FACIAL PARALYSIS.

 

Anamnesis

bullet

The patient came to the clinic 21-April-2007 complaining of complete paralysis of the left facial nerve with deafness.

bullet

The patient was operated by me 15-January-2006 for giant clival meningioma with involvement of the left tentorium and massive hyperostosis of the left temporal bone.

bullet

MRI and CT-scan performed 17-September-2007 showing no recurrence.

bullet

Considering that the facial paralysis is complete within 17 months after the first surgery, the patient sent to ECS and EMG, which confirmed complete non-function of the left facial nerve.

bullet

The left hypoglossal nerve was exposed and the left facial nerve was drilled off the canal for 10 mm depth and the hypoglossal nerve was sharply cut just before the emergence of the ansa cervicalis. It was rotated upward and direct anastamoses was performed between the 2 nerves.

bullet

Smooth postoperative recovery.


Fig.-1: The anatomical relationship of the facial and hypoglossal nerves.

Fig-2: The anastamosis performed.        Fig-3: The tip of mastoid returned.

Comments  

bullet

So as to avoid cosmetic deformity, the tip of the mastoid was kept intact, using osteotomes, which was returned back at the end of the operation and fixed to the muscle attachments above and below, avoiding by that the formation of post auricular cavity.

bullet

Considering the absence of recurrence of the tumor and more than 1 year of waiting for the nerve to recover, without results bridge anastamoses was suggested.
 

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


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

LooksCam II in the run.
LooksCam II in the run  starting from  14-March-2020


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

 


View Larger Map

© [2019] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved