Munir Elias 20-12-2013

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
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.fr
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tv
neurosurgery.tw
neurosurgeryspine.org

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
glioma.ws
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com
theneuro-oncology.com

Neuroanatomical Sites
diencephalon.info
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
cns-clinic.net
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
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 .

29-JUNE-2014  BAHIYE ZAYDAN DAYEH  62 YEARS  CSF LEAK AFTER PERFORMED SURGERY FOR SPONDYLOLISTHESIS L5-S1 WITH STENOSIS L4-5 AND STRUCTURAL SCOLIOSIS LUMBAR SPINE 24 DAYS AGO.

 

Anamnesis

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The patient was operated by me 05-June-2014 for spondylolisthesis L5-S1, stenosis L4-5 with structural scoliosis. She was doing fine and discharged in good condition and the drop right foot improved dramatically until normal limit. The patient start to progress CSF leak 22-June-2014 and conservative measures failed to resolve the problem.

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MRI of the lumbar spine done 28-June-2014 showing a huge CSF pocket extending up and down, reaching under the skin.

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The old incision refreshed. A  huge amount of CSF came out, despite the fact that the head of the patient was kept below the heart level. Inspection of the wound revealed that the CSF was coming out from the previous dural defect which was repaired in the first operation and the defect was so tiny, that it was 0.1 mm and it was functioning as a valve. Three stitches 4 zero nylon were applied and a muscle with Glubran was added to have more secure closure of the tiny dural defect. The head was elevated and Valsalva maneuver was applied and CSF leak was negative. Inspection of the sites of the wound and water-tight closure of the wound.

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Smooth postoperative recovery.

 

Comments  

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The patient had small tear less than 1 mm in scareous area near the right L5 root. Despite the fact it was closed by nylon, it was sufficient that 0.1 mm gap to be the source of such CSF leak.

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The scar tissue is not reliable to hold stitches and it will be wise to use Glubran the next similar case to avoid such event.

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, 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


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

 

 

 

[2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved