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 .

26-MAY-2014  BILAL WADDAH WISHAH  27 YEARS PROGRESSING ARACHNOID CYST LEFT SYLVIAN WITH LEFT TEMPORAL LOBE EPILEPSY.

 

Anamnesis

bullet

The patient came to the clinic 24-April-2013 complaining of headache for 1 year with fainting attacks. The patient suffered partial seizures with secondary generalization 5 times during the last 2 months. The headache increasing during night with nausea and right upper limb numbness. CT-scan of the brain done 12-March-2013 showing a huge arachnoid cyst left sylvian cistern. He was operated for this cyst 15 years ago. The patient has lazy right eye. He is blind at this eye and has panophthalmoplegia right eye.

bullet

The patient was sent for investigations and given Tegretol 400 CR twice a day, but he came back 12-May-2014 with new MRI done 20-April-2014 showing a huge arachnoid cyst left sylvian cistern. The patient telling that he got 2 convulsions during the last 45 days. EEG done 13-April-2014 confirming epi activity over the left temporal region. The patient was not using medications and it was explained to him the importance of that.

bullet

The patient then came 22-May-2014 telling that his condition is deteriorating and he got 2 attacks and the headache is increasing. Kotral 500 mg twice a day was added, but the patient then came 24-May-2014 to the Emergency of Shmaisani hospital with fainting attacks and headache. He was admitted to the hospital and continuous EEG recording was done over 12 hours confirming the presence epi activity with in the left cerebral hemisphere.

bullet

The old incision in the left pterional region refreshed and the bone flap reflected to the ear. The dura was opened and the arachnoid sac followed down until the left ICA and left optic nerve and dissection of the arachnoidal layers was performed meticulously. The left M1 and its branches are running along the field. It was preserved and mechanically untouched to avoid possible spasm. Resection of the left temporal pole and left hippocampectomy was done. A thin layer of cortex was left near the course of the left M1 to avoid possible spasm. Strict hemostasis with routine closure of the wound.

bullet

Smooth postoperative recovery. The patient was sent to the ward. There is no further neurologic deficit.

 

 

Comments  

bullet

The patient has 2 problems, need to be resolved: The mass effect of the growing arachnoid cyst and the epi activity. Both goal were achieved during surgery.

 

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