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
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


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

03-MAY-2014  HAMZEH SALEEM QASEM 23 YEARS CHORDOMA OF THE RIGHT MAXILLO-SPHENOIDAL AREA WITH SECONDARY EXOPHTHALMUS.

 

Anamnesis

bullet

The patient came to the clinic 29-April-2014 complaining of difficult breathing fro the right nostril with progressive exophthalmus right eye for one year. He was operated for septal deviation elsewhere without benefit. CT-scan done 29-April-2014 showing a huge mass in the right maxillo- sphenoidal area, pushing the septum to the left and elevating the medial wall of the right orbit up and lateral.

bullet

On examination; the patient has no visual problems except the right exophthalmus. The lacrimal duct is closed and the tears are running outside the canal. It was possible to see the tumor through the right nostril. It was totally obstructing the passage.

bullet

The patient was sent for MRI investigations with contrast with MRA of the brain and carotid systems. There was no arterial involvement and the mass was totally extracranial, but reaching and abutting the pituitary floor and shifting the right optic nerve medially.

bullet

Through the right nostril, the tumor was attacked and piece-meal resection was performed. Fresh frozen biopsy telling that it is either meningioma or fibrous dysplasia. Inspection of the tumor bed cavity was negative. Intraoperative MRI done showing huge remnant of the tumor, which was followed and resected. Hemostasis. 2 nasal tubes were inserted.

bullet

Smooth postoperative recovery.

 

 

Comments  

bullet

The patient is not characteristic for either meningioma, nor for fibrous dysplasia. It is benign and grossly looking as chordoma.

bullet

Intraoperative MRI is superior to the usual inspection, as in this case.

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