TRUMPH TruSyatem 7500

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 .

05-DECEMBER-2004  HANAN MUHAMED KHALIFEH  33 YEARS  HUGE FLOW CAVERNOUS HEMANGIOMA LEFT CEREBELLAR HEMISPHERE ENGULFING THE LEFT VERTEBRAL ARTERY.

 

Anamnesis

bullet

The patient then came to the clinic 03-July-2004 complaining of unsteady gait with ataxia and headache with left sided paresis for several months with horizontal nystagmus when looking to the left. The patient was operated elsewhere 2 years ago for alleged arachnoid cyst, but the problem persisted and a dural pocket from the bone defect was bulging under the skin at the bone defect area.

bullet

The patient was sent for new MRI of the brain which was done 10-October-2004 showing the cystic mass of huge volume extending down to the C2 lamina level.

bullet

On examination: the patient is limping dragging the left side of the body. Romberg unstable with horizontal nystagmus when looking to the left.

bullet

Osteoplastic craniotomy for the posterior fossa using the previously performed bone defect. The dura was opened and the cystic mass was followed and step wise removal achieved. Going deep the mass became more solid and vascular and it had many feeders and engulfing the left vertebral artery. All the feeders were coagulated and the cavernomatous mass dissected from the artery which was circumferentially invading it. The basilar artery was respected and all the major arteries in the area. 

bullet

Smooth postoperative recovery. The left hemiparesis regressed.

Follow Up

bullet

The patient came 25-December-2013 complaining of numbness of the right hand with LBP and left sciatica for 2 months. There was mild atrophy of the left side of the toque with mild weak right upper limb and dorsiflexion left foot 4/5. MRI of the brain done 28-December-2013 showing no recurrence of the mass. MRI lumbar spine showed central extrusion of L4-5 resulting in severe segmental stenosis. She was advised to undergo surgery for the L4-5 disc extrusion.

bullet

For more information about the cavernous hemangiomas. please click here!

 

 

 

Comments  

bullet

The lesion was challenging, because the vertebral artery was engulfed by it and it had many arterial feeders.


The arterial network after removal 0f the tumor.

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.


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

 

 

 

[2004] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved