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 .

03-DECEMBER-2014  HASAN ALI AL-MASOODI  72 YEARS  RECURRENCE OF THE CHRONIC SUBDURAL HEMATOMA AFTER CRANIOTOMY AND TOTAL REMOVAL 9 DAYS AGO.

 

Anamnesis

bullet

The patient was operated by me 24-November-2014 for huge chronic subdural hematoma and the patient started to show slight recovery. The patient had several MRIs after surgery which showed persistence of the air in the subdural space and mild hematoma in the lower cavity. The patient was discharged 3 days ago and he showed deterioration, for what new MRI was done and showing recurrence of the huge hematoma.

bullet

On examination, the patient is better than during the first admission.

bullet

The old craniotomy was opened and the dura was opened now in T-shape fashion to regain better visual control. The haematoma was evacuated with its capsule. Considering that during first surgery the brain was not pulsating and it was lacking CSF flow, which is the cause of the hematoma recurrence, dissection of the sylvian cistern and other arachnoidal areas was performed to regain CSF flow and the brain started t pulsate and the subarachnoid spaces became CSF rich. Arachnoidolysis was continued until the brain started to expand and fill the space. A Medtronic external drain was inserted subdurally and water-tight closure of the dura. Ready vac drain inserted under the skin. Routine closure of the wound.

bullet

Smooth postoperative recovery. The patient was sent to the ICU for 4 days observation.

 

 

Comments  

bullet

The patient has profound neurological deficit due to major shift of the brain and distortion of the anatomical structures, which will suffer even without direct compression.

bullet

The conning of the right hemisphere under the falx, made it impossible to make the hemisphere come back to its place. This was the cause of the rebleed.

bullet

Arachnoidolysis and dissection of the sylvian cistern and other possible subarachnoid spaces could promote reduction of the CSF flow and reestablishment of the cardio-pulmonary pulsation.

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


Inomed MER system



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