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


 

Multigen RF lesion generator .

23-MARCH-2004  JASSAM MUHAMED KHALAF 52 YEARS NEUROFIBRMATOSIS WITH LOW GRADE GLIOMA IV VENTRICLE.

 

Anamnesis

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The patient an Iraqi citizen came to the clinic 21-March-2004 complaining of diabetes insipidus since 1998 in Minirin daily for the last year, 2003 got right sided paresis with dysphonia and right facial paresis with difficult swallowing with ataxic gait. Blurring vision left eye for 1 month. Headache the last 3 weeks.

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On examination: the patient is walking with help. Romberg was unable to evaluate. Horizontal nystagmus both side. Right side paresis with right facial nerve paresis. Sensation not affected. Dysphonia with hypotrophy of the right side of the tongue.

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The patient was sent for thorough investigations and MRI done 22-March-2004 of the brain showed masses in the IV ventricle and the left lesser wing meningioma involving the left cavernous sinus, extending subtentorially, pushing the brain stem to the right, right acoustic schwannoma with intracanalicular extension pushing the brain stem to the left with scattered small foci in the brainstem and cerebellar hemispheres. The patient has manifestations of neurofibromatosis.

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In setting position with midline occipital approach with osteoplastic craniotomy with reflection of the bone flap to the lower field of the incision. the dura was opened in Y-shaped fashion. Transvermian approach with the opex and the IV ventricle were seen. The mass in this ventricle was totally removed and fresh frozen section confirmed that it is low grade glioma. The aqueduct of Sylvii and the cavity of the III ventricle were seen. Strict hemostasis. Routine closure of the wound. Smooth postoperative recovery. The patient was sent to the ICU for 3 days observation.

FOLLOW UP

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The patient came to the clinic 01-April-2004 with slight oozing from the wound and showed improved power four limbs, but same ataxia.

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The patient then came 15-June-2004 with clean wound and still cannot walk by himself with right hemiparesis with decreased hearing right ear.

 

Comments

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The patient has long way with his tumors. They need several approaches and the mortality rate for these lesions is high.

 

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted 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

LooksCam II in the run.
LooksCam II Xenosys in the run  starting from  14-March-2021 with SheerVision TTL x4 magnification.


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 .


 

 

 

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