Dr. Fuad Al-Masri Syrian neurosurgeon.

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.tv

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

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 .

06-FEBRUARY-2003  MAEN YAHIYA SULAYMAN AL-QARALAH  26 YEARS  GUN SHOT RIGHT BRACHIAL PLEXUS WITH COMPLETE DENERVATION OF THE ULNAR NERVE AND SEVERE PARTIAL DENERVATION OF ALL OTHER MAJOR BRANCHES.

 

Anamnesis

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The patient came to the clinic 19-December-2002 telling that he suffered gun shot 2 months ago, after what he got severe right brachial plexus injury.

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On examination: the patient has full power of the right deltoid and pectoralis muscles. The right biceps is not functioning and there is analgesia of the volar side of the forearm. The right radial and ulnar nerves are not functioning. The median nerve is severely affected but incomplete

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The patient was sent for MRI cervical spine with myelography to rule out avulsion of the roots. Several ECS of the right brachial plexus was performed.

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Exposure of the distal part of the right brachial plexus and the median and musculocutaneous nerves were identified. They are functioning with stimulation. The axillary and the radial nerves also functioning. The ulnar nerve involved with more massive scar was dissected distal and proximal to the lesion. There is neuroma and the nerve is not responding to stimulation above and below the neuroma. The neuroma was bisected and the nerve was refreshed until the fascicles were seen inside the stump. The distance between the parts of the nerve is around 58 mm. The right sural nerve was harvested and 4 bundles were gathered and anastamoses of the nerve was achieved. Routine closure of the wound after debridement of the ugly scar. Smooth postoperative recovery.

Follow Up

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The patient came to the clinic 02-March-2003 with full power of the right biceps muscle and the right triceps is 3/5.

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The patient then came to the clinic 20-May-2003 with regression of analgesia to the fifth finger  right hand  and the territory of the right lower medial cutaneous nerve. The grip and extension of the hand is 4/5. Extension of the wrist is 3/5.

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The patient last time seen 08-May-2004 with ECS done 07-March-2004 telling that there is improvement in comparison to the previous records and there is no sensory loss at all, but contracture of the MPJs of the hand is present and he was advised to continue physiotherapy.

 

Comments

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The patient underwent first surgery elsewhere and there is no documentation about was found and done.

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Neurolysis of the affected nerves promoted rapid recovery and the anastomosed ulnar nerve took long time to recover.

 

Leica HM500

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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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