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 .

16-SEPTEMBER-2014  MAJIDA SAMI ANABTAWY  58 YEARS  TUMOR OF C7 WITH COMPLETE DESTRUCTION AND RIGHT PARASPINAL EXPANSION.

 

Anamnesis

bullet

The patient came to the clinic 14-September-2014 complaining of neck and right upper limb pain for 2 months with numbness all fingers right hand for 2 weeks. The patient was operated 3 years for lymphnode biopsy, which was proved to be Hodgkin disease for what radiation and chemotherapy was performed. She was treated for left kidney abscess 3 months ago with antibiotics (Meropnem).

bullet

On examination; the patient in agonizing pain and cannot rotate the neck to all sides with severe pain. There is weak grip right hand -3/5 and unable to extend the hand and weak right triceps 1/5 and weak biceps 4/5. There is hypalgesia of the Index finger right hand.

bullet

The patient was sent for MRI of the cervical spine with contrast showing tumor of C7 with complete destruction of the body with right paraspinal growth toward the brachial plexus. Bone scan done 15-September-2014 ruling out scattered MTS picture.

bullet

There is no running crease in the neck to reach the lesion and there is solid palpable mass 1 cm above the sternoclavicular notch. For that an incision was carried out along the medial border of the right sternocliedomastoid muscle. Dissection was started from above and the C6-7 and C7-D1 levels were identified. A mass was identified in the right side of C7 pushing the muscles antero-lateral, but not reaching the sheath of the right CCA. The mass which was felt before incision was a bony one in the right lobe of thyroid not having any relation to the pathological lesion. Discectomy C6-7 and C7-D1. The disc material was not involved in the tumor. The C7 body was destroyed by the tumor and it was resected. The soft tissue component of the tumor in the right side of the body was also removed  obtaining practical radical resection of the tumor. Fresh frozen section gave the answer of Hodgkin sarcoma of very malignant behavior. Using Medulex expandable cage 16 mm 40 with allograft 15 cc was inserted at the bone defect between C6 and D1. Using Reflex plate 2 level 30 mm plate and 4 fixed self drilling screws, fusion of C6 and D1 was achieved. Routine closure of the wound. The histological specimens were sent to separate pathological departments.

bullet

Smooth postoperative recovery. The power of the right upper limb became normal and the agonizing pain disappeared.

 

 

Comments  

bullet

If the patient has Hodgkin sarcoma, then it is very rare and it is not invading the disc material.

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