Dr. Ali Al-Bayyati and Dr. Munir Elias

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


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18-AUGUST-2002  NISREEN MUWAFAQ AL-SAMMAN  PITUITARY ADENOMA . CONDITION OF FAILED ATTEMPT TO REMOVE THE TUMOR WITH SUBSEQUENT CSF LEAK ELSEWHERE.

 

Anamnesis

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The patient a Jordanian citizen living in UAE was operated 29-June-2002 elsewhere for pituitary adenoma through transsphenoidal approach and was reoperated another time by 2 neurosurgeons with repeat transsphenoidal approach for CSF leak and 2 surgeries for LPS. Control MRI showed that the pituitary adenoma still the same as before surgery and the CSF taking place from the left parasellar region.

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Transsphenoidal approach was undertaken from the right nostril, since the most part of the tumor is in the left parasellar region extending to the left supra-retrosellar areas. The pituitary tumor was identified and practical total resection achieved and a huge piece of muscle harvested from the quadriceps muscle stitched to the mucosa aided with glue was pushed and fixed to the cavity of the tumor bed.

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Routine closure of the wound. Smooth postoperative recovery. There is no CSF leak and the patient was discharged the third postoperative day.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient had 2 problems to resolve. Removal of the tumor and filling the sphenoid cavity with muscle to prevent the CSF.

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The record of this event was done 08-February-2013 to compare the BFW  with the Leica HM500. Both are full of defects and up to now I cannot achieve the acceptable quality of recording system. The BFW system has orange blur in the center of the camera and the focus is not centric. The Leica MRDS4 is bad quality and all the Leica system is full of defects.

 

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.


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

 

 

 

[2002] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved