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 .

26-JULY-2015  RAMZI GEORGE ISSA  RECURRENT HUGE LEFT CONVEXITAL SUBACUTE SUBDURAL HEMATOMA WITH RIGHT SIDED PLEGIA.

 

Anamnesis

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The patient was operated by me for subacute huge subdural hematoma left convexity 15-July-2015 and was discharged with good recovery of his neurologic deficit. The patient then came 25-July-2015 telling that 2 days ago started to deteriorate with the progressive plegia took place back. The patient was sent for new CT-scan of the brain which was done confirming accumulation of the hematoma as before the surgery.

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Using the old incisions, a wide flap was created and reflected inferior. The dura was opened and the hematoma was evacuated and the thick capsule was reaching from the tentorium posteriorly up to the mediobasal frontal lobe anterior. It was resected and the remnants were coagulated. Lateral it was reaching the lesser wing. All the draining veins and cortex were preserved and were untouched. The dura was closed with ready vac drain left under the dura. Routine closure of the wound.

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Smooth postoperative recovery. The power of the left side immediately improved after recovery. The patient was sent to the ICU for 24 hour observation.

 

 

Comments  

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The patient was advised in the first surgery, that 50% he could achieve the goal of recovery, or he could accumulate the hematoma and at this case a wide craniotomy with removal all the elements of the hematoma and its capsule to be removed.

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The thick capsule could provoke the recurrence. MRI investigations done before  and failed to predict to whom to suggest a direct craniotomy or double burr hole.

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 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

 


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

 


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