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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 .

17-APRIL-2007 RAWAN TALEB ABU-THABET 22 YEARS MALFUNCTIONING VENTRICULO-PERITONEAL SHUNT.

 

Anamnesis

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The patient came to the emergency Al-Shmaisani hospital with acute episode of headache, blurred vision and vomiting for 2 days.

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The patient was operated by me September-1998 for pinealocytoma followed by insertion of the ventriculo-peritoneal shunt right side, followed by radiotherapy. She was last seen in the clinic 24-February-1999 to stop anticonvulsant treatment.

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MRI of the brain was performed and confirmed the presence of acute hydrocephalus.

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On examination:: The patient was almost blind in both eyes with agonizing headache. Check for reservoir function was acceptable. Plain abdomen and skull X-ray ruled out slippage of the shunt. Mannitol 20 gm every 6 hours started and the patient was taken to the operating room after 7 hours.

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The old abdominal incision was refreshed and the shunt was pulled out of its canal and checked directly for its function. It was functioning perfectly and it was clean. Inspection inside the slits was normal. The distal part of the shunt was reinserted to the same canal and rotated several times to prevent possible occlusion by scar or omintum inside the abdomen.

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Smooth postoperative recovery and the Mannitol was stopped and all medications. The visual functions normalized and the patients complains disappeared.

Comments  

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The patient got sudden onset hypertensive encephalic syndrome due to unknown reasons of shunt malfunction with deteriorating visual functions, which could lead to complete bilateral blindness.

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Direct check of the shunt function is mandatory, to prevent further escalation of the increase intracranial pressure.

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The cause of the malfunction could be a debris or many countless reasons, which could cause temporary or permanent function loss of the shunt.

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Despite the fact the patient is stable for more than 12 years after surgery for pinealoma and insertion of VPS, she was in need for the device all the time. In other cases, the patient could accommodate and when the shunt start to malfunction, no clinical data are observed and the incidence undergo unnoticeable.
For more details about pinealomas click here!

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 in the run  starting from  14-March-2020

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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