Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity.

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
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neuroendocrinologiacl Site
humanneuroendocrinology.com

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 .

05-AUGUST-2017  THAMER BIJAD AL-SHAREEF  5 YEARS RESIDUAL AFTER C.P. RIGHT FOOT EQUINUS AND  VARUS HEEL.

 
 

Anamnesis

bullet

The patient came to the clinic 29-July-2017 complaining of both feet deformity since birth, more pronounced in the right foot with pes equina varus with tendency to fall due to wrong steppage in the right foot. He is the 4th baby in the family with no family history for such condition. He was born prematurely through Caesarian section and was in incubator for one month with jaundice. He has delayed milestones, and squint left eye, wearing glasses. He started walking at 3 years age with frequent fall due to feet deformity. 

bullet

On examination, the patient has normal higher brain functions, with normal upper limbs down to normal knees, but spastic lower limbs and gross pes equina varus both feet more the right, with limited dorsiflexion of the foot and tendency to fall due to right foot deformity.

bullet

The patient was sent for investigations. MRI of the brain performed 01-August-2017 showing periventricular ischemic changes, normal MRI of the whole spine.

bullet

 Z-plasty elongation of the right Achill's tendon. The insertion of the the right tibialis tendon was exposed in the right foot. Exposure of the same tendon at the lower third of the right foreleg. The tendon was split in 2 parts. The lateral part was transferred to the cuboid of the right foot using the C-arm and was fixed to the tunnel created in the cuboid bone with 2 zero Ethicon fixed at the bottom of the right foot. Routine closure of the wounds and n above knee cast applied with maximum dorsiflexion of the foot.

bullet

Smooth postoperative recovery. The patient was sent to the ward.

Comments  

bullet

The patient has residual of cerebral palsy with spastic diplegia with club feet, more the right causing him falling during walk. Surgical correction of the deformed foot is the best way to correct this deformity by elongation the stretched tendons and transferring the others.

 

 

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

 


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

 


View Larger Map
 

[2017] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved