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
gliomas.uk
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 .

19-FEBRUARY-2004  ZIYAD MAHMOUD TUMA 32 YEARS SPINAL CORD EPENDYMOMA FROM D1 UP TO THE MEDULLA.

 

Anamnesis

bullet

The patient a Syrian citizen came to the clinic 08-February-2004 telling that he was operated 18-January-2001 elsewhere for spinal cord tumor, biopsy done and ependymoma diagnosed. Radiotherapy was applied after the first surgery, but his condition continued to deteriorate and another surgery was done elsewhere 20-November-2001. The condition continued to deteriorate.

bullet

On examination: The patient is in wheelchair with dense tetraparesis and tetra-anesthesia from the jaws and below. Foley's catheter and difficult breathing for the last 2 months. MRI done 16-September-2002 showing huge intraspinal tumor extending from D1 up to the medulla. There is scar at C3-5 levels due to previous surgeries.

bullet

The patient was sent for new investigations and MRI done 09-February-2004 showed to tumor extending from the  lower third of the medulla down to D1.

bullet

Laminectomy C1 down to D1 with exposure of the posterior fossa, posterior rim of foramen magnum. The dura was opened in the midline as needed to expose the tumor. Through separate 2 incisions practical total resection of the ependymoma was achieved until the operculum of the 4th ventricle was seen. All effort was paid to preserve and not to touch the spinal cord and its feeders.  Strict hemostasis. Routine closure of the wound. Smooth postoperative recovery. The patient was sent to the ICU to keep in ventilator for 3-4 days, because his breathing pattern before surgery was compromised.

FOLLOW UP

bullet

The patient after 3 days was weaned off ventilator and the wound was clean  and sent for Syria. He was advised to perform MRI after one month, but he disappeared.

 

Comments

bullet

Practical total resection is the only solution to reverse the catastrophic prediction of such tumor.

 

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 Xenosys in the run  starting from  14-March-2021 with SheerVision TTL x4 magnification.


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

© [2004] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved