TRUMPH TruSyatem 7500

Dr. Fuad Al-Masri Syrian neurosurgeon.

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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02-MARCH-2005 ZUBAIDA JURY HAFEZ 71 YEARS RECURRENT GIANT LEFT ACOUSTIC SCHWANNOMA

 

Anamnesis

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A 74 year old lady came to the clinic 19-NOVEMBER-2004 complaining of weak left upper and lower limbs for one month. The patient was operated by me 23-November-1999 for left acoustic schwannoma. She came at that time in wheelchair with inability to walk with plegia of the facial nerve left side and hearing loss. The patient had exposure keratitis at that time. Partial resection of the tumor was performed through left retromastoid approach. The patient showed considerable recovery of her gait and power of her extremities. In 01-Mart-2005 the patient was operated. Considering her age, she was put in concord position to avoid air embolism. Left transotic approach was performed and a temporo-occipital bone flap was created. The inner ear cavity was full of tumor. The facial nerve was preserved and 90% of the tumor was resected.

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The tumor was invading even the vertical and horizontal part of the ICA, but it was separable. The tentorium was involved, but all measures were taken to preserve the superior petrosal sinus. Tentoriotomy was avoided, because with experience, all the patients, to whom tentoriotomy was performed, resulted in death due to herniation of the brain by gravity and possible vascular reactions of the brain stem , several days after what could be considered successful surgery.

 

Follow Up

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The patient showed prompt excellent postoperative recovery and the strength of her left side started to improve.

 

Comments

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In old age patients the dura is severely adherent to the bone. Taking that in consideration , the sigmoid sinus was ligated below the junction with the superior petrosal sinus due to multiple tears, which were irrepairable.

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Despite the preservation of the facial nerve, no attempt was done to cross-anastamosis the nerve with other nerves, due to long time of total plegia of the facial muscles. The patient performed tarsorrhaphy 1998. The patient is not bothered with her looking. She is complaining of inability to walk.

 

Leica HM500

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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

 

 

 

[2005] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved