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
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PARTS - PART I.
The patient a child 4 years age was brought to the clinic
11-March-2000 with hydrocephalus and Syringomeylia of the
cervical spinal cord and lumbosacral myeloschisis, which required
urgent repair the next day after birth. VPS was inserted in
September-1996. The patient then another time came
24-March-2002 with cyanosis spells for two weeks, related to the
head position and weak right upper limb and occipital pain,
progressing during sleep. The patient was shunted before and the
Syringomeylia dealt with shunting.
MRI done 01-January-2001 showed
enlargement of the sac at the at the cervico-medullary junction with
Arnold-Chiari malformation down to C4. She was bitten by
football 4 weeks ago, after what, she improved. She had swallowing
difficulty for 2 weeks, tremor of the tongue with pathologic
reflexes right upper limb.