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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25-JANUARY-2012 AYMAN MUHAMED ALI 32 YEARS RETENTION CYST
RIGHT HALF OF THE SPHENOID SINUS WITH INVOLVEMENT OF THE RIGHT MEDIOBASAL
patient came 21-January-2012 complaining of
episodes of paroxysmal tachycardia with feeling
chest pain and discomfort with numbness of the
upper and lower limbs starting and terminating
abruptly for seconds for 8 months. The patient
was seen by cardiologist and coronary CT-scan
done was normal. He has headache with right
ophthalmalgia for 6 months. EEG done
13-October-2011 confirming the presence of
complex partial epileptic activity. MRI of the
brain done 21-January-2012 showing huge
retention cyst right half of the sphenoid sinus
reaching the boundaries of the mediobasal right
temporal lobe. The patient claim, that he had
episode of inflammatory process of the right
orbit for several days 1 month ago.
examination, the patient is neurologically free.
Tegretol 200 CR twice a day was started.
Using C-arm, the nasal
specula was inserted to the right nostril down
to the anterior wall of the sphenoid sinus.
Drilling of the wall was carried out to obtain
10x10 mm bone defect. Using endoscopic facility,
the wall of the retention cyst was removed in
one big piece and sent for histological studies.
Using 0 and 30 degrees angle endoscope, the
cavity was studied to rule out remnants and the
hypervascularized bone at the mediobasl right
temporal area region.
around the bone defect was coagulated to prevent
future closure and a sponge was inserted to the
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The patient have inflammatory lesion irritating
the mediobasal right temporal lobe, triggering
the epi activity. The aim of surgery is to
prevent further escalation of the process and
prevent intradural complications.
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 .