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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26-APRIL-2010 ISLAM IZZI-DEEN AL-SAYED
BAKHEET 25 YEARS PSEUDOTUMOR CEREBRI.
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young Sudanese citizen came
to the clinic 21-April-2010 complaining of
headache for 9 months, chest and neck pain
followed by severe impairment of vision both
brain with MRA and MRV
performed 12-July-2009, one week after visual
loss was almost normal. Repeat LP done showed
increased ICP with improvement of vision after such
procedures. The patient was given acetazolamide, but
she neglected its use.
On examination: the
patient has left oculomotor nerve paresis with
severe impairment of vision both eyes.
The patient was sent another time for MRI of the
brain with contrast and MRA and MRV with
complete neuroophthalmological evaluation.
The MRI done 24-April-2010 showed normal venous
structures and and fundoscopy showed secondary
optic atrophy with slight elements of
In kidney position
lumbo-peritoneal shunt was inserted from the
right side. During that image-intensifier was used
at all necessary stages of operation and the CSF
flow was checked even before introduction of the
distal end of the catheter to the intraperitoneal
Routine closure of the wounds.
recovery, with considerable improvement of
The patient has
pseudotumor cerebri of unknown etiology. The
speculation that thrombosis of the midthird of
the SSS was not true, because it was a
misreading from the the radiologic reporter. If
there was thrombosis at that time, venous
congestion must have place and edema with
infarction of the brain must have a place.
Repeat MRV of the brain was free.
The patient is young obese
woman, which is the usual case with pseudotumor
For more information about
pseudotumor cerebri, please
Secondary optic atrophy due to neglected pseudotumor
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 .