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.tv
The patient was operated 5 years ago for hydrocephalus
after several failed operations by me and was covered for long
time by antibiotics. The patient was 1 year age and his
condition improved and the last 2 weeks after getting flue
started to complain of headache, vomiting and blurred vision.
The patient was under regular observation, but he escaped the
last visit, which was three months ago, but he performed brain
CT-scan and plain abdomen, which were acceptable. Because he was
OK. he did not came to the clinic. After escalation of his
condition, repeat CT-scan showed dilatation of the ventricular
system and plain abdomen demonstrated disruption of the distal
end at the thoracic cage. On examination the cut edge of the
tube was palpable with CSF collection around it. The
patient was operated and first level performance Medtronic adult type VPS was inserted. Here is a demonstration of the stucked choroid plexus to the ventricular end, with subsequent bleeding, which must be kept in mind as the negative sides of all shunts. As seen here, in case of occurrence of such event the surgeon must perform thorough cleaning of the system. Better than that, it is preferable to insert the ventricular end first and to wait until the coming CSF is clear, and then to proceed.