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11-MAY-2003 AHMAD ALI AL-WALEED 34 YEARS
RIGHT LESSER WING MENINGIOMA WITH INVOLVEMENT OF THE RIGHT CAVERNOUS SINUS.
Anamnesis
The patient a Libyan citizen came to the clinic 04-May-2003
complaining of headache for 2 years with PGE.
Visual disturbances of the left eye since
childhood.
MRI of the brain done 20-March-2003 showing huge
right lesser wing meningioma with involvement of
the ICA and the right cavernous sinus.
Using right pterional approach, subtotal
resection of the tumor was performed, leaving
tiny fragments attached to the right ICA and the
lateral wall of the cavernous sinus was
coagulated. The dura was water-tightly closed
and routine closure of the wound.
Smooth postoperative recovery.
FOLLOW UP
The patient came to the clinic 21-May-2003 with
clean wound and advised to keep in Tegretol for
at least 3 years and repeat MRI after 2 months.
The video record is not complete and the missing parts,
despite all efforts to find them, I am seriously
disappointed, were not found.
Comments
The patient has meningioma, which was
invading the wall of the right supraclinoid of ICA and
invading the lateral wall of the cavernous sinus. All the
soft tissue component of the tumor was removed, but it was
impossible to remove the tumourously involved segment of the
ICA.
This fact increase the rate incidence of
recurrence, but leaving these parts avoid catastrophic sequelae,
if radical resection was attempted.
The patient escaped form follow up, because
he was living in Libya.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
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After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
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LooksCam II Xenosys in the run starting from 14-March-2021 with
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
