Dr. Fuad Al-Masri Syrian neurosurgeon.

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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
gliomas.uk
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com


 

Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


 

Multigen RF lesion generator .

03-JULY-2013  ALI YAHIYA AL-QUFAILY  65 YEARS  TUMOUR OF THE RIGHT CEREBELLAR HEMISPHERE WITH POSTOPERATIVE PERSISTING HYPERTENSIVE ENCEPHALIC SYNDROME.

 

Anamnesis

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The patient was operated by me 30-June-2013 for high grade glioma. The patient was doing well in the ICU. Control CT-scan done 8 hours after the surgery. The tumor bed was acceptable, but the hydrocephalus still persisting. The patient walked the next day, but still complaining of bifrontal headache. Considering that the hypertensive Encephalic syndrome still persisting, Torkildsen procedure was an option to provide the most possible best outcome to the patient.

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The incision was reopened and extended up in setting position. The bone defect also widened to have more lateral and near the foramen magnum. The dural incision was also widened. All the suspected tissues were removed until a healthy cerebellar tissue was seen. Insertion of Torkildsen shunt was performed from the right posterior horn, down to the cisterna magna down to the foramen magnum.

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Routine closure of the wound. Smooth postoperative recovery. The patient was sent to the ICU.


Control CT-scan after the first operation. The hydrocephalus still persisting.


Control CT-scan after second surgery. Notice that the shunt was unintentionally inserted to the quadrigeminal cistern and it was functioning. 

 

Comments

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The patient after the second surgery got the histologic result of benign hemagioblastoma. Total resection was achieved at the second surgery and shunting was performed.

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The prognosis is excellent in this case.

 

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.


Back Up!

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 .

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