Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
09-JUNE-2026 AMIRA MAHER AL-SHAREEF
28 YEARS INSERTION OF THE MEDTRONIC SHUNT FROM THE EXTERNAL DRAIN.
Anamnesis
The patient was operated by me
2 days
ago for revision of the craniotomy site and
insertion of the external drain. The CSF coming
to the external drain is permitting insertion of
the Medtronic medium pressure to the abdominal
cavity.
Skin incision was made behind
the craniotomy site and the intracranial tube
was withdrawn around 4 cm to keep the
proximal end away from the pineal gland. The
medium pressure Medtronic valve with the
abdominal part were inserted to the left side of
the abdomen.
The patient showed smooth
recovery and sent to the ward.
FOLLOW UP
Too early now.
Comments
The case is very complicated, because
there are no previous MRI data to compare with.
The VPS has small reservoir, and not
functioning for unknown period.
The family have controversial
information, that the surgeon cannot configure what is going
on, but the Jacksonian attack of the right upper limb, which
took place 2 years ago and the the drop right foot, can
denote that the seizure activity took place from the leg and
hand area of the sensomotor strip left hemisphere.
This case make it clear to not reach the
pineal body and to keep at least 15 mm above the target to
avoid shifting of the brain after decompression and upward
migration of the brain stem.
Do not leave loops outside the bur hole
with no proper fixation to prevent slippage of the tube
intracranially.
During insertion of the shunt the
intracranial part was withdrown 4 cm to keep away from the
pineal body region.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
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
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
Cios-Spin flat panel in the run.
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 .
