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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Multigen RF lesion generator
11-NOVEMBER-2013 BASSAM SULAYMAN AL-SABBER 65
YEARS HUGE CHRONIC SUBDURAL HEMATOMA RIGHT CEREBRAL CONVEXITY.
The patient came to the Shmaisani hospital
complaining of ataxic gait for 4 days with
fainting attacks and headache the last 2 days. 3
months ago, he got fainting attack during
praying and felt down and trivial head injury
with cut wound at the right occipito-parietal
region. The patient was treated by cardiologist
and was in the ICU for 2 days and discharged
with inderal 20 mg twice daily.
The patient continued to complain of fainting
with the escalation of the presented up
CT-scan brain done 10-November-2013 showing huge
chronic subdural hematoma over the right
convexity. MRI done the same day confirming the
pathology with shifting of mid-line structures.
On examination, the patient is alert. Cranial
nerves are intact, but he has left sided
hemiparesis. No sensory deficit.
Burr hole in the right
frontal and most posterior aspect of the right
parietal region. The external drain was put to
the parietal region and meticulous cleaning and
irrigation with saline done. The wounds closed
and the drain fixed by nylon.
recovery. The power of the left side became
The patient has huge hematoma, that evacuation
is mandatory. Over 80% of case can be treated
with insertion of external drain.
In case of failure of the external drain then
craniotomy with removal of the thick hematoma
must be done.
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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 .