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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
26-OCTOBER-2014 MAZEN ALI AL-MOMANI 34 YEARS
LEFT TARSAL TUNNEL SYNDROME DUE TO SCHWANNOMA OF THE LEFT POSTERIOR TIBIAL
The patient came to the clinic 21-September-2014
complaining of left ankle pain for 4 years with
feeling of a mass in the tarsal area for 4
months. MRI of the left ankle done
08-September-2014 showing a mass in the left
tarsal region suggesting schwannoma.
On examination; there is slight swelling of the
left tarsal area with no palpable mass.
Inspection of the area is very painful. Tinel's
test positive. Durkan's compression test could
not be performed due to severe pain. All ankle
movements produced pain. Neurologically the
patient is free.
MRI of the lumbar spine done 23-September-2014
almost normal. The patient performed several
times EMG and ECS confirming the presence of
tarsal tunnel syndrome.
Incision over the trajectory of the left
posterior tibial nerve. The nerve was identified
and the calceneal branch and the lateral and
medial planter nerves were identified. There was
no mass at the tarsal tunnel level and the
Inomed ISIS was used and the nerve is
functioning well. The posterior tibial artery
was also preserved. The wound was extended
upward and the nerve was followed to the level
of the medial calcaneal nerve emergence. At that
level there was a mass compressing the posterior
tibial nerve, and pushing the branches of the
medial calcaneal nerve. The tumor was resected
totally and sent for biopsy. Routine closure of the
Smooth postoperative recovery.
The patient has a mass above the
retinaculum flexorum. In this situation the mass was
resected and the tarsal tunnel release was done.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .