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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted 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
Congenital torticollis is most often due to a
shortened and fibrotic sternocleidomastoid muscle. This condition is
characterized by tilting of the head to the affected side and
elevation of the ipsilateral shoulder. Although the cause of
congenital torticollis remains unknown, most theories revolve around
intrauterine hematoma or other vascular accidents involving the
sternocleidomastoid muscle. Coronal synostosis and plagiocephaly as
well as hemifacial microsomia are frequent findings in patients with
the more severe forms of congenital torticollis. If treated early,
these patients frequently respond to physical therapy and, if
necessary, surgical release of the sternocleidomastoid muscle.
Case report:
A young 18 years age male came with congenital torticollis with the
left SCMM tight as a band unabeling him to turn his head to the
right with wide spread involvement of the cranium with asymmetry of
the skull and brain in the MRI. The face also asymmetric as noticed
in the video record. The case was introduced to show the simplicity
of procedure and no sophistication in theoretical resolution of his
problem. Sectioning of the entire left SCMM muscle attachment to the
clavicle , through very small incision with the sheet is very
effective and the result is immediate.
Torticollis is fairly common in children
with anterior plagiocephaly and may be either ( I ) a
consequence of the abnormal orbital structure. giving a
vertical strabismus and compensatory torticollis or (2) the
cause of or a contributing factor to the anterior
plagiocephaly. Torticollis due to abnormality in one
sternocleidomastoid muscle is often associated with anterior
plagiocephaly. Until the torticollis is treated. it is
difficult if not impossible to treat the anterior
plagiocephaly or at least to achieve an acceptable cosmetic
result. Over half of children with torticollis have vertical
strabismus that is related to structural abnormalities of
the orbit that cause dysfunction of the superior oblique
muscle. For the same reason, some appear to have anterior
plagiocephaly .
Roentgenograms show a characteristic
appearance, particularly on the anteroposterior views. In
advanced cases the cervical spine has structural scoliosis
and the mastoid in the ipsilateral side pulled downward. Due
to associated plagiocephaly, the upper outer portion of the
orbit appears to be elevated. and the lesser wing of the
sphenoid is tilted strikingly upward. The upper portion of
the nasal septum may tilt toward the affected side. The
sagittal and lambdoidal sutures are often malpositioned but
are usually patent.
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 .
