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
Anamnesis
The patient came to the clinic 10-March-2005
with clinical manifestations for one year of
numbness of the right side of the face, for what
he performed MRI of the brain showing left
fronto-parietal meningioma. 1 week ago he
progressed right sided weakness with numbness,
with ataxia. He is a known diabetic with
arterial hypertension.
Osteoplastic craniotomy of the left
fronto-parietal region with reflexion of the
flap to the left ear. The dura was opened the
the tumor was as be totally resected. Strict
hemostasis.
Follow Up
The patient has aphasia with dense right sided
plegia right side, for what CT-scan done and
showed bleeding at the site of the operation.
The patient was sent the next day to the
operating room and evacuation of the hematoma
was done.
The patient came 09-May-2005 talking, walking
with recovery of the legs, but still spastic
right upper limb.
The patient then came 30-August-2005 with new
MRI done 27-August-2005 with a small piece
hanging freely at the resected tumor cavity
(recurrence of Surgicele). He has epiattacks,
for what he was in Tegretol 200 CR twice daily.
The last time came 04-December-2007 with
Jacksonian convulsions twice a year with MRI
done 25-November-2007 showing the same picture
as the previous one. Moving the right upper limb
with slight spasticity. He was advised to be
followed after one year, but he did not appear.
Comments
This incident confirm the need for
intraoperative MRI and the IOM technology, to avoid such
complications. I left the MOH of Jordan, because they
refused the concepts and trying to build my own concepts at
Shmaisani hospital.
