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
18-AUGUST-2002 NISREEN MUWAFAQ AL-SAMMAN PITUITARY ADENOMA .
CONDITION OF FAILED ATTEMPT TO REMOVE THE TUMOR WITH SUBSEQUENT CSF LEAK
The patient a Jordanian citizen living in UAE
was operated 29-June-2002 elsewhere for pituitary adenoma
through transsphenoidal approach and
was reoperated another time by 2 neurosurgeons
with repeat transsphenoidal approach for CSF
leak and 2 surgeries for LPS. Control MRI showed that the pituitary adenoma
still the same as before surgery and the CSF
taking place from the left parasellar region.
Transsphenoidal approach was
undertaken from the right nostril, since the
most part of the tumor is in the left parasellar
region extending to the left supra-retrosellar
areas. The pituitary tumor was
identified and practical total resection
achieved and a huge piece of
muscle harvested from the quadriceps muscle
stitched to the mucosa aided with glue was
pushed and fixed to the cavity of the tumor bed.
Routine closure of the wound.
Smooth postoperative recovery.
There is no CSF leak and the patient was
discharged the third postoperative day.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient had 2
problems to resolve. Removal of the tumor and
filling the sphenoid cavity with muscle to
prevent the CSF.
The record of this event was done
08-February-2013 to compare the
with the Leica HM500. Both are full of defects
and up to now I cannot achieve the acceptable
quality of recording system. The BFW system has
orange blur in the center of the camera and the
focus is not centric. The Leica MRDS4 is bad
quality and all the Leica system is full of
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.
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 .