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
05-SEPTEMBER-2012 RABEE IMRAN AL-JABALY 35 YEARS
ACUTE EXTRADURAL HEMATOMA OF THE RIGHT MIDDLE FOSSA AND RIGHT PARIETAL REGION.
The patient was transferred urgently from the
operating theater of Islamic hospital to the
Shmaisani hospital at 1.30 A.M. after suffering
falling down during epi-attack at 17.00 P.M.
04-September-2012. The patient is a known
epileptic for 15 years under treatment with
Epanutin 100 mg twice with occurrence around 1-2
per year. The patient was seen in the emergency
with drowsiness and left sided paresis with
impending conning. CT-scan done 3 hours ago
showing fracture of the right temporal bone with
2 separate hematomas the major occupying the
right middle fossa and the other in the right
parietal region. GCS was 7/15. The patient was
not obeying the verbal command.
The patient was taken
urgently to the operating room and right
temporo-parietal approach was done with
reflection of the flap. There were several
fracture lines, which were respected to preserve
the integrity of the bone flap to prevent its
fragmentation. The hematomas were removed and
the still active bleeding branches of the right
middle meningeal artery were coagulated and
strict heamostasis was achieved. The dura was
intact and no tears or CSF leak was noted.
Ready-vac drain was inserted to the right middle
fossa and the bone flap was returned to its
Routine closure of the wound. Smooth
postoperative recovery and the patient became
more vivid and responding for verbal commands
with slight agitation and good power of the left
side. The patient kept in the ICU.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient has 2
acute extradural hematomas which is rare. The
great shift of the mid structures and the
pending conning is the cause of urgent
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 .