The patient came to the clinic 19-October-2003
with parents telling that he was born with
hydrocephalus and VPS inserted to him at 2 weeks
age in 13-June-2003. During labor with forceps
with IVH. Cytomegalovirus positive. The parents
noted enlargement of the head last 2 weeks.
On examination: the patient is sleepy, with soft
lax abdomen and normal peristaltic sounds. The
fontanel is tense. H/C 45 cm in comparison to
41.5 cm 1 week ago. Palpating the shunt was
indicating that the ventricular end is occluded.
The patient sent for investigations and the
ventricular system is large with the shunt not
broken.
The shunt reservoir was
exposed and the ventricular part, which was
yellow (brand from another company?) was removed
gently so as to avoid escalation of IVH.
Inspection of this part showed a clot occluding
the ventricular part. New ventricular part from
PS Medical was replaced and inserted through the
same tunnel. Routine closure of the wound.
FOLLOW UP
The patient
came to the clinic 01-November-2003 with clean wound
and lax fontanel with improvement of his neurologic
status.
Comments
The VPS has several
problems and one of them using different parts
from different companies. Even when using the
complete set from one company, different
problems could arise among them exposure of the
patient to infection with subsequent
ventriculitis.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted 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
LooksCam II Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
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 .
