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
07-MAY-2005 YUSRA MUHAMED
AREF 40 YEARS TAMPONADE OF THE SELLAR AND SPHENOID CAVITY WITH
MUSCLE TO PREVENT CSF LEAK
Anamnesis
The patient was operated 02-May-2005, t.e. 5 days ago and despite all preventive measures with mannitol
and other precautions, progressed CSF leak.
She was taken to the operative
room and big piece of muscle was inserted to fulfill
the sellar and sphenoid cavity aided with glue.
In 12-May -2005, the nasal
tubes were removed under G.A. with exploration
of the cavity to check that the muscle in
holding in place. No CSF leak was noted.
Follow Up
She was discharged after three days to keep in diamox for 3-4 weeks.
The patient underwent radiotherapy 28 sessions
during October and November 2005 with 2000 rad
dose.
The patient then came 28-February-2006 with MRI
performed 22-February-2006 showing the muscle in
the sellar floor and fulfilling the sphenoid
sinus. She was advised to be followed by
endocrinologist.
The patient then came 07-March-2021 with MRI
done 2019 and the last 11-February-2021 showing
the pituitary gland shrunk with Prolactin 12
µg/dL. She
is still with amenorrhea and in L-thyroxin 50
microgram daily and cortrope 5 mg once daily. No
signs of diabetes insipidus. She was advised to
repeat MRI of the sella every 2 years.
