Prof. Munir Elias

THIS NEUROSURGICAL SITE IS MULTILINGUAL IN  HOMEPAGE BUT THE WHOLE WEBSITE IS IN ENGLISH

Arabic Chinese Dutch English French German Hindi Italian Japanese Malaysian Urdu Polsky Portuguese Russian Spanish Turkish

IN THE MEMORY OF MY GREAT TEACHER

 

Carl Ziess Pentero C

OPERATIVE VIDEO GALLERY
TO SEE YOUR OPERATION
CLICK HERE!

Functional Neurosurgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.pro
operativemonitoring.com

Neurosurgical Sites
neurosurgery.me
neurosurgery.mx
neurosurgery.tv
neurosurgery.tw  


Neurosurgical Encyclopedia
Sites
neurosurgicalencyclopedia.com 
neurosurgicalencyclopedia.org


Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.info 
gliomas.info
meningiomas.org
neurooncology.tv
onconeurosurgery.com
pinealomas.com 
pituitaryadenomas.com 
schwannomas.com

Neuroanatomical Sites
diencephalon.org
humanneuroanatomy.com
medullaoblongata.info
mesencephalon.org
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthesia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological Sites
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological Site
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.org

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com

Secured by RapidSSL

NEUROSURGERY

This site is directed mainly to the medical audience and neurosurgeons, partially aimed to present the operative and academic activities of Prof. Munir A. Elias Shawash over 30 years period. Here the neurosurgeon can find the standards and new modifications in the treatment strategies in paraplegia, brain tumor, spinal cord injuries, head injury, pain management strategies, including neuralgia of different etiologies, movement disorders. Neurosurgeon needs a very long way to understand that, experience is important in this field of medicine - neurosurgery.
Stroke and ruptured arterial aneurysms remain in the upper list of difficult problems, which are far from perfection and the mortality rate remains high. Spinal surgery is extensive and take 80% of the neurosurgical activities: prolapsed disc , lumbar, cervical and dorsal are the top ranking in practice followed by other degenerative spine problems, such as spondylolisthesis, OPLL with cervical and lumbar canal stenosis.
Neurosurgery has time-sensitive decision-making strategies. This is governed by the rapidly changing status of the patient. Neurosurgeon must react accordingly to the recent moment. He must be able to predict, or at least to keep in mind the possible complications, and react with caution to prevent them, before they escalate. Intraoperative video documentation made it possible to analyze and retrospectively discover some causes of complications, which the neurosurgeon previously blamed himself for that. It became clear, that some triggering factors for complications are presenting before their eminence.
Here come the power of intraoperative monitoring using IOM ISIS HighLine 32 channel with all available parameters, which can alarm the functional shifts before they become real disaster and to take the appropriate measures before they become irreversible.
Neuroanesthesia is the cornerstone in proper navigation of such monitoring to make it feasible and to guide the patient with safe margins until he pass the surgical storm. It starts from the preoperative period until the patient is no more complaining, whatsoever it needs time.
Intraoperative morphological navigation using BrainLab skyvision with the MRI with the most high standards available with all softwares more empower the surgeon to know and see all the data and take the proper action and know at which stage he is standing.
Pentero-C is not only a microscope, it give the neurosurgeon the power to see, what he could not see before with the appropriate softwares.
Not all new standards in neurosurgery can stand time. Only the good for the patient's outcome will stand and remain even, if they are too old.
The last years at Shmaisani hospital functional neurophysiologic navigation ISIS Inomed Highline 32 channels and  BrainLab Suite integrated with Siemens Skyra 3 tesla fMRI with fibertraking (DTI) and all clinical applications for intraoperative monitoring are in practice.
It is very sad to say that, very huge medical corporations can misinform the neurosurgeon about the new products without telling that these items having disadvantages, but in the contrary, reporting that no morbidity or complications can arise, until the neurosurgeon discover them in his personal experience. Profit-oriented corporations must respect the ethics and tell the true story about any product, so as, at least to be ready to inform the patient and to try to resolve these possible complications.
With the introduction of new technologies, new dimensions arise and new problems also. When you have more data, you have more information to deal with and your tactics and options also may expand further, but despite that, complications will remain and they will need solutions. At last we are human beings and the more effort you do, the more spirit comfort you will feel when your life come to end.

 


Magnetom Skyra with all clinical applications in the run since 28-November-2013

ISIS MER for DBS and Lesioning
ISIS MER for DBS and Lesioning

Inomed ISIS IOM highline with 32 channel and Neuroexplorer version 4.2 is functioning for several months, starting from 01-August-2007. For more detailed information about this functional neuronavigation machine with its early alarming signals, please refer to inomed.com.

** PLEASE DESCRIBE THIS IMAGE **Search cns.clinicmailto: drelias@go.com.jo

 Medtronic Prestige LP Cervical disc system

Leica HM500
Leica HM500
The world,s first and th only headmounted microscope. Freedom combined with outstanding vision, but very bad documentation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

BrainLab

** PLEASE DESCRIBE THIS IMAGE ** Anterior & lateral spinal cysts
** PLEASE DESCRIBE THIS IMAGE **
Arnold-Chiari malformation
** PLEASE DESCRIBE THIS IMAGE **
Autoreferat
** PLEASE DESCRIBE THIS IMAGE **
Avoidance of cosmetic deformity in petroclival approaches
** PLEASE DESCRIBE THIS IMAGE ** Bad surgeon-Bad result with unimaginable complications.
** PLEASE DESCRIBE THIS IMAGE **
Basics in metastatic brain tumors 
** PLEASE DESCRIBE THIS IMAGE ** BloodSTOP ix Provoking bleeding in meningioma surgery.
** PLEASE DESCRIBE THIS IMAGE **
Brown-Sequard syndrome due to PCD C5-6
** PLEASE DESCRIBE THIS IMAGE **
Cervical discectomy-new concepts
** PLEASE DESCRIBE THIS IMAGE **
Cervical Partial Coporectomy
** PLEASE DESCRIBE THIS IMAGE **
Cervical Spondylosis
** PLEASE DESCRIBE THIS IMAGE **
Congenital torticollis
** PLEASE DESCRIBE THIS IMAGE **
Discectomy prolapsed lumbar disc
** PLEASE DESCRIBE THIS IMAGE **
Drilling help minimize surgical trauma during flavotomy
** PLEASE DESCRIBE THIS IMAGE **
ENT Induced complications
** PLEASE DESCRIBE THIS IMAGE **
Extensive glomus jugulare resection & facial anastamosis direct from the brainstem
** PLEASE DESCRIBE THIS IMAGE ** Gliadel wafers, radiation, temozolomide, Avastin and CAMPTO in treating glioblastoma multiforme.
** PLEASE DESCRIBE THIS IMAGE **
Hemangioblastoma
** PLEASE DESCRIBE THIS IMAGE **
Highly malignant endocrine carcinoma mimicking posterior clinoid meningioma
** PLEASE DESCRIBE THIS IMAGE ** Intraoperative CVA of the left cerebral hemisphere during discectomy for PCD C4-5 and C5-6 with fusion.
** PLEASE DESCRIBE THIS IMAGE **
Intraspinal cysts
** PLEASE DESCRIBE THIS IMAGE **
Isthmic spondylolisthesis
** PLEASE DESCRIBE THIS IMAGE **
List of neurosurgical operations performed by the author during 1980-1996 
** PLEASE DESCRIBE THIS IMAGE ** List of scientific articles performed by the author during 1080-1998
** PLEASE DESCRIBE THIS IMAGE **
Medulloblastoma
** PLEASE DESCRIBE THIS IMAGE ** Metastatic brain tumors
** PLEASE DESCRIBE THIS IMAGE **
Modified osteoplastic midline suboccipital approach

** PLEASE DESCRIBE THIS IMAGE **
MultiHans - Bracco induced anaphylactic shock
** PLEASE DESCRIBE THIS IMAGE ** Neurenteric Cyst -Case Report
** PLEASE DESCRIBE THIS IMAGE **
New method in cubital tunnel release.
** PLEASE DESCRIBE THIS IMAGE **
Old established standards of carpal tunnel release.
** PLEASE DESCRIBE THIS IMAGE **
Optic chiasm glioma
** PLEASE DESCRIBE THIS IMAGE **
Ossification of Posterior Longitudinal Ligament.
** PLEASE DESCRIBE THIS IMAGE **
Paragangliomas
** PLEASE DESCRIBE THIS IMAGE **
Paraplegia
** PLEASE DESCRIBE THIS IMAGE **
Paraplegia discussion 
** PLEASE DESCRIBE THIS IMAGE ** PEEK Satellite Nucleus replacement sphere
** PLEASE DESCRIBE THIS IMAGE **
Prestige LP cervical disc system
** PLEASE DESCRIBE THIS IMAGE **
Prolapsed dorsal disc
** PLEASE DESCRIBE THIS IMAGE **
Recurrent prolapsed lumbar disc
** PLEASE DESCRIBE THIS IMAGE **
Sacrococcygeal chordoma.
** PLEASE DESCRIBE THIS IMAGE ** Scoliosis in Adults 
** PLEASE DESCRIBE THIS IMAGE ** Scoliosis in Children
** PLEASE DESCRIBE THIS IMAGE **
Single metastatic brain tumors
** PLEASE DESCRIBE THIS IMAGE **
Spontaneous intracranial hemorrhage.
** PLEASE DESCRIBE THIS IMAGE ** Stem cell therapy results.
** PLEASE DESCRIBE THIS IMAGE **
Syringomeylia
** PLEASE DESCRIBE THIS IMAGE **
Tethered cord syndrome
** PLEASE DESCRIBE THIS IMAGE ** Toxoplasmosis.
** PLEASE DESCRIBE THIS IMAGE ** Trinica Zimmer cervical miniplate with Fidji cages and Novabone.
** PLEASE DESCRIBE THIS IMAGE **
Tuberculous granulomatous compression of the cervical spine
** PLEASE DESCRIBE THIS IMAGE **
When Hi-Tech is not needed!