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.fr
The patient is a known hypertensive for 7 years and
insulin-dependent diabetic for 16 years with cardiac problems,
for what he is in isokit, moduretic, and bufferin.
The patient
came after surgery 08-May-2005 with considerable improvement of the
power of all limbs and he was advised to come another time with new
check cervical X-ray. He had weak extension of the right hand 4/5
and hypalgesia of the right foot and the left foreleg.
The patient escaped the follow-up, and as I understood he
progressed 2 months later pulmonary oedema and died later.
Comments:
1. In high-risky patients such in this case, careful
perioperative monitoring of the general condition, avoid the patient
of possible disastrous events in the perioperative period.
2. It is more important to tell the relatives to put the patient
in more careful monitoring for protracted period of time, because in
the case, that the patient is neurologically improving, he is
becoming more active, with subsequent escalation of his
cardio-pulmonary problems, which could end with disaster, as in this
case.
