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
30-JUNE-2009 MUHAMED HANI TAWFEEQ 63 YEARS
HUGE CENTRAL PCD C3-4 WITH MYELOPATHIC SYNDROME.
Anamnesis:
The patient came to the
clinic 20-June-2009 complaining of neck pain for
5 years with spastic both lower limbs, for what
he was operated several times. The patient
deteriorated the last 6 months.
On examination: the patient
was limping , using crutches the last 6 months
with exaggerated scoliotic stance. SLRS was 45
degrees right side with weak dorsiflexion both
feet and planterflexion right foot. There was
hypalgesia from D6 down to D12 both sides.
MRI cervical spine performed
01-June-2009 showing huge PCD C3-4 compressing
the spinal cord with other disci at C4-5 and
C5-6 to lesser degree.
The patient was sent to
perform MRI lumbar and dorsal spine, which could
not explain his neurologic manifestations.
Using image-intensifier
and anterior approach discectomy of C3-4 was
performed and meticulous cleaning of the
extruded part was achieved until the dura was
seen through the disc space. Routine
closure of the wound
Smooth postoperative recovery.
Comments
The patient dyspnea attacks
which could be related with the C3-4 level, for
what surgery was performed.
The patient's spastic lower
limbs could be related with extrusion, but time
will clarify the cause.
The aim of surgery is to
prevent further deterioration of his
neurological losses.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
connection.
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 .
