www.neurosurgery.tv 
   
Surgical group is like a football team.

 
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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tw
neurosurgeryspine.org
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com

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

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cnsclinic.org
munirelias.com

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

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

 

01-FEBRUARY-2008  ASHRAF MAHMOUD ATTA 29 YEARS  EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

Anamnesis:

bullet

The patient came to the clinic 11-November-2007 with left sciatica and LBP for 45 days.

bullet

The patient was limping with scoliotic stance with MRI of the lumbar spine performed showing extruded disc L5-S1 with left downward migration.

bullet

On examination: the SLRS was 20 degrees in the left with weak dorsiflexion left foot 3/5. Hypalgesia of the left L5 and S1 root was noted.

bullet

The patient was given medications and if he is not improving, then surgical treatment will be the alternative.

bullet

Exacerbation of the left sciatica the last three days and the patient came to the emergency of Al-Shmaisani Hospital with almost drop left foot wand numbness of the left foot.

bullet

Left L5-S1 hemiflavotomy was performed and left S1 foraminotomy was done. The extruded disc material was impossible to remove lateral to the axilla. It was pushing the nerve laterally.

bullet

The down migrating disc material was removed from under the axilla, after what it was possible to shift the root medially and meticulous cleaning of the disc space of L5-S1 was done from the left. The epidural fat was transferred to the naked root.

bullet

Routine closure of the wound and smooth postoperative recovery with normalization of the power of the right foot.

Comments

bullet

Foraminotomy of the involved root must be done in all disc surgeries to be sure that there is no remnant left under the axilla.

bullet

The extruded disc during surgery was more huge than in the MRI. It could be due to improper pictures obtained during MRI, or progression of the extrusion.

bullet

The disc height is shallow, which decrease the expected recurrence rate.

 

 


Back Up!


 

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved