www.neurosurgery.tv 
   

neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

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 .

 

SUAAD ABDEL-JALEEL AL-SAADI  60 YEARS  HUGE RIGHT EXTRUDED DISC D10-11 WITH MYELOPATHIC SYNDROME. 

Anamnesis:

bullet

The patient came to the clinic 20-February-2008 complaining of LBP for 15 years with right sciatica for three years, then left sciatica for eight months with numbness big toe left foot.

bullet

MRI lumbar spine done 04-September-2007 showed extruded disc D10-11 right side with bulging L3-4 and L4-5. There was weak dorsiflexion both feet 4/5.

bullet

The patient was advised to try conservative measures and given anti-osteoporosis treatment..

bullet

The patient came 05-July-2008 claiming that her condition is deteriorating after treating her with local charlatans by traction and applying force by wooden instrument.

bullet

On examination: the patient in agonizing pain with scoliotic stance  with SLRS 45 degrees left side due to weakness. She had weak dorsiflexion right foot 4/5 and weak dorsiflexion left foot 3/5 and planterflexion left foot 4/5. There is hypalgesia left L5 and S1 territories with weak right quadriceps muscle 4/5.

bullet

MRI of the brain done 17-June-2008 showed small lacunar infarction right thalamus.

bullet

 MRI lumbar and dorsal spine  were performed 14-July-2008 showing further increase of the extrusion of D10-11 right side and L3-4 and L4-5.

bullet

Using image-intensifier the D10-11 was identified.

bullet

Using Midas Rex instrumentation, a modified right cost-transverse approach was applied. Drilling was done, so that the right isthmus was kept so as not to loose stability. The disc space was reached before violating the running ligamentum flavum. The disc space was cleaned from the right and the extruded disc was removed from this point.

bullet

The ligamentum flavum was removed to expose the dura. The bony part of the extrusion was removed using the telescopic attachment of Midas Rex. It was possible to drill all the bony extrusion.  By doing this, it was possible to avoid the intended transthoracic approach which was prepared in case.

bullet

Routine closure of the wound with smooth postoperative recovery.

Comments

bullet

The patient came with extruded disc D10-11 right side. She was not complaining of, for what she was kept in conservative measures.

bullet

When the clinical course took progressive character and the extrusion increase and the clinical picture became evident, that this extrusion is causing problems, it was attacked.

bullet

The use of telescoping feature of Midas Rex, made it possible to achieve drilling anterior to the dura, without performing transthoracic approach.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.


Back Up!

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 .

     

  

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