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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .

 

02-AUGUST-2008 NAJAH BASSAM MUHAMED  50 YEARS  EXTRUDED DISC C6-7 WITH LEFT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the clinic 29-July-2008 complaining of severe neck and left upper limb pain for 24 days.

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MRI performed today 29-July-2008 showing huge extrusion C6-7 with left downward migration.

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The patient was operated by me 20-June-2007 for huge extruded disc L5-S1 with left downward migration.

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On examination: the patient in agonizing pain with pain when looking to left and down  with weak grip left hand 4/5 and extension of the fingers -4/5 and profound weak left triceps muscle 3/4 and hypalgesia all the left hand and medial side of the upper limb.

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Using image-intensifier, discectomy of C6-7 was performed. The disc material was calcified, but removable with pituitaries. After removal of the extruded inside disc material the weight applied to the Hallo traction was increased from 5 Kg to 15 Kg to augment the slipping of the extrusion. Further removal of the extrusion was achieved, until the dura was seen all over the field. The extruded disc was adherent to the dura.

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Routine closure of the wound with improvement of the power of the left upper limb.

Comments

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The patient  mostly had an old extrusion with de novo extrusion, because the extruded material was adherent to dura.  This factor could predict a protracted period of recovery.

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Recurrence in cervical disc surgery is zero.

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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