www.neurosurgery.tv 
 

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The group in action.

 
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

 
The patient came to the clinic 25-June-2006 complaining of severe pain and numbness of the right hand after doing bilateral carpal tunnel release  12-February-2006 elsewhere. The left hand improved slightly, but the right progressed to deteriorate. The patient was sent for ECS and EMG, which confirmed improvement of the left side and deterioration of the right.

The patient was operated for the right hand. Exploration of the wound revealed that the nerve was not reached and the compression still persisting. Proper release with inspection of the nerve with its motor branch were inspected. Microscopic facilities were applied.

Comments:

1. The wound in the right hand, despite it was too long, but it was higher that must be, holding the suspicion, that proper release was not performed. Several identical cases were seen and most the failures are due to lack of decompression.

2. The surgeon in redo surgery, must be ready to the worst scenarios and be ready to microscopic dissection, in which it was not the case.


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved