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 .

04-APRIL-2010  ISSA MUHAMED AL-QABLAWI  51 YEARS  HUGE EXTRUDED DISC L3-4 CENTRAL MORE TO THE LEFT WITH FLAIL LEFT FOOT.

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

 

Anamnesis

bullet

The patient was admitted to Shmaisani hospital with sudden onset LBP for 1 week and agonizing left sciatica with disappearance of the sciatica replaced by flail left foot.

bullet

MRI Lumbar spine performed 02-April-2010 showing huge extruded disc L3-4 central more to the left obstructing the spinal canal completely.

bullet

On examination: the patient is in bed with flail left foot and severe weak right foot and analgesia of the left leg below the knee level.

bullet

MRI of the dorsal spine performed 03-April-2010  showing tiny disc at D8-9.

bullet

Before the surgery in reexamination: the patient showing bilateral flail feet.

bullet

Using image-intensifier the L3-4 level was identified and bilateral flavotomy of L3-4 was achieved. The extruded huge disc was removed from the left side in one big piece. Left sided cleaning of the disc space was performed meticulously.

bullet

Routine closure of the wound.

bullet

Smooth postoperative recovery, with very slight improvement of the movement of the right foot.


Comments

bullet

The roots were severely damaged by the big extrusion. Recovery will take time to have full recovery. The right foot mostly will recover earlier than the left.

bullet

PLD usually take place at L4-5 and L5-S1 level. It is more rare to have PLD L2-3 of L3-4. The surprising situation, that during one moth 3 cases were operated with similar data. To see the other cases click here and here!


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 .

     WELCOME TO AL-SHMAISANI HOSPITAL

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved