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-DECEMBER-2010  USAMA MUSA RAJA  40 YEARS  RECURRENT PLD L4-5 RIGHT SIDE.

Anamnesis

bullet

The patient came to the clinic 22-November-2010 complaining of right sciatica down to the ankle for two month. The patient was operated by me 1998 for huge PLD L4-5 with right downward migration.

bullet

MRI lumbar spine performed 31-October-2010 showing recurrent PLD L4-5 with right foraminal compression.

bullet

On examination: The patient  is in pain, limping with exaggerated scoliotic stance. There is weak dorsi and planterflexion right foot 4/5 with SLRS 80 degrees with pain in the right.

bullet

Using image-intensifier, foraminotomy of right L1 root was performed. The extruded disc was attacked lateral to the axilla and it was removed in several pieces, after what the root became lax. Meticulous cleaning of the disc space of L4-5 was achieved from the right.

bullet

Routine closure of the wound. Smooth postoperative recovery and improvement of the power of right foot.


Comments

bullet

The patient has persistent recurrent extrusion with dark gray extrusion of L4-5 level, which will not resolve over the time. Surgical decompression is the only solution.

bullet

Usually the recurrence take place at the same side of previous extrusion.

bullet

The estimated recurrence rate is still around 7% because the disc space is not shallow, despite the fact meticulous cleaning was performed from one side twice.

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 .

 

  WELCOME TO AL-SHMAISANI HOSPITAL

  

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