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Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

 

05-NOVEMBER-2008  HABEEB HUSIEN MUHAMED  27 YEARS PCD C5-6 WITH RIGHT FORAMINAL OCCLUSION.

Anamnesis:

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The patient came to Dr. Ali Al-Bayyati complaining of severe neck pain and right upper limb pain for 4 months with exacerbation of pain the last month, depriving him sleeping.

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MRI cervical spine performed showing huge extrusion C5-6 right side with foraminal occlusion and small PCD C6-7 left side.

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On examination: The patient has neck movement limitation and pain when looking to the right and all directions with weak grip right hand 4/5, extension the right hand 3/5 and right triceps 2/5. There is numbness and hypalgesia of the thumb and index finger right hand.

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Discectomy of C5-6 was done until the dura was seen in the right side of the field and inspection of the exit foramen of right C5-6 ruled out any remnant. Intradiscal decompression of C6-7 was also performed to reduce extrusion of the C6=7 disc in the future.

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Smooth recovery with prompt improvement of the power of the right upper limb.

Comments

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The patient having gross neurologic deficit and agonizing pain. The major problem was the C5-6 disc extrusion.

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The expected recurrence rate in this case is zero. The unco-vertebral joint of C5-6 was not violated in the right side so as to minimize the postoperative pain. The C6-7 disc was intradiscally decompressed to prevent future extrusion.

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