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Multigen RF lesion generator .

 

06-JANUARY-2010  TAMAM MUHAMED AL-MASDOUR  64 YEARS  HUGE EXTRUDED DISC C4-5 CENTRAL MORE TO THE LEFT WITH RADICULO-MYELOPATHIC SYNDROME.

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

Anamnesis:

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The patient came to the clinic 05-January-2010 complaining of neck pain for three months with inability to walk the last 2 months and numbness of the left upper limb.

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MRI brain done 19-December-2009 was normal but MRI of the cervical spine showed very huge extrusion of C4-5 centrally located more to the left with malacia of the spinal cord.

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On examination: the patient has weak left upper limb 3-2/5 and right upper limb 4-3/5 with Hoffmann positive in the right . Weak all muscles left lower limb 3/5 and right lower limb 4/5. Sensation was intact.

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Anterior discectomy of C4-5 was performed and cleaning of the extrusion was achieved. The dura was seen in the entire segment behind the disc space and for confirmation of total cleaning of the extruded fragments, contrast material was injected to the disc space and image-intensifier was used for this.

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Routine closure of the wound and smooth postoperative course and improvement of the power of the four limbs.


Comments

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One level discectomy in the cervical area is sufficient and there is no need for stabilization or implantation of the various devices.


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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

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