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 .

06-SEPTEMBER-2010  UMAR ABDEL-LATIF AL-BASHITI  51 YEARS  PCD C4-5, C5-6  WITH QUADRIPARESIS.

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

Anamnesis

bullet

The patient came to the clinic 18-August-2010 complaining of four limbs numbness for 5 years and progressed 10 days ago clinical picture of DVT left lower limb with treatment with Orfarin 5 mg daily.

bullet

MRI performed 09-August-2010 showing PCD C4-5 and C5-6 resulting in severe cervical canal stenosis with malacia of the spinal cord at C5-6 level.

bullet

On examination: the patient is limping, as dragging his both lower limbs. Hoffmann sign was positive both sides and hyperreflexia all reflexes both upper limbs. The patient has weak grip and extension both hands  and triceps 3/5. with weak dorsi and planterflexion both feet 4/5. He had hypalgesia right upper limb from C6 root territory and hypalgesia left lower limb below Th12. The right quadriceps femoris is 4/5  weak.

bullet

MRI brain was performed, which was normal and sent for cardiologic consultation.

bullet

Discectomy of C4-5 and C5-6 was performed. Insertion of Medtronic Cornerstone-SR cages 5 mm at C4-5  and 7 mm at C5-6 were inserted with NANOSTEM bone paste at the discectomized levels. Using Atlantis 2 level cervical plate 42.5 mm length, fusion of C4-5-6 was performed with 15 mm 4 mm screws. All stages of the surgery were done with the control of image-intensifier.

bullet

Routine closure of the wound and smooth postoperative recovery with dramatic improvement of the power of four limbs.


Comments

bullet

The anterior decompression was a must because the extruded disci played the major part in compressing the spinal cord.

bullet

The extruded disc of C5-6 was central and compressing the anterior spinal artery caused the clinical picture of anterior spinal artery syndrome.

Immediate postoperative check cervical X-rays.

 


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