www.neurosurgery.tv 
   

neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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 .

07-DECEMBER-2011  SAMYAH SALEM ABU-ABOUD  59 YEARS  EXTRUDED HUGE DISC L3-4 WITH DOWNWARD MIGRATION WITH ELEMENTS OF RESTENOSIS OF L2-3 AND L4-5.

Anamnesis

bullet

The patient was operated by me 05-September-2007 for dorsal and lumbar canal stenosis after what she was doing OK1

bullet

The patient then came 19-November-2011 complaining of numbness both lower limbs below the knee the last 3 months with coldness both feet with difficult walking.

bullet

On examination, the patient walking bended with aid of two persons. SLRS was 90 degrees both sides without pain. There is weak dorsi and planterflexion both feet -4/5. Sensation was preserved.

bullet

The patient was sent for new MRI and  lab investigations, which were done 20-November-2011 showing stenosis of L2-3, L3-4  and L4-5 with malacia of the spinal cord behind D10-11 with huge extruded disc L3-4 with downward migration. Vit D3 was 36.6 nmol/L which low.

bullet

Skeletonization of the left L2-3, 3-4 and L4-5 lateral masses. Drilling of the medial walls of these facets to gain decompression. foraminotomy of left L3 and L4 roots. The dura and the roots were so thin, that practically there was only arachnoid membranes were seen. The places were the scar was not separable and attached to what must be considered dural sheet was left in place. The extruded disc L3-4 with left downward migration was removed in several pieces and left sided cleaning of L3-4 disc space was achieved. There was CSF leak coming from the area of the removed extrusion, but there was no tear. A muscle was harvested to cover the thin dural areas to prevent postoperative CSF leak.

bullet

Routine closure of the wound with several water-tight layers. Smooth postoperative recovery with improvement of the power of  the feet.


 

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

Comments

bullet

The patient had 17 years ago surgery for stenosis of L3-4 and 4 years ago for stenosis of D10-11, D11-D12, D12-L1 and L4-5.

bullet

Restenosis took place at L2-3. L3-4 and L4-5 and the huge extrusion was the trigger factor of her complains.

bullet

Decompression was applied from the left side, so as to remove the extrusion and regain decompression of the restenosed area.

bullet

Despite the fact, that the dura was preserved, but it was practically missing over wide area without seeing any tear.

 


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

 

  

[2011] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved