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 .

07-MARCH-2010  YOUSEF SAYYED AL-JOLASY  45 YEARS  RECURRENT EXTRUSION L5-S1 LEFT SIDE WITH LEFT LATERAL RECESS SYNDROME L4-5.

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 23-August-2008 complaining of right sciatica for 2 years. The patient was operated for left sciatica 7 years ago and discectomy of L5-S1 was done at that time.

bullet

MRI lumbar spine done 24-August-2008 showing small extrusion of L5-S1 right side and fibrosis in the left side. He was advised to keep in conservative treatment.

bullet

The patient the last time  came 24-February-2010 complaining of left sciatica for 4 months with MRI of the lumbar spine the same day showing lateral recess syndrome L4-5 left side with the extruded old extrusion L5-S1 left side.

bullet

The patient is limping when in pain with exaggerated scoliotic stance and weak dorsiflexion left foot -4/5.

bullet

Left L5 root foraminotomy with left L4-5 hemiflavotomy was performed. Inspection of the left S1 root, showed extruded disc L5-S1 with severe compression of the root. The extruded disc was removed under the axilla and left sided cleaning of the disc space was achieved. The extrusion was rubbery hard and adherent with root and it was separated with great care to avoid traumatic injury to the left S1 root.

bullet

Routine closure of the wound.

bullet

Smooth postoperative recovery, and the power of left foot normalized.


Comments

bullet

MRI still not informative to tell exactly what is going on. The MRI was 1.5 tesla and Siemens with good quality. Despite that, it is possible to get misinterpretation about the morphologic data  and the real answer would be during surgery. In the near future we will use 3 tesla Verio Siemens  and see if these misinterpretations could be resolved.

bullet

In case you are suspecting two causes of the problem, check for them both, so as to avoid wrong plan of surgery.


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