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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

 

The patient a known diabetic, was operated for PLD?  1971. He was complaining of inability to walk for several months and numbness of both feet. On examination, there was severe weak dorsi and planterflexion both feet more pronounced in the right side. Hypalgesia both feet 10 cm above the right ankle and 20 cm above the left ankle resembling diabetic neuropathy. MRI requested and and showed severe stenosis of L3-4, L4-5 and L5-S1.

The patient was operated through his old big incision. It was surprisingly, that a lot of adhesions were found all over in both sides, except the perineural structures, mandating, that the previous surgery was done by immature surgeon and nothing was done.

Decompressive laminectomy L3-4-5 and the upper sacrum was done using the high-speed drill. All the compressive elements were eliminated and bilateral foraminotomy of L4, 5 and S1 was done. Routine closure.

Immediate postoperative improvement of the power both legs noted in the recovery room.

 

 

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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved