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

neurosurgery.ag
neurosurgeryspine.org
neurosurgery.bz 
cns-online.com
neurosurgery.guru
neurosurgery.me 
neurosurgery.mx
neurosurgery.tw
humanneurophysiology.com
neurophysiology.ws
pituitaryadenomas.com
ependymomas.net
meningiomas.info
craniopharyngiomas.net
operativemonitoring.com
spondylolisthesis.info
acousticschwannoma.com
schwannomas.com
vascularneurosurgery.com
vascularneurosurgery.org
spinesurgeries.org
pinealomas.com

13-JULY-2010  SHAFEEGAH MAHMOUD ATIEH  65 YEARS  SEVERE LUMBAR CANAL STENOSIS L2-3, L3-4 AND 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 18-September-2006 complaining of LBP with right sciatica  for 5 years  with occipital headache  for 1 week  with tinnitus both ears. She could walk less than 200 meters with intermittent claudication.

bullet

MRI of the lumbar spine performed 07-August-2005 showing spondylolisthesis L4-5 with stenosis L3-4 and L4-5.

bullet

On examination: the patient had pain in the neck with weak right upper limb and right lower limb  and hypalgesia entire right hand and below the right knee.

bullet

The patient then came 18-November-2006 with MRI of the cervical spine done 14-November-2006 showing compression at C3-4 with malacia of the spinal cord at this level. The patient was advised to undergo decompression for the severe lumbar canal stenosis, but she disappeared.

bullet

The patient then came 02-June-2010 complaining of walking difficulty with cramps both lower limbs with sciatica more the right. She has weak dorsiflexion right foot 2/5 and left foot 3/5 with weak planterflexion right foot 3/5 and left foot -4/5. There is hypalgesia right S1 and analgesia right L5 root territories.

bullet

MRI done 20-June-2010 showing severe lumbar canal stenosis L2-3, L3-4 and L4-5 with elements of mild spondylolisthesis.

bullet

Decompressive laminectomy of L3-4 and partial of L2 and L5 with  foraminotomy of L3-4-5 roots both sides. There is no epidural fat and no overmobility of the segments.

bullet

Routine closure of the wound and smooth postoperative recovery.

bullet

The power of both feet dramatically improved.


Comments

bullet

Lumbar canal stenosis is a progressive disease and early surgical intervention in case of progression avoid the patient unnecessary possible complication..

bullet

Total decompression must be performed including the canal and the roots.


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