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 .

14-AUGUST-2010  SAMYA MUSTAFA AL-JUNAYDY  78 YEARS SEVERE LUMBAR CANAL STENOSIS L3-4, L4-5 WITH EXTRUDED DISC L3-4 LEFT SIDE.

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

Anamnesis

bullet

The patient was admitted to Shmaisani hospital 10 days ago with clinical history of constipation and LBP and left sciatica and inability to walk and difficulty to set due to severe agonizing pain for one week. The patient had old fracture L1 15 years ago and osteoporosis. The patient was seen by me 3 days ago with LBP and left agonizing sciatica and weak dorsiflexion and planterflexion left foot 3/5.

bullet

MRI lumbar spine performed 09-August-2010 showing severe lumbar canal stenosis at L3-4, L4-5 with extruded disc L3-4 left side.

bullet

On examination: the patient is bedridden and has basal crepitation of both lungs, for what respiratory therapy was started. The patient was in Clexane 20 mg which was kept.

bullet

Decompressive laminectomy of L3 and L4 and partial of L5 with flavotomy of L2-3 was performed. Foraminotomy of both L4 roots was achieved. The dura was thin transparent, that the roots were seen through it.  There was no epidural fat along the whole territory of decompression. The extruded disc of L3-4 was removed from the left side, after what the left L4 root regained relaxed position. The disc space was shallow and it was necessary to make small drilling to remove the intradiscal material, which was minimal. There was no signs of overmobility. Routine closure of the wound.

bullet

Smooth postoperative recovery and improvement of the power of left foot.


Comments

bullet

Lumbar canal stenosis is a progressive disease and decompression must include the recent clinically manifesting themselves and the progressing nearby.  For that reason, decompression was achieved at L2-3, L3-4 and L4-5 levels.

bullet

The extruded disc was of small size, but considering that the canal was a stenotic one severe compression was noted.


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