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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

 

16-AUGUST-2009  AHMAD RIYAD AL-HEET  27 YEARS  CONDITION AFTER GUN SHOOT TO THE CAUDA EQUINA  4 MONTHS AGO.

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

Anamnesis:

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The patient was operated by me twice for gun shoot, the last was 29-April-2009. Removal of big shrapnels was achieved at that time.

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The patient continued to improve, but he was all the time complaining lf pain in the right lower limb and the perianal region.

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Transcoccygeal injection of marcain 5 cc 0.5% with diprofos 2 vials was done without G.A. The pain in the right lower limb and the perianal region disappeared. Myelography was done between L3-4 and about 8 cc of Omnipaque was used to enforce dissection of the scar to reach the CSF above the lesion. There was a pocket which was also noticed .

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The patient was sent to perform CT-Myelography.


Comments

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The case is interesting from the clinical aspect: he has agonizing cauda equina pain, which confirm that the structure is functioning.

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There are still small tiny shrapnels, which impossible to remove them. They with the contused rootlets of the cauda equina are the generators of pain. The anatomical structures must be preserved and to manipulate, so as to keep them anatomically and ease the pain of the patient.


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 .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved