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The group in action.

 
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

 
17-MAY-2006 JASEM MATAR MUHSEN 75 YEARS CERVICO-DORSAL SYRINGOMEYLIA DUE TO POSTERIOR COMPRESSION AT C5-6
The patient came to the clinic 14-May-2006 with LBP  and left sciatica  for 2 years  with difficulty in walking  with deteriorating course.

On examination, he had hypalgesia of the index finger left hand  with weak extension  and grip of the left hand and the triceps of the left upper limb. He had hypalgesia below D2 with Babinski positive both sides and weak all muscles both lower limbs.

The patient was sent for MRI and  the MRI  cervicodorsal spine, which showed syringomyelia from C4 down to D5 with compression of the spinal cord at the level of C5-6 from behind. The patient was advised to undergo surgery.

Decompressive laminectomy of C5 down to D1 was performed and the dura was opened. It seems that, after decompressing the spinal cord the syrinx diminished in size and the spinal cord regained acceptable shape.

So as not to be confident and to avoid recurrence of the cyst, at the DREZ area right side using spinal needle, puncture of the spinal cord was performed and about 4 cc of CSF was obtained, after what, the spinal cord collapsed completely.

So as to avoid surgical trauma to the spinal cord part of the lumboperitoneal shunt was used to insert the tube inside the syrinx cavity and the subdural space and it was fixed to the arachnoid membrane. Further 0.5 cc of CSF was obtained from the tube. Routine closure.


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