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
Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
17-SEPTEMBER-2009 AHMAD RIYAD AL-HEET 26 YEARS
ENTRAPMENT OF THE RIGHT PERONEAL NERVE.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient was operated by
me several times for gun shoot to the cauda
equina the first was
19-April-2009. The patient showed slight
improvement of the left leg, but the right
showed gradual deterioration of dorsiflexion big
toe with agonizing pain the last month at the
trajectory of the right peroneal nerve with the
appearance of looking-like painful neuroma. Upon
touching it it was firing down and the patient
was twice injected transcoccegeally with
Diprofos and marcain, thinking that the source
of pain is from the cauda equina.
The right peroneal nerve was
exposed proximal to the lesion and neurolysis
was continued down until the nerve was branching
to its deep and superficial parts. Using IOM
Inomed ISIS with 2 channel EMG and DNS cc
stimulation during the procedure the nerve
regained better responses after neurolysis and
the EMG traces were recorded even in less than 1
mA stimulation. he painful neuroma turned to be
a scar engulfing the nerve and it was bisected
Routine closure of the
wound and smooth
and the patient sent to
This case with multiple
neurological trauma and direct trauma to the
right knee is a difficult case to catch the
entrapment, which progressed over the time.
During such a surgery
neurophysiological control with Inomed ISIS or
alike technologies, the surgeon could reach
wrong conclusions and perform wrong actions
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 .