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

 
19-AUGUST-2006  FAREED ABDEL-RAHMAN QAMHIYEH  70 YEARS  LCS L2-3, L3-4 AND L4-5 WITH ALMOST DROP FEET.  
The patient came 16-August-2006 complaining of bilateral sciatica for 13 years with intermittent claudication with signs of bilateral CTS. The claudication is progressing the year and he cannot walk more than 200 meters. MRI lumbar spine done 28-May-2005 showing lumbar canal stenosis L3-4 and L4-5. MRI cervical spine performed 06-August-2006 showing PCD C4-5 and C5-6.

On examination: shuffling gait for 1 year with weak dorsi and planterflexion both feet. with absent AJ both sides. The sensation and power of both upper limbs are normal.

The patient was sent to perform MRI lumbar spine with MR myelography, which confirmed the progression of stenosis.

Decompressive laminectomy of L3 and 4  and partial of L2 and L5 was perfumed. All the compressive elements were removed and foraminotomy of both L4 and L5 roots both sides was done.  The dura was very thin and lacking of epidural fat. Routine closure. Prompt postoperative recovery.

Comments:

1. Decompression in LCS must include all the neural structures including the roots. It must also include the levels, which is expected to escalate, as the L2-3 in this case to avoid possible near future surgery.


Go back!Back Home!Go next!

Back Up!


Hit Counter

     

  

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