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
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neurosurgery.gallery
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neurosurgery.me
neurosurgery.mx
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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


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Multigen RF lesion generator .

 

19-JANUARY-2008  MAHER MAHMOUD MAHMOUD  50 YEARS  EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION AND INTRADURAL INVOLVEMENT.

Anamnesis

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The patient came to the clinic 06-January-2008 complaining of neck and left upper limb pain for 45 days. MRI of the cervical spine performed 01-January-2008 showing extruded disc C6-7 left side and bulge C5-6.

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The patient walking with crutches after falling down 2 months ago. The patient was operated 13 years ago for PLD L5-S1 after what he complained of left sciatica and almost drop left foot with anaesthesia of the left L5 territory. For the cervical pathology, the patient was advised to try conservative treatment.

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The patient came 09-January-2008 with MRI lumbar spine performed 14-September-2007 showing recurrence of PLD.

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The patient was sent for another MRI, which was performed 11-January-2008 showing assimilation of L5 with S1 with recurrent disc L4-5 with left downward migration and possible intradural involvement.

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Using image-intensifier, the level was identified and left L4-5 hemiflavotomy with left L5 foraminotomy was performed. The extruded disc was attacked lateral to the axilla. Piecemeal resection of the extrusion was done using micropituitaries from the percutaneous kit. After removing the intradurally extruded disc fragments CSF came out. The dural defect was closed with 2 nylon 6 zero stitches and covered with thread of muscle.

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The disc space was very shallow and cleaning from the left side was performed.

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Routine closure of the wound.

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Smooth postoperative recovery and the power of the left foot dorsiflexion improved.

Comments

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The patient has shallow disc space. This indicate low expectation for recurrence.

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Studying the MRI carefully, the intradural compartment was discussed with the patient preoperatively and it was corrected accordingly.

 

 


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Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved