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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
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


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


Multigen RF lesion generator .

19-OCTOBER-2010  YOUSEF HUSSEIN AL-JABALY  70 YEARS  EXTRUDED DISC L4-5 WITH LEFT FORAMINAL COMPRESSION.

Anamnesis

bullet

The patient came to the clinic 20-August-2007 with history of convulsions for 2 years and LBP for 20 years  with left sciatica for 3 years down to left L5 root.

bullet

The patient was put in Depakine chrono twice daily and MRI of the brain performed 29-January-2008 showed lacunar infarction periventricular more in the left.

bullet

The patient then came 06-August-2008 with neck pain and weak extension right hand the the right triceps muscle. MRI cervical spine performed 11-August-2008  showing extruded disc C4-5 and 5-6. He was advised to keep in conservative treatment.

bullet

The patient then came 09-October-2010 complaining of LBP with left sciatica with severe exacerbation the last 15 days. MRI lumbar spine performed the same day showing extruded disc L4-5 with left foraminal occlusion. The piece was medium in size and gray in color.

bullet

On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 60 degrees with pain in the left. There is weak dorsiflexion -3/5 and planterflexion -4/5 of the left foot. The patient was advised to keep in bed and to try conservative treatment and in the case that no improvement surgery to be considered. The patient then further deteriorated and urged for surgery.

bullet

Left L4-5 hemiflavotomy was performed. The soft tissues were watery and minimal bleeding during dissection was noted, mostly due to cardiac problems. Left L5 root foraminotomy. The extruded downward migrating disc was removed lateral to the axilla. Left sided cleaning L4-5 disc space. The compressed tissues were lacking the epidural fat. After decompression the root became lax.

bullet

Routine closure of the wound and smooth postoperative recovery disappearance of left sciatica and normalization of the power of the left foot.


Comments

bullet

The patient has relatively small disc extrusion, but it is compressing severely the left L5 root, for what an agonizing pain having place.

bullet

The disc extrusion is not dark-gray, nor white-gray, for what the chance for shrinkage over the time is ranking around 50%. ( The white-gray disc extrusion have to shrink over the time more than 80% chance during 6-10 weeks).

bullet

The estimated postoperative recurrence rate in this case is around 7%, because the disc space is still not shallow.

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

 


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 .

 

  WELCOME TO AL-SHMAISANI HOSPITAL

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved