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
20-MAY-2006 HANIN ALI BTAH 10 YEARS TETHERED CORD SYNDROME
The patient was operated
for extremely small posterior fossa with Arnold Chiari
malformation and did relatively well, until the last several months,
the dyspnoea attacks increased when bending the neck and the gait
started to deteriorate.
MRI of the cervico-medullary junction with cervical X-rays showed
no considerable changes. MRI of the lumbar spine showed tethered
cord. The patient still incontinent and difficult gait. with weak
left lower limb.
The patient was operated and laminectomy of L5 S1-2 was
performed. The functional spinal cord was extending down to the end
of the cul-de-sac with massive arachnoidal adhesions.