Neurosurgery.tv Home Search neurosurgery.tv drelias@go.com.jo
Home
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
 

RELATED WEBSITES

neurosurgery.fr neurosurgery.guru
neurosurgery.me
microneuroanatomy.com
ioperativemonitoring.com
diencephalon.info
mesencephalon.org
medullaoblongata.info neurophysiology.ws
humanneurophysiology.com
e-neuroradiology.com
onconeurosurgery.com
schwannomas.com
acousticschwannoma.com
pituitaryadenoma.net
meningiomas.org
craniopharyngiomas.com
craniopharyngiomas.net
pinealomas.com
glioma.ws
ependymoma.info
spinesurgeries.org
spondylolisthesis.info
paraplegia.co
vascularneurosurgery.org
Neurosurgical Encyclopedia
cns-clinic.net
munir.ws

 
 
 
 

NEWS

January/06/2007

Surgical treatment in paraplegia survey:

Cross-anastamosis in paraplegia below D9 started to give results. The last documented case operated 1 year ago in a patient from Israel came to the clinic 3 weeks ago. ECS and EMG performed showed that there is starting innervation of Th 11 and 12. The patient's lower limbs muscles became bulky and he could contract the lower abdominal muscles and some movements in the pelvic girdle. Crude sensation descended down to the inguinal level both sides. If you are more interested in this topic, click here! 

March/08/2007

Tuberculosis of the spine

In the last 2 years the incidence of tuberculosis of the spinal column is becoming more frequent and having different clinico-morphologic picture. This phenomenon is alarming sign as the residual of the use of dirty bombs and several radioactive materials in the surrounding dirty wars in the region. For demonstration click here! and here!

20-AUGUST-2007

SIEMENS Digital C-arm is implemented and functioning in the Shmaisani hospital.

30-AUGUST-2007

The Inomed ISIS Highline neurophysiologic navigation system start to work at the operating room.

28-November-2013

Magnetom Skyra 3 tesla with all clinical applications start to run.

 

 
 
 
 

1. 03-MAY-2007  MARYAM ABDALLAH AL-KHATEEB  75 YEARS  EXTRUDED DISC L1-2 WITH LEFT UP AND DOWNWARD MIGRATION.

 
 

 
 

Anamnesis

bullet

The patient came to the clinic 28-April-2007 complaining of LBP with left sciatica for 1 month. 

bullet

MRI lumbar spine performed 24-April-2007 showing a mass behind the bodies of L1 and 2 mostly an extruded disc L1-2  with up and downward migration left side.

bullet

The patient had Parkinson disease. On examination: SLRS was 90 degrees both sides with weak dorsiflexion both feet and exaggerated scoliotic stance. She was complaining of dripping of urine.

bullet

Under image-intensifier the L1-2 was marked by methyline-blue and left L1-2 hemiflavotomy was performed and drilling of the left lateral mass was done to prevent traction injury to the spinal cord. Foraminotomy of the left L2 root was done with preservation of the isthmus.

bullet

The root was severely compressed by underlying mass which was removed in several pieces, which proved to be an extruded disc material. Inspection of the disc surface , confirmed the proposal not to violate the intradiscal space. The root became free and the exit was wide. Routine closure.

bullet

Smooth postoperative recovery.

Comments:

bullet

Extruded disc at L1-2 with such migration is a rarity and the surgical maneuvers are directed to avoid any traction to the dura, to avoid traction injury to the spinal cord.

bullet

Drilling the medial part of the left lateral mass gave an ample to expose the compressed nerve and subsequent removal of the extrusion without causing any traction injury to the spinal cord.

 
     
 

Copyright [2007] [CNS Clinic]. All rights reserved