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.

 

 
 
 
 

03.  06-AUGUST-2007  WALEED AWWAD SALEM  22 YEARS RTA 2 WEEKS AGO WITH CONTUSION OF THE LEFT INTERNAL CAPSULE AND MULTIORGAN INJURIES AND FRACTURE-DISLOCATION C7-D1 WITH PARAPLEGIA BELOW TH-5.

 

 
 

Anamnesis

bullet

The patient was admitted 10 days ago for multiorgan injuries after RTA and was operated for internal bleeding and put in ventilator. Upon recovery from ventilation, it was noticed that he had right lower limb plegia and CT-scan performed showed brain edema and suggestion for axonal injury of the left internal capsule was put clinically. He had also weak right upper limb more the proximal muscles.  Fracture of the D5 was suspected and confirmed by CT-scan, but there was no gross displacement.

bullet

Upon activation of the patient 2 days ago, the patient progressed dense paraplegia below Th 5.

bullet

MRI of the brain and the whole spine was performed and confirmed the presence of damage to the left internal capsule and presence of severe fracture-dislocation of C7-D1.

bullet

The patient was operated the next day and after reduction of C7 upon D1, discectomy of C7-D1 was performed. The upper anterior part of the D1 body was badly destroyed.

bullet

Using cervical miniplate, fusion of C7-D2 was performed and the chips of the fractured bone put back to place. Another screw was used to fix the left part of the more or less acceptable part of D1 body.

bullet

Smooth postoperative recovery. Neurologically the same.

Comments:

bullet

The patient has 2 causes of his neurologic problem, the internal capsule and the hidden fracture dislocation of C7-D1. Presence of minor fracture of D5 misled and hided the presence of the major fracture-dislocation at C7-D1 which is difficult to note in the usual X-rays. This later caused the further neurologic deterioration upon his activation.

bullet

This case support the need for whole body MRI of the patient in the early stage of the multiorgan trauma to avoid such mistakes.

 

 
     
 

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