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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.

 

 
 
 
 

4.  07-JUNE-2007  SALAH HASAN KHALEEL  39 YEARS  PCD C5=6 WITH FORAMINAL EXTRUSION LEFT SIDE.

 
 

 
 

Anamnesis

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The patient came to the clinic 06-June-2007 complaining of severe neck and left upper limb pain for the last 6 days.

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MRI of the cervical spine performed 04-June-2007 showing huge foraminal extrusion of the C5-6 left side.

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On examination: the left hand flexion and extension is 4/5 with weak left triceps muscle. Sensation was preserved for pin-brick, but he complained of numbness of the I-II fingers left hand. He was unable to sleep due to pain and he was receiving a lot of pain-killers.

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Discectomy of C5-6 was performed and the extruded disc was removed. Smooth postoperative recovery and normalization of the power of the left upper limb.

Comments:

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The patient is in agonizing pain and with clinical manifestations, for what surgery was indicated.

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At the same day in the clinic a similar case came, but with no clinical manifestations and he was complaining of discomfort of the left shoulder, for what, conservative treatment was advised.

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If the disc material is still soft and not compressing the spinal cord, the clinical picture take precedence in decision making for operative intervention.

 
     
 

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