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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.

 

 
 
 
 

07.  14-AUGUST-2007  GHADEER JAMAL AL-ARMOUTY  37 YEARS  HUGE PCD C5-6 RIGHT SIDE.

 

 
 

Anamnesis

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The patient came to the clinic 13-August-2007 complaining of severe neck and right shoulder pain extending to the right hand for 20 days with agonizing character making her unable to sleep.

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MRI cervical spine performed 12-August-2007  showed PCD C5-6  with huge right foraminal occlusion.

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On examination: pain and limitation of neck movement to all directions more pronounced when looking to the right. Weak right hand flexion and extension 3/5 and triceps muscle 3/5 with hypalgesia of the volar surface of the forearm. There is also weak dorsiflexion right foot without other myelopathic signs.

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Discectomy C5-6 was performed and the extruded disc was removed in several pieces and the dura became free at the end of the operation.

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Smooth postoperative recovery and normalization of the power of the right upper limb.

Comments:

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The incision was 15 mm length and the anatomical relationships were that, it was an easy operation.

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Removal part of the posterior longitudinal ligament is mandatory to see the dura so as not to miss a fragment inside the canal.

 
     
 

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