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.

 

 
 
 
 

11.  15-NOVEMBER-2007  AMIRA ABDEL-QADER TAHER  66 YEARS  SEVERE LUMBAR CANAL STENOSIS WITH RIGHT LATERAL RECESS SYNDROME.

 

 
 

Anamnesis

bullet

The patient came to the clinic 18-November-2006  complaining of right sciatica for 1 year duration.

bullet

On examination: The patient has scoliotic stance  with SLRS 80 degrees in the right, absent AJ both sides and hypalgesia right L5 and S1 territories with weak dorsiflexion both feet 3/5 right and 4/5 left  and planterflexion right foot.

bullet

MRI lumbar spine performed 23-November-2006 showed severe lumbar canal stenosis L2-3, L3-4, L4-5 and L5-S1. The patient was advised to undergo surgery but she disappeared.

bullet

The patient came 10-November-2007  with deterioration of her condition and right sciatica and cramps both lower limbs with hypalgesia below L1 dermatome in the right  and weak both feet and the right quadriceps femoris.

bullet

The patient was sent another time for MRI investigation, which confirmed the presence of the stenosis with right lateral recess syndrome.

bullet

Decompressive laminectomy of L2-3-4-5 and partial of L1 and upper sacrum with foraminotomy of both L3-4-5 and right S1 roots was performed. The dura was lacking the epidural fat and its wall was whitish with calcification, due to old compression.

bullet

Routine closure of the wound and smooth postoperative recovery with normalization of the power of both legs.

Comments:

bullet

Lumbar canal stenosis is a progressive disease and if it is showing deteriorating course surgery is mandatory to prevent further damage to the neural tissues.

bullet

There was a huge Tarlov cyst at S2 which was coincidental finding and have no clinical significance.

 
     
 

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