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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.

 

 
 
 
 

05.  16-OCTOBER-2007  RAED MURSHED MASWADEH  39 YEARS  39 YEARS PCD C5-6 WITH RADICULO-MYELOPATHIC SYNDROME.

 

 
 

Anamnesis

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The patient came to the emergency of Al-Shmaisani hospital 15-October-2007 complaining of neck and both shoulders pain more in the left with radiculo-myelopathic syndrome.

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MRI performed 22-July-2007 showing PCD C4-5 and C5-6 and C6-7 with prominent extrusion of C5-6 and malacia of the spinal cord at this level.

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On examination: the patient had quadriparesis with weak both upper limbs more the right and lower limbs more the left.

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Using Inomed Highline ISIS, the surgery was performed under TES-MEP control.

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Discectomy of C5-6 was performed and removal of the posterior longitudinal ligament was performed, after what further extrusion was removed.

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Smooth postoperative recovery. The power of four limbs normalized after recovery.

Comments:

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The patient has severe compression at C5-6 and mild stenosis above and below. It was decided to decompress the spinal cord at C5-6, leaving the other levels. If, in the remote future these findings became evident, then this will be corrected accordingly.

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The disc extrusion had a protracted course, which predict relatively persistent  pain in the long postoperative course.

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Inomed Highline IOM TES-MEP mode was used in this case.

 
     
 

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