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.

 

 
 
 
 

5.  17-FEBRUARY-2007  BASSAM MUHAMED ISMAEEL  44 YEARS HUGE BILATERAL EXTRUSION L4-5 WITH OLD CALCIFIED EXTRUSION L5-S1 RIGHT SIDE.

 
 

 
 

Anamnesis

bullet

The patient came to the clinic 15-February-2007 complaining of LBP for 20 years with bilateral sciatica more the right for one month.

bullet

MRI lumbar spine done 06-February-2007 showed a very huge bilateral extrusion of L4-5 disc with an old disc bulge L5-S1 right side.

bullet

On examination: the patient had scoliotic stance with SLRS 80 degrees both sides. There was weak dorsiflexion both feet 4/5 and planterflexion right foot 4/5 with stiff back upon bending.

bullet

Bilateral foraminotomy of both L5 roots with attacking the lesion from the right. The huge extruded fragment was impossible to remove from the right side. Attempts were tried from the left side and the huge extrusion was removed from the left side, after what the roots became relax and free. Bilateral cleaning of the disc space was achieved.

bullet

Routine closure and smooth postoperative recovery and improvement of the power of both feet.

Comments:

bullet

The clinical picture was more striking in the right leg, but the huge fragment was hidden in the left. It could be explained, that the mobile and less compressed part of the neural structures were manifesting themselves and the stuck without motion, was clinically silent.

bullet

When bilateral extrusion having place, bilateral cleaning and inspection is a must and meticulous cleaning of the disc space must be performed.

bullet

The incidence rate of recurrence here is around 7%.


 

 
     
 

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