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.

 

 
 
 
 

09.  18-DECEMBER-2007  IBRAHEEM ABDEL-MUEEN HUSSEIN  44 YEARS  BILATERAL EXTRUDED DISC L5-S1 WITH OLD LEFT AND RECENT RIGHT HUGE EXTRUSION.

 

 
 

Anamnesis

bullet

The patient came to the clinic 16-December-2007 complaining of left sciatica  and LBP for 3 years. Exacerbation of right sciatica the last 15 days with numbness right foot and perianal region.

bullet

MRI done 12-October-2004 showed an extruded disc L5-S1 with left sided extrusion.

bullet

On examination: the patient had weak dorsiflexion right foot 3/5 and left foot 4/5, weak planterflexion both feet 4/5 with hypalgesia right S1 territory.

bullet

The patient was sent for another MRI lumbar spine, which revealed new huge extruded disc L5-S1 right side with downward migration.

bullet

Bilateral S1 foraminotomy was performed and the left extruded disc was removed in piecemeal fashion and bilateral cleaning of the disc space of L5-S1 was performed.

bullet

Routine closure of the wound and smooth postoperative recovery.

Comments:

bullet

The patient has bilateral extruded disc with early signs of cauda equina syndrome. Bilateral cleaning of L5-S1 was the proper choice in his surgical planning for two reasons. First: to eliminate all the compressive elements, Second: to decrease the rate of recurrence.

bullet

The recurrence rate in this case is below the average -  7% because, the disc space is shallow and bilateral meticulous cleaning was performed.

 
     
 

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