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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.

 

 
 
 
 

7.  20-JUNE-2007  NAJAH ABDEL-HAMED ABDEL-DAYEM  49 YEARS  HUGE EXTRUDED LEFT DOWNWARD MIGRATING DISC L5-S1.

 
 

 
 

Anamnesis

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The patient came to the clinic 19-June-2007 with agonizing LBP with left sciatica  for 1 month with escalation the last week, with the help of 2 persons to walk and inability to lay supine.

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It was impossible to evaluate her for scoliotic stance and Romberg positioning. On examination: SLRS was 45 degrees in the right and 5 degrees in the left. Severe weak dorsi and planterflexion left foot with hypalgesia both left L5 and S1 roots territories.

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Left L5-S1 hemiflavotomy with foraminotomy of left S1 root. The root was hemorrhagically embedded and the extruded disc was removed from under the axilla. It was removed in several pieces.

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After the root became relax, cleaning of the remaining extrusion at the level of the annulus fibrosis was achieved lateral to the axilla with meticulous intradiscal cleaning.

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Routine closure with smooth postoperative recovery and normalization of the power of the left foot.

Comments:

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The patient had hemorrhagic changes in the root, which means that the root was exposed to certain trauma after extrusion, which explain the agonizing pain.

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The extruded downward migrating pieces were able to be removed from under the axilla. After that it was possible to proceed with intradiscal cleaning.

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Her son is a surgeon and he assisted me in her surgery.

 
     
 

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