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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.

 

 
 
 
 

10.  22-AUGUST-2007  MARYAM HASAN SHAQFEH  59 YEARS  LCS L3-4, L4-5 WITH RIGHT SCIATICA.

 

 
 

Anamnesis

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The patient came to the clinic 15-August-2007 complaining of LBP for 2 years with bilateral sciatica more in the right. She could walk only 100 meters with pain.

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On examination SLRS was 60 degrees left  and 75 degrees in the right side with weak dorsi and planterflexion all toes left foot and planterflexion right foot. There is hypalgesia both L5 roots and dysesthesia left S1 root territory.

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The patient sent for MRI and it was performed 19-August-2007 showing LCS L3-4 and L4-5 with lateral recess syndrome.

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Decompressive laminectomy of L4 with partial of L3 and L5 was done with foraminotomy of L4 and L5 roots both sides was performed.

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There was no epidural fat in the entire field and the dura was very tiny, that the roots could be seen through the dura.

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Routine closure and smooth postoperative recovery and normalization of the power of the left lower limb.

Comments:

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The patient has the same diagnosis as the operation performed yesterday, but the surgery was different. This difference coming out from the sense of the surgeon, that he managed all the compressive elements.

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The lateral recess syndrome share in the compressing process, which must be corrected during surgery.

 
     
 

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