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.

 

 
 
 
 

6.  24-MAY-2007  FATIMA MUHAMED ABDALLAH  62 YEARS  PLD L2-3 WITH LEFT FORAMINAL COMPRESSION. RESIDUAL AFTER DISCECTOMY OF L3-4  RECURRENCE PERFORMED 1993.

 
 

 
 

Anamnesis

bullet

The patient came to the clinic 19-May-2007 complaining of LBP with left sciatica the last 2 months. The patient was operated by me 1993 for recurrence at L3-4 disc.

bullet

MRI performed 16-May-2007 showing PLD L2-3 with left foraminal compression and downward migration.

bullet

On examination: the patient in agonizing pain with SLRS 30 degrees in the left with weak dorsiflexion  both feet more the left with weak left quadriceps muscle 4/5, adduction of the knees 3/5.

bullet

The patient is a known diabetic -insulin dependant and hypertensive for three years.

bullet

The uppermost left corner of the previous surgery was refreshed and the facet was drilled in the medial side and the left L2 root was identified and the extruded bony and fragmented disc was removed lateral to the axilla. The extrusion was adherent to the root, for what microscopic sharp dissection was performed to avoid tearing of the root. Foraminotomy of the left L3 root was performed and the root is hanging free.

Comments:

bullet

The patient underwent previous surgeries for the spine at L3-4.  The stress points at the neighboring disci increase, which make them more susceptible for disc formation.

bullet

The clinical course of the patient is more protracted than, the patient claim. The presence of adhesions with the root cannot be formed within 2 months. It must have at least  1-2 years to have such process.

 
     
 

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