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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.

 

 
 
 
 

14.  25-AUGUST-2007  INAAM FAYSAL UBEID  45 YEARS  HUGE OLD EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.

 

 
 

Anamnesis

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The patient came to the clinic 16-August-2007 complaining of LBP  for 17 years with right sciatica for 2 months.

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MRI performed 26-July-2007 showing PLD L4-5 with right downward migration.

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On examination SLRS was 60 degrees in the right side with weak dorsiflexion all toes right foot and hypalgesia of the right L5 and S1 territories  and scoliotic stance

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The patient had flue for what, she was advised to treat flue first then undergo surgery.

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Right L4-5 hemiflavotomy with foraminotomy of right L5 root was performed. The root was severely adherent to the extrusion and it was abnormal in appearance such as it was splitted by compression into 2 twigs, which were preserved consequently. Meticulous cleaning of the extrusion and the disc space from the right side.

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

Comments:

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The patient had an old extrusion, which could deform the running root and split it into two divisions above the ganglion. It is rare to see such a picture.

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From the above mentioned finding. it is always necessary to seek the most lateral edge of the running dura and start dissection from normal anatomy to the pathologic one. This rule out producing destruction to the neural tissues.

 
     
 

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