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.

 

 
 
 
 

19.  26-NOVEMBER-2007  RAED AMEEN AHMAD  39 YEARS  EXTRUDED DISC L3-4 WITH LEFT DWONWARD MIGRATION.

 

 
 

Anamnesis

bullet

The patient came to Shmaisani hospital 26-November-2007 complaining of severe agonizing left sciatica and drop left foot for 3 weeks with hypalgesia left L4 and L5 territories.

bullet

MRI performed 2 days ago showing huge extrusion L3-4 with left downward migration. There are also L2-3 and L4-5 disc material dehydration.

bullet

The patient was taken to the operating room 2 hours after admission and left L3-4 hemiflavotomy with left L4 root foraminotomy was performed under the guidance of image-intensifier.

bullet

The extruded disc was removed in 2 pieces lateral to the axilla, after what the root became lax.

bullet

Inspection of the annulus fibrosis and the site of the extrusion revealed that the annulus is intact with the disc extrusion came from under the annulus. Considering that the disc space height is minimal, it was decided not to violate the disc space.

bullet

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

Comments:

bullet

The disc space is very narrow and the defect in the annulus fibrosis is not seen. It was decided not to violate the disc space in hope, that the recurrence rate in this case is minimal.

 
     
 

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