www.neurosurgery.tv 
   

neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

Surgical group is like a football team.

 
Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tw
neurosurgeryspine.org
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com

Neuroanatomical Sites
diencephalon.org
humanneuroanatomy.com
medullaoblongata.info
mesencephalon.org
microneuroanatomy.com

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spondylolisthesis.info
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

20-DECEMBER-2010  FATHI JARAD AL-HALAYQEH  65 YEARS  EXTRUDED DISC L4-5 WITH FAR LEFT DOWNWARD MIGRATION WITH LCS L3-4.

Anamnesis

bullet

The patient came to the clinic 09-December-2010 complaining of LBP with left sciatica for 2 years with exacerbation last week.

bullet

On examination: The patient  is limping with exaggerated scoliotic stance. SLRS was 65 degrees in the left with pain. There was weak dorsi and planterflexion left foot -4/5.

bullet

MRI lumbar spine performed 12-December-2010 showing extruded disc L4-5 with far downward migration, reaching the L5-S1  level with stenosis of L3-4.

bullet

Laminectomy of L4 and partial of L3 and L5 performed. Foraminotomy of left L5 root was achieved. The extruded disc L4-5 was removed from under the axilla of left L5 root in several big pieces. The disc space of L4-5 was cleaned lateral to the axilla. Bilateral flavotomy of L3-4 was done and all the compressive elements at this level were eliminated.

bullet

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


Comments

bullet

The patient has extruded disc L4-5 with far left downward migration. It was necessary to perform hemilaminectomy of L5 to expose the entire migrating piece down.

bullet

The lumbar canal stenosis must be resolved so as to avoid future surgery for this stenosis.

bullet

The estimated recurrence rate at L4-5 still ranking above 7%, because the disc space height is still not shallow.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.


 

 

 

Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

  WELCOME TO AL-SHMAISANI HOSPITAL

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved