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The group in action.

 
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

 
21-MAY-2006 TAJAH MUHSEN MUHAMED 62 YEARS LCS L3-4, L4-5 WITH RIGHT LATERAL RECESS SYNDROME.
The patient came to the clinic 26-June-2005 with difficulty in walking  and left sciatica for 8 days. She was diagnosed as having OA left knee for 2 years  and she is a known diabetic with IHD. She underwent balloon dilatation of the coronaries 2001. On examination, she had hypalgesia of the left L4 dermatome with weak both quadriceps muscles 4/5 both sides. She was sent for investigations and MRI of the lumbar spine  showed huge extrusion L3-4  left side and she was advised to undergo surgery.

The patient escaped, then appeared 13-May-2006 with new MRI  showing LCS L3-4 and L4-5 with the old extrusion calcified and participating with the stenosis. Her condition continued to deteriorate and she got dripping of urine  for the last 6 months  with the same hypalgesia and weak all muscles left lower limb. The patient was pale and her Hb was 8.4 g/ml for what she was given 2 units of blood and she was operated.

Laminectomy of L3-4 and partial of L2-5  (sacralized L5) was performed and all the compressive elements were removed. The left L4 root was inspected and foraminotomy for this compressed root was performed. Inspection of the L3-4 disc revealed that it is not mobile and no need to violate it.

Immediate postoperative recovery with recovery of her weakness.


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved