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 .

 

21 + 22-JANUARY-2008  KHALED EED FALEH AL-INEZI  30 YEARS  PARAPLEGIA BELOW TH12 AFTER RTA 10 YEARS AGO. PART - ONE

Anamnesis

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The patient was admitted to Al-Shmaisani hospital 15-May-1999 with clinical picture of complete paraplegia with anesthesia below Th 11 level in wheelchair, complaining of back pain with distorted alignment of the spine.

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The patient suffered RTA 6 months ago and was treated locally by fixing his spine using Hartchell rectangles and was trained to pass urine by catheter and defecate with laxatives.

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The patient was investigated  and CT-scan  and routine DL X-rays demonstrated unacceptable deformity of of the fracture site  with dislocated fragmented body of L1. The device was loose and the sublaminar wires were displaced at the superior part of the construct.

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 Considering these data, the patient was operated 15-May-1999: removal of the loose construct was done. Two days later MRI of the dorso-lumbar spine done showing severe compression of the spinal cord  with practical cut of the spinal cord at the L1 level.

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The patient was operated 01-June-1999: using the high speed drilling and Acromed transpedicular screws, practical coporectomy of L1 with discectomy of D12-L1 was performed and fixation of L2 and D12  was achieved. The dura was decompressed and it was not violated.

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Postoperative course was uneventful.

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It was proposed to the patient that he could benefit from cross anastamosis of the dorsal roots to be transferred to the lumbo-sacral roots since 2004, but he was reluctant.  He sought every type of therapy all around the world and his condition, remained the same.

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The patient then came 23-December-2007 asking for such surgery. It was explained to him the pros and cons of such surgery and he agreed upon.

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Considering that such surgery is a long procedure it was decided to divide it in to 2 stages.

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21-January-2008: The saphenous nerves with its both divisions at the knee level were harvested with the patient in the supine position. The sural nerves with their lower divisions were harvested from both legs in the prone position. The sensory femoral nerves, running medial to the sciatic nerves were harvested with their perianal and descending cutaneous nerve were harvested from both sides.

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This procedure took 14 hours length and the patient was awaken and sent to the ICU.

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To continue with the next part, click here!

 

 


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Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved