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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

 
The patient came to the clinic 04-March-2006 complaining of LBP with right sciatica for 9 years with mild scoliotic stance. The last 2 years, she has progression of weak right lower limb. MRI performed 10-June-2003 showed complete occlusion at L3-4. She came limping with atrophied muscles of the right foreleg.

On examination: SLRS was 75 degrees both sides with more pain in the right side. She had hypalgesia below the right knee with almost drop both feet and severe weak planterflexion both feet. The patient was sent for another MRI, which confirmed the presence of LCS L2-3, L3-4 and L4-5.

Decompressive laminectomy of L2-3-4 and partial of L5 was performed and foraminotomy of L3-4-5 both sides was achieved.

Postoperative period was uneventful with the recovery of the left foot with normalization of the planterflexion right foot.

Comments:

1. LCS when progressing, surgery give better results when the patient still not suffering from irreversible damage to the neural structures. In the contrary, when the compression is longstanding as in this case the atrophied muscles of the right foreleg needs long time to recover.


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