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 .

24-DECEMBER-2010  SUMAYA SALEM MUHAMED  36 YEARS VERY HUGE EXTRUDED DISC C4-5 MORE TO THE RIGHT WITH ELEMENTS OF BROWN-SEQUARD SYNDROME.

Anamnesis

bullet

The patient came to the clinic 22-December-2010 complaining of LBP for 4 years with left sciatica for 4 months with numbness. Neck pain for one year with right upper limb weakness for 2 months.

bullet

MRI of the brain performed 20-December-2010 was normal, but MRI cervical spine showed very huge extruded disc C4-5 with severe compression of the spinal cord more to the right.

bullet

On examination: The patient  is limping with exaggerated scoliotic stance. SLRS was 85 degrees both sides without pain. There is pain in the neck when looking up and down and bending the head to the left shoulder. There is hypalgesia of the entire right upper limb and hypalgesia below the left nipple. The power of the right hand grip was -3/5 and the extensors /35 and the right triceps 4/5.

bullet

Anterior approach with discectomy of C4-5 was performed. All the extruded disc was removed in several pieces. The dura was seen in the entire plane of the posterior longitudinal ligament.

bullet

Routine closure of the wound. Smooth postoperative recovery with normalization of the power of the right upper limb.


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

Comments

bullet

The patient has very huge extruded disc C4-5 with elements of Brown-Sequard syndrome, affecting more the sensory compartment. The radicular manifestations prevailing.

bullet

The defect in the annulus fibrosis was huge, that during intradiscal decompression and traction, the extruded disc returned to the intradiscal space and small amount was needed to remove after that.

bullet

The recurrence rate after cervical discectomy is zero.

 

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