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-JANUARY-2008  ABDEL-KAREEM ISA SEMREEN  68 YEARS  SEVERE CERVICAL CANAL STENOSIS C3-4, 4-5, 5-6 WITH MALACIA OF THE SPINAL CORD.

Anamnesis:

bullet

The patient came to the clinic 16-January complaining of sudden onset neck pain 02-December-2007, after what he got weak both upper limbs. The lower limbs remained in good condition.

bullet

MRI cervical spine performed 12-December-2007 showed severe cervical canal stenosis at C3-4, 4-5 and C5-6 with malacia of the spinal cord with the major compression from behind.

bullet

On examination: the power of both deltoids and biceps brachii and the grip of both hands were 4/5. The extension of both hands and the triceps muscles were 3/5. The sensation and the power of the lower limbs were intact.

bullet

Considering that the major compressing elements were from behind, posterior decompression was performed. The decompression was modified, that the Laminae of C3-4-5 and 6 and lower 3/4 of the C2 were drilled in such a way, that after removal of the spinous processii, drilling was performed far-lateral of the laminae abutting to the lateral masses until the laminae were flail. The C3-4 and C4-5 compressing elements were eliminated, which were bony and ligamentum flavum material. Midline drilling was performed to be sure that the laminae were were hanging free. We will call this procedure a trilinear decompression of the posterior cervical spine.

bullet

Routine closure of the wound and smooth postoperative recovery.

Comments

bullet

In cervical canal stenosis anterior decompression with fixation is the preferred method, but when the compressing elements originate from behind, posterior decompression is the only solution remains.

bullet

Traditional posterior decompression in cervical canal stenosis usually causes dramatic deterioration of the patient. To avoid such events modifications of the decompression, to minimize the surgical trauma to the already compressed spinal cord are applied with the use of the high-speed drilling. This presented modification bring the mechanical and thermal injury to the cervical spine to zero.

 

 


Back Up!


 

     

  

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