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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

 
25-JUNE-2006 KIFAH FAKHRY MARAQAH 55 YEARS LCS L2-3 WITH HUGE BILATERAL EXTRUSION.
The patient came to the emergency 24-June-2006 complaining of agonizing pain with left sciatica and left drop foot with weak dorsi and planterflexion both feet  with weak quadriceps muscles both lower limbs. MRI performed 4 months ago were negative for presence of extrusion at L2-3, but MRI performed 1 month ago were of bad quality, but showing, that some even took place at that level. The patient was sent for new MRI, which confirmed the presence of LCS L2-3 with bilateral extrusion of the disc at the same level.

The patient had previous surgery at L1-2 level performed 1992.  The patient has micturition problems and cauda equina syndrome for the last month.

Decompressive laminectomy of L2 with upper border of L3 was performed and foraminotomy both sides. The extrusion was removed from the left side first, the from the right side a huge piece was removed in one piece, after what the neural structures became relaxed. Bilateral cleaning of the L2-3 disc space was done. Routine closure of the wound with smooth postoperative recovery. 

 


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