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
e-neurosurgery.com
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
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

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

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 .

 

25-JUNE-2009  SHAMSIYEH ABDALLAH YOUSEF  66 YEARS  EXTRUDED DISC L4-5 WITH SEGMENTAL STENOSIS AND COMPLETE OBLITERATION OF THE LEFT FORAMEN.

Anamnesis:

bullet

The patient came to the clinic 20-June-2009 complaining of LBP and left sciatica for one week. The patient is a known hypertensive and diabetic.

bullet

On examination: the patient was limping with exaggerated scoliotic stance and weak dorsiflexion both feet 4/5 more the left . SLRS was 80 degrees with pain in the left.

bullet

MRI lumbar spine performed 20-June-2009 showing extruded disc L4-5 with left foraminal occlusion and secondary severe segmental stenosis at this level.

bullet

Laminectomy of L4 and upper edge of L5 was performed. Bilateral foraminotomy of L5 roots was achieved. The extruded disc was removed lateral to the axilla and meticulous cleaning of L4-5 disc space was achieved from the left lateral to the axilla. There was a remnant of epidural fat in the right side which was shifted to the left L5 root to minimize the scar formation over it. Routine closure of the wound

bullet

Smooth postoperative recovery with improvement of the power of both feet.

Comments

bullet

The patient still having considerable height of the disc space, which make the expectation of recurrence around 7%.

bullet

So as to avoid dramatic clinical deterioration in case of possible recurrence the foraminotomy was extended more down to have ample to the root in case of recurrence and the stenotic elements were eliminated all over.

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


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 .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved