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 .

 

27-DECEMBER-2008  MANAL MUHAMED ABU-HIJLEH  42 YEARS  HUGE OLD RECURRENT PLD L4-5 LEFT SIDE.

Anamnesis:

bullet

The patient came to the clinic 25-December-2008 complaining of LBP and bilateral sciatica which took place 18 months after performing discectomy L4-5  2003 elsewhere.

bullet

On examination: the patient  has exaggerated scoliotic stance. SLRS was 20 degrees both sides with agonizing pain and she cannot sleep supine. She had weak dorsi and planterflexion both feet 4/5 with numbness all toes both feet.

bullet

MRI of the lumbar spine with MRMyelography was performed 06-September-2008 showing huge recurrent disc L4-5 left side.

bullet

Considering that the patient pain increased in the right side after the performed MRI another MRI was requested and done 25-December-2008.

bullet

The patient is a known diabetic and hypertensive and under treatment with Imuran for hypertrophic glomerulonephritis for 6 months. Stinting of the coronary artery was performed 1 month ago.

bullet

The patient was admitted one day before surgery and mega doses of Vit C and multivitamins were given to avoid possible wound dehiscence after surgery.

bullet

Using image-intensifier, the L4-5 level was identified and drilling of the upper left corner of the bony defect was performed. There was a lot of adhesion and the disc space was reached lateral to the left L5 root axilla. Cleaning of L4-5 was performed. after what the calcified extruded disc was removed in several pieces. There was a lot of adhesion around the root and trying to minimize the scar was achieved. Routine closure of the wound with water-tight multilayer stitching.

bullet

Smooth postoperative recovery and the power of both feet normalized.


Comments

bullet

Recurrence still a dilemma, which needs proper solution in lumbar disc surgery. The patient had signs of recurrence 6 years without improvement.

bullet

The expected recurrence rate in this case is still around the average, because the disc space height still not shallow.

bullet

In case of recurrence and adhesions, it is mandatory to look for dural defects and tears, so as to manage them properly.

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 .

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved