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 .

 

28-JANUARY-2008  MANSOUR MUHAMED ABU-ZER  36 YEARS  HUGE EXTRUDED DISC L3-4 WITH RIGHT UPWARD MIGRATION AND FAR-LATERAL EXTRUSION.

Anamnesis:

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The patient came to the clinic 27-January-2008 with agonizing right sciatica and LBP for 10 days with positive cough sign. He is using crutches for ambulation and unable to sleep due to pain.

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MRI performed 26-January-2008 showing bulge L4-5 and dehydration of D12-L1 with huge extrusion of L3-4 with right upward migration and right far-lateral disc occluding the foramen.

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On examination: the patient is limping and has scoliotic stance. SLRS was 25 degrees in the right and 45 degrees in the left with radiating pain to the right leg. The patient had weak dorsiflexion right foot and weak quadriceps femoris right.

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Using image-intensifier, the level was identified and right L3-4 hemiflavotomy with partial right hemilaminectomy was performed.

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The upward migrating piece was removed and the far-lateral disc material was also removed, which were in continuity.

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Meticulous cleaning of the disc space of L3-4 from the right. The epidural fat was transferred to the L4 root.

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Routine closure of the wound and smooth postoperative recovery.

Comments

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The disc height still considerable and the defect of the annulus fibrosis is wide. This make the expected rate of recurrence higher than average.

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The far-lateral localization of the extrusion could mask the recurrence in case of its occurrence and clinically could be unnoticed.

 

 


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