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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

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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .

 

28-MAY-2008  MUHAMED SADEQ AL-TAWEEL  68 YEARS  SEVERE CERVICAL CANAL STENOSIS C3-4 AND C4-5.

Anamnesis:

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The patient came to the clinic 28-April-2008 complaining of numbness right upper and lower limbs for 1 month, increasing the last three days.

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On examination: Romberg sign -  stable with deep tendon reflexes D>S. There was pain with Lhremitte sign when looking upward. The power of muscles of the right upper limb was 4/5, except for hand extension 3/4. There was weak dorsiflexion both feet 4/5 and planterflexion right foot 4/5.  Hypalgesia of the median nerve distribution right hand.

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MRI cervical spine performed 20-May-2008 showed severe cervical canal stenosis at C3-4 and C4-5 with malacia of the spinal cord at these levels. There were also scattered lacunar infarcts of cerebral hemispheres of no clinical importance.

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The patient has no hypertension, nor diabetes mellitus and he underwent cervical discectomy C5-6, and C6-7 15 years ago.

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Decompressive laminectomy of C3,4 and partial of C2 and C5 was achieved. The epidural fat was missing all over.

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Routine closure of the wound with prompt recovery of the power of al limbs.

Comments

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If the stenotic elements of the cervical spine are equal from anterior and posterior, it is preferable to decompress the cervical spinal cord from behind.

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Using the drilling, bring the surgical trauma to zero.

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