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 .

 

28-SEPTEMBER-2009  FAYSAL MAHMOUD AZAZMEH  37 YEARS  HUGE EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

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

Anamnesis:

bullet

The patient came to the clinic 24-September-2009 complaining of LBP for 9 days with left sciatica for 5 days. MRI lumbar spine performed 24-September-2009 showing extruded disc L5-S1 with left downward migration.

bullet

The patient was limping with exaggerated scoliotic stance with shooting left sciatica. SLRS was 30 degrees in left side with pain. The patient had weak dorsi and planterflexion left foot 3/5 and analgesia of the left S1 root and hypalgesia of left L5 root.

bullet

Left S1 foraminotomy was done with reflection of the ligamentum flavum to the right. The extruded disc was seen under the axilla and it was pushing the root lateral. It was removed in several pieces so as to avoid further damage to the root. Inspection of the root showed that the dura of the medial wall of the root was damaged and CSF was coming out. It was repaired with Nylon 6 zero.

bullet

The root was shifted medially and meticulous cleaning of the L5-S1 disc space was performed lateral to the axilla. PEEK satellite nucleus replacement sphere 11 mm size was inserted and pushed at the center of the space with image intensifier.

bullet

Routine closure of the wound and smooth postoperative recovery and the power of the left foot normalized and the patient sent to the ward.


Comments

bullet

The disc space is still high and the patient is young, for what PEEK sphere was inserted to minimize the rate of postoperative recurrence.

bullet

The dura was torn by the extruded disc which was seen under the axilla and pushed posteriorly. It was damaging the dura at this location an it was repaired accordingly.


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