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 .

 

29-APRIL-2008  USAMA MAHMOUD MESLEH  43 YEARS  RECURRENT PLD L5-S1 WITH RIGHT HUGE DOWNWARD MIGRATION.

Anamnesis:

bullet

The patient came to the clinic 24-April-2008 complaining of LBP for 45 days with right sciatica. Three days later progressed minimal left sciatica.

bullet

The patient is a known diabetic for 12 years and hypertensive for 9 years and he underwent discectomy of L5-S1 1989 for right sciatica.

bullet

MRI performed 20-April-2008 showed huge recurrent disc L5-S1 with right downward migration.

bullet

On examination: the patient is limping with scoliotic stance. SLRS was 40 degrees in the right and 60 degrees in the left with pain. He had weak dorsi and planterflexion right foot  4/5 with hypalgesia right L5 and S1 territories.

bullet

Right S1 foraminotomy and scarolysis at the previous surgery was performed. The extruded disc was removed lateral to the axilla in several pieces. Cleaning of the disc space was done from the right side.

bullet

Routine closure of the wound with smooth postoperative recovery.

bullet

Considerable improvement of the power of the right foot.

Comments

bullet

In diabetic patients we try to avoid using the electrocautery  to minimize the rate of postoperative infection.

bullet

The recurrence happened 19 years after the first surgery in the same side.

bullet

The expected recurrence is low because the disc space is almost empty and the disc space height is minimal.

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

 


Back Up!


 

     

  

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