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Dr. Ali Al-Bayati

 
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

 
The patient came to the clinic 25-March-2006 complaining of numbness both hand, more the right for 10 months, ataxic gait with right lower limb pain and tightness both legs. The patient is hypertensive for 15  years and diabetic for 6 months.

On examination, the patient was unable to unclothe his shirt  with weak both upper limbs. The right deltoid was 3/5, biceps, triceps, and right hand grip and extension 4/5 with weak extension of the left hand. He had hypalgesia of both hands. The patient had elements of Brown-Sequard syndrome with weal right lower limb and hypalgesia of the left lower limb.

MRI done 15-October-2005 showing huge PCD C3-4 with malacia of the spinal cord at that level with retrolisthesis of the same segment. New MRI done 26-March-2006 and the same findings were confirmed and was operated.

Discectomy of C3-4 with osteophytectomy until the dura was seen free at that level was performed. During that, instability was noted during the procedure, for what using one level miniplate with 4 screws 14 mm length fusion of C3-4 was performed and check image intensifier was performed to confirm the proper alignment of the bony and device position.

Prompt postoperative recovery. 


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved