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Multigen RF lesion generator .

 

30-JUNE-2009  MUHAMED HANI TAWFEEQ  63 YEARS  HUGE CENTRAL PCD C3-4 WITH MYELOPATHIC SYNDROME.

Anamnesis:

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The patient came to the clinic 20-June-2009 complaining of neck pain for 5 years with spastic both lower limbs, for what he was operated several times. The patient deteriorated the last 6 months.

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On examination: the patient was limping , using crutches the last 6 months with exaggerated scoliotic stance. SLRS was 45 degrees right side with weak dorsiflexion both feet and planterflexion right foot. There was hypalgesia from D6 down to D12 both sides.

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MRI cervical spine performed 01-June-2009 showing huge PCD C3-4 compressing the spinal cord with other disci at C4-5 and C5-6 to lesser degree.

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The patient was sent to perform MRI lumbar and dorsal spine, which could not explain his neurologic manifestations.

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Using image-intensifier  and anterior approach discectomy of C3-4 was performed and meticulous cleaning of the extruded part was achieved until the dura was seen through the disc space. Routine closure of the wound

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Smooth postoperative recovery.

Comments

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The patient dyspnea attacks which could be related with the C3-4 level, for what surgery was performed.

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The patient's spastic lower limbs could be related with extrusion, but time will clarify the cause.

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The aim of surgery is to prevent further deterioration of his neurological losses.

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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 .

     

  

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