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 .

 

31-JANUARY-2008  HANAN MUHAMED ZEDAN  45 YEARS  HUGE RECURRENT PLD L4-5 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the clinic 29-January-2008 with agonizing right sciatica and LBP for three months.

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The patient was operated elsewhere June-2006 for the same sciatica and discectomy of L4-5 was performed. The patient noted slight improvement of her sciatica.

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MRI performed 23-January-2008 showing huge recurrence at L4-5 with right downward migration.

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On examination: the patient is limping and has scoliotic stance. SLRS was 45 degrees in the right and 75 degrees in the left with radiating pain to the right leg. The patient had almost drop right foot with weak dorsiflexion right foot 1/5. There was numbness at S1 root territory right side.

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The old incision was completely above the projection of the problem, for what another incision was performed under the old incision.

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Neurolysis of the right L5 root was achieved and the extruded disc was removed lateral to the axilla.

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Meticulous cleaning of the disc space of L4-5 from the right. Inspection under the axilla for remnant of the extrusion was negative.

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Routine closure of the wound and smooth postoperative recovery with normalization of the power of the right foot.

Comments

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Foraminotomy of the involved root must be done in all disc surgeries to be sure that there is no remnant left under the axilla.

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The skin incision must be adequate so as to ease the surgery. Working with inadequate skin incision, could mislead the surgeon and make the angle of vision more difficult.

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The annulus fibrosis was widely violated from the first surgery, but the disc height was narrower, these controversies make the expected rate of re-recurrence around 5-7 %.

 

 


Back Up!


 

     

  

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 

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