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 .

31-JULY-2010  HUDA JUMA JAMIL HUSSEIN  38 YEARS  VERY HUGE EXTRUDED DISC L4-5 WITH RIGHT 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 10-July-2010 complaining of LBP for 2 years with right sciatica. Exacerbation of the right sciatica the last 5 months. MRI lumbar spine performed 26-August-2008 extruded disc L4-5 and L5-S1 (bad quality).

bullet

On examination: the patient start to limp after a while with scoliotic stance. SLRS was 75 degrees in the right with pain.

bullet

MRI of the lumbar spine performed 11-July-2010 showing very huge extruded disc L4-5 with right downward migration and bulge L5-S1

bullet

Using image-intensifier the L4-5 level was identified and dissection is carried out.  Another check of the level was carried out and it was the L3-4 level, for what the dissection was redirected to L4-5 level. Right side partial flavotomy of L4-5 was done and foraminotomy of the right L5 root was performed. There is no epidural fat at the root territory due to severe compression. The extruded disc was removed in several pieces intentionally to avoid trauma to the severely compressed and stretched root. After removal of all the extrusion, meticulous cleaning of L4-5 disc space was performed from the right.

bullet

Smooth postoperative recovery and improvement of the power of right foot.


Comments

bullet

This estimated postoperative recurrence in this case is more than 7% because the defect in the annulus fibrosis is wide and the disc space is still not shallow.

bullet

When you suspect your level, all the time use image-intensifier, to avoid wasting time and prevent unnecessary dissection and skeletonization. We are trying not to use methylene blue, because it could trigger possible postoperative infection or reactionary changes.


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 .

     WELCOME TO AL-SHMAISANI HOSPITAL
 

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved