Dr. Fuad Al-Masri Syrian neurosurgeon.

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

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08-JULY-2013  ABDALLA HMEID MUHAMED MDAES  60 YEARS  EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL AND EXTRAFORAMINAL MIGRATION.

 

Anamnesis

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The patient came to the clinic 06-July-2013 complaining of left sciatica sciatica for 15 days down to the big toe left foot with positive cough sign.

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MRI lumbar done in Yemen bad quality 27-June-2013 showed extruded disci L2-3, L3-4, L4-5 and L5-S1.

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On examination: the patient is limping with exaggerated scoliotic stance with SLRS 90 degrees with pain in the left. Weak dorsiflexion left foot 2/5 and planterflexion same foot 4/5. There is dyseasthesia left left L5 and S1 territories.

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MRI repeated 07-July-2013 showing lumbar canal stenosis L2-3, L3-4 and L4-5 with extruded disc L5-S1 with left foraminal occlusion and left extraforaminal extension.

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Laminectomy L5 with foraminotomy left L5 and S1 roots. The extruded disc of L5-S1 was removed lateral to the axilla of S1 root. Left sided cleaning L5-S1 disc space. The extruded extraforaminal part was removed and the left L5 root was followed down to be seen at the L5-S1 annulus fibrosis level.

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Routine closure of the wound. Smooth postoperative recovery. The power of the left foot became normal with regression of the left sciatica.

 

 

Comments

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The patient has several problems, some of them are old and others are recent. Dealing with the recent problem is the wise decision.

 

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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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