Munir Elias 20-12-2013

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.fr

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.fr
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tv
neurosurgery.tw
neurosurgeryspine.org

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
glioma.ws
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com
theneuro-oncology.com

Neuroanatomical Sites
diencephalon.info
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
cns-clinic.net
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
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 .

09-FEBRUARY-2015  ABDALLA MUHYIDEEN KUSAYEH  48 YEARS  HUGE EXTRUDED DISC C3-4 WITH RIGHT RIGHT FORAMINAL OCCLUSION AND MALACIA OF THE SPINAL CORD.

 

Anamnesis

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The patient came to the clinic 04-February-2015 complaining of neck pain for 2 years with exacerbation last 2 months with right upper limb pain with numbness all fingers right hand and pain both shoulders. MRI cervical spine done 26-January-2015 bad quality, but showing huge extruded disc C3-4 with right foraminal occlusion and malacia of the spinal cord. The patient underwent stenting  2003 with cover of baby aspirin, concor 5 mg once a day and Lipitor 10 mg daily.

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On examination, the patient is in agonizing pain when turning the head to the right and bending the head to the right shoulder. There is weak grip and extension right hand and the right biceps 4/5. The right triceps muscle 3/5. There is hypalgesia ulnar distribution right hand and the right L5 territory. There is weak dorsiflexion right foot  and right quadriceps muscle right leg 4/5. Hoffmann's sign positive both sides.

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Using the C-arm, the level of C3-4 was identified. Discectomy of C3-4 was performed until the dura was seen entirely more to the right. 0.3 ml Omnipaque was inserted before the trail of 5 was pushed to the C3-4 space. It was evident that the patient has spondylolisthesis C3-4. Using cage 5 mm height and Atlantis Medtronic plate 27x5 mm with 3 screws 4x15 mm and 4.5x15 mm to the left lower corner, fusion of C3-4 was achieved. All stages of surgery were guided with C-arm. Routine closure of the wound.

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Smooth postoperative recovery. The power of the right upper limb became normal immediately after surgery.

 

 

Comments  

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The spondylolisthesis was diagnosed only after insertion of the Omnipaque. From this fact we shall use this step as routine for the future surgeries.

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


Inomed MER system


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

 

 

 

[2015] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved