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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


 

Multigen RF lesion generator .

20-OCTOBER-2004  ABDEL-MAJEED ISMAEEL RASRAS 55 YEARS EXTRUDED DISC C5-6 AND C6-7.

 

Anamnesis

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The patient came to the clinic 06-June-2004 complaining of neck pain with left shoulder pain for 2 months with radicular pain left upper limb and hypalgesia ulnar side of the left forearm. MRI cervical spine done 08-June-2004 showing extruded disci C5-6, C6-7. The patient was treated conservatively and came several times and came 17-October-2004 with agonizing neck pain urging for surgery.

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On examination, the patient having neck pain when turning the head to all directions. There is severe weak grip and extension left hand 3/5 and left triceps muscle 3/5. There is hypalgesia of the medial aspect of the left forearm.

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The patient was sent for investigations and MRI cervical spine done 10-August-2004 showing huge extruded disc C5-6 and bulge C6-7.

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Using the C-arm, the level of C5-6 was identified and discectomy of C5-6 was performed and the extruded pieces were removed until the dura was seen at the bottom of the removed disc cavity. The same was done for C6-7. Routine closure of the wound. Smooth postoperative recovery. The power of the upper limbs dramatically improved.

FOLLOW UP

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The patient came to the clinic 30-October-2004 with clean wound and the motor power upper limbs normalized with no sensory deficit.

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The patient then came 02-January-2005 complaining of left upper limb pain with weak grip, extension left hand 2/5 with hypalgesia ulnar side left upper limb. He was sent for investigations with MRI of the soft tissues of the neck, brachial plexus protocol and EMG. There is edema of the left supraclavicular area, which he noticed the last 2 weeks.

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The patient then came 03-March-2005 with MRI done 01-March-2005 showing a tumor expanding all over the left retroclavicular area which could be an abscess. Biopsy was taken, which proved to be adenocarcinoma and was sent for oncologist for further investigations and possible chemo and radiotherapy.

 

Comments

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The recurrence rate in cervical disc surgery is zero. Another disc can cause de novo extrusion.

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In this case mts could be was before surgery and surgery with medications improved him temporarily, or the mts could be de novo after surgery.

 

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


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted 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

LooksCam II in the run.
LooksCam II Xenosys in the run  starting from  14-March-2021 with SheerVision TTL x4 magnification.


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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