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 .

28-MAY-2014  ABDEL-HAKIM WAHEED AL-JOHARY  57 YEARS  EXTRUDED DISC L2-3 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 27-May-2014 complaining of left sciatica with LBP for 3 weeks with pain to above and below the left knee with sudden onset. CT-scan of the lumbar spine done  10-May-2014 showing spondylolisthesis L4-5. MRI lumbar spine done 17-May-2014 showing very huge extruded disc L2-3 with left far downward migration.

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On examination; The patient is not limping. SLRS was 85 degrees in the left with pain. There is weak dorsiflexion left foot 4/5 and the left quadriceps +4/5. The left knee jerk is diminished.

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Using image-intensifier, the L2-3 level was identified. Left sided L2-3 hemiflavotomy with hemilaminectomy upper half of L3 was done. The extruded disc was removed far down the axilla in 2 pieces. Foraminotomy of the left L3 root. Left sided cleaning L2-3 disc space.

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Smooth postoperative recovery. The power of left foot became normal.

 

MRI showing the huge extrusion of L2-3 with left far downward migration reaching the L3-4 level.

 

Comments  

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The patient has many problems with spondylolisthesis of L4-5 I degree. In this case it is preferable to deal with the essential problem, which is causing the clinical manifestations, which is the extruded disc at L2-3.

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The estimated postoperative recurrence is still around 7%, because the disc space is still not shallow.

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The patient has also antelisthesis L2-3, but the segment was stable. How much this is important, time will tell.

 

 

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


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

 

 

 

[2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved