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
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
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 .

23-JANUARY-2014  ABDEL-RAHMAN HUWAYEL AL-KHLEWEE 62 YEARS  SEVERE CERVICAL CANAL STENOSIS C5-6, 6-7 WITH OLD EXTRUDED DISC C5-6 RIGHT SIDE.

 

Anamnesis

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The patient came to the clinic 20-January-2014 complaining of ataxic gait and numbness four limbs less the right upper limb for 5 years with difficult walking with progressive course MRI cervical spine done 19-January-2014 showing severe cervical canal stenosis C5-6 and C6-7 with malacia of the spinal cord with old extruded disc C5-6 right side.

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On examination; the patient has wide based gait. Romberg position- swaying to all directions. There is limitation of neck movement to all directions with pain. There is severe atrophy interossii both hands with anaesthesia left ulnar distribution with weak grip both hands 4/5 and extension both -3/5, both triceps 2/5. Hoffman  positive both sides. There is pronounced weak both lower limbs 3/5 left foot and -3/5 right leg  with exaggerated deep reflexes.  Diabetic neuropathy both feet. Babinski ? right side.

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Decompressive laminectomy of C4,5,6 and upper 3/4 of C7 with preservation of the spinous process of C7. Foraminotomy right C6 root and inspection of the C5-6 extrusion was bony hard. There was no epidural fat. Routine closure of the wound.

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Smooth postoperative recovery. The patient showed dramatic improvement.

 

 

Comments  

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The patient has progressive cervical canal stenosis. The sooner the surgical intervention, the better the postoperative outcome.

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.


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