neurophysiology.ws
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onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
munir.ws

Dr. Ali Al-Bayyati and Dr. Munir Elias

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
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neurosurgery.gallery
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neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
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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
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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
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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


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07-APRIL-2013  AFAF YOUNIS ABU-JUDEH  41 YEARS  EXTRUDED RECURRENT DISC L4-5  WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 04-April-2013 in agonizing LBP with left sciatica the last 3 days with positive cough sign. The patient underwent discectomy L5-S1 1999 for for left sciatica and 2003 for right sciatica.

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MRI lumbar spine done 04-April-2013 showing huge extruded recurrent disc L4-5 with left downward migration.

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On examination: The patient is limping. She cannot stand to evaluate the scoliotic stance, nor normally sleep for proper clinical evaluation. SLRS was 80 degrees in the right and 5 degrees with shooting pain in the left. Almost drop left foot with weak planterflexion left foot 3/5. Weak dorsiflexion right foot 4/5 with analgesia of the left L5 territory and hypalgesia of the left S1 territory.

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Left L4-5 hemiflavotomy with left L5 root foraminotomy. The huge extruded disc material was removed from under the axilla in one big piece. Left side cleaning of the L4-5 disc space.

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Routine closure of the wound. Smooth postoperative recovery.

 

 

Comments

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There is still an estimated postoperative recurrence rate around 7% because the disc space of L4-5 still not shallow.

 

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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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved