neurophysiology.ws
neurosurgery.fr
e-neuroradiology.com
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
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-NOVEMBER-2012  AFIFE ALI MUQBIL  73 YEARS  SEVERE LUMBAR CANAL STENOSIS L2-3, L3-4.

 

Anamnesis

bullet

The patient was operated by me 07-January-2010 for PLD L4-5 with secondary segmental stenosis. The patient then came 03-November-2010 complaining of bilateral sciatica with right upper limb pain and numbness of the right hand for what later right carpal tunnel release was done. The patient could walk more than 1 Km and had no motor deficit. MRI lumbar spine done 06-November-2010 showing stenosis of L2-3 and L3-4 with slight stenosis of C5-6, C6-7. Gout was found and conservative treatment was advised.

bullet

The patient then came 22-November-2012 complaining of LBP for 4 months with bilateral sciatica with exacerbation the last month. She cannot walk more than 20 meters.

bullet

MRI of the lumbar spine done 22-November-2012 showing severe lumbar canal stenosis L2-3 and L3-4. Dorsal MRI was normal.

bullet

On examination: the patient is limping as dragging the left leg with exaggerated scoliotic stance. SLRS 60 degrees both sides with pain. There is weak dorsiflexion both feet 4/5. The quadriceps femoris are also weak 4/5.

bullet

Decompressive laminectomy of L2,3 with foraminotomy L3, L4 roots both sides. Dissection was done down until the scar was freely movable. Bilateral flavotomy L1-2. The dura was lacking the epidural fat due to severe compression. Check of the roots for any compression both sides. The bulge disc of L3-4 was contained and it was decided not to violate it.

bullet

Routine closure of the wounds. Smooth postoperative recovery. The power of both feet became normal.

 

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

bullet

The patient has severe lumbar canal stenosis which progressing over the time and it is hard to predict the escalation of the events until the stenosis becoming clinically proven to be corrected by surgery.

bullet

Bilateral flavotomy of L1-2 was done to prevent future escalation of the stenosis at this level.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.


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

 

 

 

[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved