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


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05-FEBRUARY-2014  AHMAD MUHAMED AL-MISRATY  75 YEARS  SEVERE CERVICAL CANAL STENOSIS C3-4, C5-6 AND C6-7 WITH MALACIA OF THE SPINAL CORD.

 

Anamnesis

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The patient came to the clinic 28-January-2014 complaining of inability to move the four limbs for 4 years with left sciatica with deterioration the last 6 months. He underwent laminectomy L4-5 in UK 1977. Cardiac cath done 2010.

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On examination; the patient is limping and dragging the left leg with exaggerated scoliotic stance. He has hypotrophy of both interossii muscles both hands. The grip of both hands 5/5, extension both hands 4/5. Triceps both upper limbs -3/5. Quadriceps both lower limbs 5/5, dorsiflexion left foot 0/5, right foot 4/5, dorsiflexion right foot 4/5 planterflexion left foot -4/5. SLRS was 80 degrees without pain both sides.

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The patient sent for MRI of the brain, cervical, lumbar and dynamic X-ray of the lumbar spine and done 28-January-2014 showing the small scattered lacunar infarctions of both cerebral hemisphere. MRI cervical spine showed severe cervical canal stenosis at C3-4, C5-6 and C6-7 levels with more compression from the posterior elements with malacia of the spinal cord. There is  assimilation of C4 and C5. MRI lumbar spine showing lumbar canal stenosis at L1-2, 2-3, 3-4 and L4-5.

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Decompressive laminectomy of C3,4,5,6 and upper 1/3 of C7 with preservation of the spinous process of C7. There was no epidural fat. Routine closure of the wound.

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Smooth postoperative recovery. The patient showed dramatic improvement of the power of four limbs. 

 

 

Comments  

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

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When there is stenosis of the cervical and lumbar spine, the cervical pathology take precedence in surgical treatment.

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