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.tv
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10-DECEMBER-2012 AHMAD MUHAMED SALEH 34 YEARS
EXTRUDED DISC C5-6.
Anamnesis
The patient is a doctor came to the clinic 01-December-2012
complaining of left knee pain and neck pain
radiating to the left upper limb after suffering
RTA 15 days ago. 3 days ago he started to
complain of severe neck pain with right upper
limb pain with numbness of the thumb of the
right hand with positive cough sign.
On examination: the patient
has pain when looking to all directions with
weak grip and extension right hand 4/5 and right
triceps muscle 4/5. There is hypalgesia of the
thumb and index fingers right hand.
MRI of the cervical spine
done 02-December-2012 showing huge extruded disc
C5-6 with compression of the spinal cord more to
the right.
Discectomy of C5-6 with
removal of the extrusion until the dura was
seen. A 6.1x12x15 mm Fidji cage was inserted
with NovaBone. A 22 mm length one level
Trinica plate with 4 fixed 14 mm length screws
were used to perform fusion of C5-6.
Routine closure of the
wounds. Smooth postoperative recovery.
The power of the right upper limb became normal.
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Comments
The patient got traumatic
extrusion, which escalated 3 days after the
insult. This means that the extrusion could take
place after several days after the injury.
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