Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity.

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

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 .

16-FEBRUARY-2017  AHMAD AZHAR MAHMOUD  52 YEARS  EXTRUDED HUGE DISC C4-5, C5-6 AND TO LESSER DEGREE THE C6-7MORE TO THE RIGHT WITH MALACIA OF THE SPINAL CORD WITH RIGHT BROWN-SEQUARD  SYNDROME.

 

Anamnesis

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The patient's relatives came to the clinic 12-February-2017 complaining of inability to walk for 12 months. They mentioned that he has profound weakness of the right upper and lower limbs. MRI of the brain showed scattered infractions of no significance with MRI of the cervical spine showing huge extruded disc C4-5, C5-6 and to lesser degree the C6-7. The extrusions were more in the right side with malacia of the spinal at these levels. There is OPLL at these levels. The patient has arterial hypertension for 2 years, under treatment. The patient is deteriorating gradually with difficult of urination for 16 months and difficult defection the last 10 days.

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On examination during admission, the patient can walk with walker with difficulty, the grip of the right hand 2/5, the left hand 4/5. extension right hand 2/5, left hand 3/5, triceps both arms 3/5, weak dorsiflexion right foot 3/5, left foot 4/5, planterflexion right foot 4/5, left foot 5/5. There is hypalgesia left lower limb. Hoffmann positive both sides. Babinski positive both sides with brisk clonus both lower limbs.

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Discectomy C4-5 and C5-6 until the dura was seen in the entire posterior aspect. 2 cages CFRP 6 standard with bone graft ATLANTIK Genta were inserted to the disc spaces. Skyline plate 38 mm with 2 fixed screws 14 mm to C5 and 4 variable screws 16 mm to C4 and C6 were used to fuse C4-5-6. Routine closure of the wound.

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Smooth postoperative recovery. The power of four limbs dramatically improved after recovery and he was sent to the ward.

Follow Up

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The patient the same day after several hours regained full power of all extremities and and the next day telling the sensation in the left leg has returned and urination normalized. This dramatic postoperative recovery is not the rule after such surgery.

 

 

Comments  

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The patient is deteriorating and surgical decompression associated with long run medications is the only solution.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

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.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 


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

 


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