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Dr. Fuad Al-Masri Syrian neurosurgeon.

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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18-DECEMBER-2013  AIDA MUHAMED KHALEEL  53 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 08-December-2013 complaining of LBP for 4 months with right sciatica. Exacerbation of the LBP with right sciatica the last month with numbness of all the toes right foot.

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MRI lumbar spine done 02-December-2013 showing extruded disc L5-S1 with right downward migration.

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On examination is limping, in agonizing pain with exaggerated scoliotic stance. SLRS was 40 degrees both sides with pain shooting to the right leg when elevating the left leg. There is weak dorsi and planterflexion right foot -4/5.

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Using C-arm, the L5-S1 level was identified. Foraminotomy right S1 root was achieved. The extruded disc was removed lateral to the axilla. Right sided cleaning of L5-S1 was performed. During the procedure, several endoscopic maneuvers were applied to trade for good illumination and good video recording, but video recording most of the time failed during endoscopic applications.

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Smooth postoperative recovery. The power of the right foot became normal and the agonizing right sciatica disappeared.

 

 

Comments  

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The estimated postoperative recurrence of L5-S1 is still around 7%, because the disc space is still not completely shallow.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
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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

 


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