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
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cns-clinic.net
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
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 .

25-OCTOBER-2014  AMAL MAHMOUD ABDEL-KAREEM  50 YEARS  EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient was operated by me  28-January-2012 for extruded disci C3-4, 4-5 and 5-6 and she improved for the upper limbs with persisted hypalgesia below C8 left side with weak dorsiflexion both feet 3/5 and planterflexion left foot -4/5. The patient then came 19-October-2014 complaining of LBP with right sciatica for 4 months with further deterioration last 4 weeks. The patient is a known hypertensive for 15 years.

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS 80 degrees with pain both sides. There is weak dorsiflexion right foot 3/5. Dorsiflexion left 4/5 with full power of planterflexion both feet. There is hypalgesia below the knees both sides.

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MRI of the lumbar spine done the same day, showing extruded disc L4-5 with right foraminal occlusion. Dynamic studies were normal and the construct in the cervical spine implanted earlier was acceptable.

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Using C-arm. the L4-5 level was identified. Bilateral foraminotomy of L5 roots was achieved. The extruded disc was removed lateral to the axilla. Inspection of the left side was uneventful. The disc space was very shallow. During the procedure ILLICO retractor with illumination was used. Routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot became normal.

 
ILLICO MSI retractor

 

 

Comments  

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The patient still has an estimated postoperative recurrence below 7%, because the disc space is completely shallow.

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

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


Inomed MER system



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