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 .

29-JUNE-2015  AMIRA HASAN BARAKAT  DISKITIS OF  L5-S1 AFTER PERFORMED THIRD SURGERY FOR THE RECURRENT EXTRUSION.

 

Anamnesis

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The patient was operated by me 22-June-2015 for second recurrence of L5-S1 with left downward migration. The patient was doing well until the fourth postoperative day. After that she started to complain of agonizing pain in the hips more the left with inability to stand. She was admitted urgently at the night of 29-June-2015. MRI lumbar spine showed diskitis of L5-S1 with fluid collection under the skin and muscles and circumferentially around the annulus fibrosis. CRP was 198 mg/L  and ESR 72 mm/h and WBC  11.000. Samixon 1 gm I/V was started twice a day.

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On examination; the patient cannot walk and in agonizing pain. The wound externally was looking acceptable. There is pain upon inspection of the SIJ both sides more the left. There is no neurologic deficit. There is no fever.

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The old incision was opened and after removing the subcuticular stitches a gush of orange fluidly pus  came out. It was sent for all types of CXS. The wound was explored and the disc space was empty after evacuation of the fluid. Further distal cleaning of the right side of the disc space from the left. The disc material was swollen and friable. Debridement of the wound and a 1 gm of Vancomycin powder was inserted to disc cavity. The wound was closed with less irritant materials and the wound was closed using nylon 3 zero.

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Smooth postoperative recovery. The patient was sent to the floor.

 

 

Comments  

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The patient during the first visit and after performing the investigations was advised to start Zinnat 500 twice a day. In the record there are missing data why I prescribed this antibiotic, but usually I prescribe it when suspecting a nidus of infection.

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

 

ISIS 32 channel Inomed IOM system for intraoperative neurophysiologic navigation running since 2007.

 

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

 

 

 

[2015] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved