neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

Dr. Ali Al-Bayyati and Dr. Munir Elias

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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
e-neurosurgery.com
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
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

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-MAY-2012  AMJAD MUHAMED MISLEH   47 YEARS  HUGE EXTRUDED DISC C5-6 WITH BULGE C4-5 AND C6-7 WITH MALACIA OF THE SPINAL CORD.

 

Anamnesis

bullet

The patient  came to the clinic 08-April-2012 complaining of LBP for 10 years with numbness both legs more the right. He cannot stand for more than 5 minutes. He noticed deterioration the last 2 years with escalation of the right sciatica. MRI lumbar spine performed 07-April-2012 showing severe lumbar canal stenosis L2-3, L3-4 and L4-5. He was complaining also of numbness both ulnar distribution for 4 years.

bullet

On examination, the patient walking bended  with slight neck pain when looking down with weak grip both hands 4/5 and triceps both arms -4/5. There is weak dorsiflexion both feet 4/5. SLRS was 85 degrees with tightness both sides.

bullet

The patient was sent for MRI of the cervical spine, which was done 09-April-2012 showing very huge extruded disc C5-6 with bulge C4-5 and C6-7 with malacia of the spinal cord at the extrusion site.

bullet

Discectomy with osteophytectomy C5-6 until the dura seen all over. Discectomy C6-7 with removal of centrally located extrusion. Insertion of Fidji cervical cage 12x17x6.9 mm to the C5-6 level and 12x17x6.1 mm to the C6-7 level with NovaBone. Trinica 42 mm length cervical plate with 2 variable 16x4.2 mm screws to C5 and four fixed 16x4.2 mm to C6 and C7 were used to fuse C5-6-7. All stages of surgery were performed with image-intensifier.

bullet

Routine closure of the wound. Smooth postoperative recovery and the power of  both upper limbs became normal.

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

bullet

The patient has lumbar canal stenosis and very huge disc C5-6 compressing the spinal cord with malacia of the cord. This take precedence over the problem of the lumbar spine.

 


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

 

 

 

[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved