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
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
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
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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


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09-MAY-2012  AREF MUHAMED ABU-SHAWER  72 YEARS  SEVERE LUMBAR CANAL STENOSIS L2-3, L3-4 AND L4-5.

 

Anamnesis

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The patient  came to the clinic 10-December-2011 complaining of LBP with bilateral sciatica for one year with intermittent claudication after walking  more than 100 meters. MRI lumbar spine performed 01-November-2011 showing severe lumbar canal stenosis at L3-4 and L4-5.

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The patient then came 14-April-2012 reporting that his condition is deteriorating and cannot walk more than 200 meters.

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On examination, the patient is limping with scoliotic stance. SLRS was 95 degrees both sides without pain. Dorsi and planterflexion both feet was -4/5.

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New MRI requested and done 14-April-2012 showing severe lumbar canal stenosis L2-3, L3-4 and L4-5.

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Decompressive laminectomy of L3,4 and lower half of L2 and upper half of L5. Foraminotomy L3,4 5 roots both sides. All the compressive elements were eliminated.

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Routine closure of the wound. Smooth postoperative recovery. Normalization of the power of both feet.

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

Comments

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The patient has progressive lumbar canal stenosis. The earlier the surgical decompression the better the outcome.

 


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 .

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