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 .

19-FEBRUARY-2015  ASEM ABDALLA UMAR  63 YEARS HUGE EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

bullet

The patient came to the clinic 09-February-2015 complaining of left sciatica down to all toes left foot with numbness of the II-V toes left foot. The patient had similar episode 30 years ago and resolved. MRI lumbar spine performed 17-January-2015 showing extruded disc L4-5 with left foraminal occlusion with bulge L5-S1. The patient is a known diabetic for 5 years and hypertensive for 10 years, underwent Labcholi 8 months ago. The patient receiving Baby aspirin.

bullet

On examination, the patient is in agonizing pain limping with exaggerated scoliotic stance with SLRS 15 degrees with pain left side with weak dorsiflexion left foot 0/5 and right foot 3/5. There is hypalgesia left L5 and S1 roots.

bullet

The patient sent for investigations: MRI lumbar spine done 18-February-2015 showing huge extruded disc L4-5 with left foraminal occlusion and bulge L3-S1. Dynamic studies performed before surgery ruling out instability.

bullet

Using the C-arm, the level of L4-5 was identified. Foraminotomy left L5 root with subaxillary removal of the huge extrusion. Left sided cleaning L4-5 disc space. Routine closure of the wound.

bullet

Smooth postoperative recovery. The power of the both right became normal immediately after surgery, but the left foot dorsiflexion slightly improved..

 

 

Comments  

bullet

The patient still has an estimated postoperative recurrence around 7%.

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

 

 

 

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