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 .

27-SEPTEMBER-2014  BADER ODEH AL-KHALIDI  55 YEARS  EXTRUDED DISC C5-6 WITH SEVERE MALACIA OF THE SPINAL CORD.

 

Anamnesis

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The patient came to clinic 24-September-2014 complaining of neck pain for 2 years with left upper limb pain. LBP with left lower limb pain. He is recently diagnosed with diabetes mellitus and has severe decreased hearing right ear for 25 years 10% and the left ear 50% for 8 years. He has prostate hypertrophy in Xatral 10 mg not in regular treatment. MRI lumbar spine done 23-September-2014 showing dehydrated disc L4-5. Dorsal MRI normal, but MRI cervical spine showing severe malacia of the spinal cord with extruded disc C5-6. Even the malacia is so severe and located at the disc level, but suspicion about MS aroused. The patient deny any trauma.

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On examination; the patient using crutches for 2 years, has shuffling gait. There is no neck pain. There is weak grip and extension both hands 3/5. Triceps both arms 3/5. There is hypalgesia below the left D11 and right L3 levels. The deep reflexes both upper limbs are brisk with Hoffmann positive both sides. SLRS was 30 degrees right side due to weakness and 60 degrees left side due to weakness. There is weak all muscles both lower limbs -4/5, more the right leg.

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The patient was sent for MRI of the brain with dynamic studies of the cervical spine. There are no data supporting multiple sclerosis.

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Discectomy C5-6 with removal of the all extrusion until the dura was seen behind. Samarys cervical cage 6x15x12 mm inserted. Using Trestle cervical plate one level 16 mm with four fixed 4x16 mm screws, fusion of C5-6 achieved. Routine closure of the wound.

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Smooth postoperative recovery. The power of all four limbs became normal.

 

 

Comments  

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The patient has radiculo-myelopathic syndrome, which functionally resolved after decompression.

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