neurophysiology.ws
neurosurgery.fr
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
munir.ws

Dr. Fuad Al-Masri Syrian neurosurgeon.

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
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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Multigen RF lesion generator .

22-AUGUST-2013  BASEM MAHMOUD AL-LOWZI  54 YEARS  EXTRUDED DISC L4-5 WITH BILATERAL SCIATICA.

 

Anamnesis

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The patient came 20-July-2010 complaining of LBP with bilateral sciatica for 1 year. The last month at that time, got neck pain and pain right upper limb with numbness of the index finger right hand. The patient was not limping with weak grip and extension of the right hand and weak triceps muscle right side 4/5. There was hypalgesia index right hand. MRI cervical done 21-July-2010 showed small extrusion C5-6, C6-7 and the patient was treated conservatively.

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The patient then came 14-August-2013 telling that the LBP exacerbate the last 2 months with bilateral sciatica, more the right. The patient is limping walking bended anterior with exaggerated scoliotic stance.

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On examination the patient has weak dorsiflexion both feet 3/5 and planterflexion both feet +3/5. SLRS was 25 degrees right and 35 degrees left with pain more in the right. AJ was absent both sides. The patient is diabetic.

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MRI lumbar spine performed 17-August-2013 showing wide based extruded disc L4-5 with downward migration, more to the left resulting in segmental stenosis at this level.

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Laminectomy L4 with foraminotomy both L5 roots. Bilateral cleaning L4-5 disc space.

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Smooth postoperative recovery. The power of both feet became normal.

 

 

Comments

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The estimated postoperative recurrence is around7-15% because the disc space height is still high. In case of recurrence fusion is advised.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
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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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved