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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

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Neuro ICU Site
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Neurovascular Sites
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Personal Sites
cns-clinic.net
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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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02-JULY-2013  FAHED ABDALLA HUSSEIN AL-KULABI  27 YEARS  EXTRUDED DISC L3-4 WITH WITH DOWNWARD MIGRATION MORE TO THE LEFT.

 

Anamnesis

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The patient came to the clinic 01-July-2013 complaining of LBP for 45 days with left sciatica and drop left foot for 4 week.

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MRI lumbar spine done 18-May-2013 showed huge extruded disc L3-4 with severe stenosis at this level.

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On examination: The patient was limping with exaggerated scoliotic stance. Using crutches for 3 weeks. SLRS was 10 degrees with pain in the right and zero degree with more pain in the left. Weak dorsiflexion right foot 3/5. Complete drop left foot with weak paralysis of planterflexion 1/5. There is analgesia left L5 root.

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The patient was sent for new MRI which was done 01-July-2013 showing the extrusion of L3-4 with severe segmental canal stenosis L3-4 and L4-5..

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Decompressive laminectomy L3, L4 and upper 1/4 of the L5. Foraminotomy L4, L5 roots both sides. Cleaning of the extruded disc of L3-4 with intradiscal cleaning L3-4.

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Routine closure of the wound. Smooth postoperative recovery. The power of right foot became better and slight improvement of the left foot.

Follow Up

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The patient progressed discitis 06-September-2013, for what conservative treatment plan for 6 months was started.

 

Comments

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The patient still has an estimated postoperative recurrence around 7%, because the disc space is  still not shallow.

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The flail left foot require several weeks to recover.

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