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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator
14-JULY-2014 FATHIYEH HASAN AL-JAWAD 68 YEARS
HUGE EXTRUDED DISC C5-6 WITH SEVERE MALACIA OF THE SPINAL CORD MORE TO THE
The patient came to the clinic 12-July-2014
complaining of neck pain for 5 months with right
upper limb pain for 1 year. MRI cervical spine
done 01-March-2014 showing huge extruded disc
C5-6 with severe spinal cord compression. and
malacia of the spinal cord with right foraminal
On examination; the patient has neck pain when
looking up. Weak grip, flexion right hand and
right triceps 2/5. There hypalgesia of the right
hand with numbness all fingers right hand. There
is also weak right leg: quadriceps 4/5, dorsi
and planterflexion right foot 4/5. Dorsiflexion
left foot 4/5. SLRS was 30 degrees in the right
due to weakness.
The patient was sent for new investigations,
which were performed 13-July-2014: MRI cervical showing
huge extruded disc C5-6 with severe compression
and malacia of the spinal cord with right
The C5-6 level identified. Discectomy C5-6 with
removal of all extrusion until the dura was seen
at all entire resected posterior longitudinal
ligament. Samarys cervical cage 17x13x6 mm was
inserted to the disc space. Trestle cervical
plate one level 16 mm with with four
screws fixed 4x14 were
used to fuse C5-6. All stages of surgery
done with C-arm control. Routine closure of the
Smooth postoperative recovery. The power of the
right upper and lower limbs became normal. The
power of the left foot improved.
The cervical extrusion was compressing
the spinal cord with malacia of the spinal cord. The
morphologic changes of the spinal cord will stay permanent
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .