Dr. Ali Al-Bayyati and Dr. Munir Elias

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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05-JUNE-2002  FIKRY ABDEL-RAHEEM SAABNEH  EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 02-June-2002 complaining of LBP with left sciatica for 23 years. He was operated three times for PLD L5-S1 in 1990 without improvement with subsequent infection. The last 5 months got exacerbation of the LBP and left sciatica.

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MRI lumbar spine done 30-May-2002 showing huge extruded disc L4-5 with left downward migration.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 45 degrees in the right with pain and 30 degrees in the left with more pain. There is missing left AJ with weak dorsiflexion 3/5 and planterflexion 4/5 of the left foot  with hypalgesia left L5 and S1 territories.

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Lower 2/3 ofL4 was done and laminectomy of the remnant of L5 was done with scarolysis. Bilateral L4-5 flavotomy was done because there was severe segmental stenosis at this level. Left L5 foraminotomy was done. The huge extruded disc was removed in one big piece and several small pieces lateral to the axilla. Left sided intradiscal cleaning of L4-5 disc space. The left S1 root was explored

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Routine closure of the wound. Smooth postoperative recovery. The power of the left foot became normal.

 

 

Comments

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There is still an estimated postoperative recurrence above 7%, because the disc space is still not shallow.

 

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.
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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

 

 

 

[2002] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved