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 .

02-APRIL-2015  FUAD FAROOQ ASLAN  53 YEARS  HUGE RECURRENT EXTRUSION L4-5 WITH LEFT UPWARD MIGRATION AND DISCITIS.

 

Anamnesis

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The patient was operated by me 11-March-2015 for huge extrusion L4-5 with left downward migration. The patient then came 21-March-2015 with improvement and sent home. The patient then came 25-March-2015 telling that after shower got a generalized rash with severe LBP and fever without sciatica. After interrogation about the medication, it seems that he was receiving Augmentin 625 mg once a day after surgery. All medications were stopped and Zinnat 500 1x2 started and sent for lab investigations. WBC was 11.8, ESR 57 mm/h and CRP 18 mg/L. The patient then came 31-March-2015 with LBP without sciatica with no rash. SLRS was 40 degrees with pain in the left. There is weak dorsiflexion left foot 4/5. The patient was sent for MRI  and Lab investigations, which were done 31-March-2015 showing discitis with huge recurrence with left upward migration.

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The old incision refreshed. There is no pus in the field. Foraminotomy left L4 root. The swollen friable extruded disc was removed until the axilla of the left L4 root was seen. Further cleaning of the intradiscal swollen disc material. Subaxillary inspection of the left L5 root.  Routine closure of the wound.

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Smooth postoperative recovery. The power of left foot became normal.

 

 

Comments  

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The patient still has an estimated postoperative recurrence around 7%.

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MRI after surgery most of the time is misleading. There was no pus in the field and the recurrence was full of swollen disc fragments.

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It is better to explore the area instead of loosing a protracted period of time guessing what actually is going inside.

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

 

 

 

[2015] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved