Munir Elias 20-12-2013

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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06-JANUARY-2014  GHASAN YANES AWADALLAH  48 YEARS  PCD C5-6 WITH HUGE LEFT EXTRUSION AND CENTRAL EXTRUSION C6-7 WITH RADICULO-MYELOPATHIC SYNDROME.

 

Anamnesis

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The patient came to the clinic 24-August-2013 complaining of neck pain for 3 years with numbness both hand when bending the head. The last three months dramatic deterioration with weak both upper limbs more the left.

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On examination: the patient has neck pain when turning the head to the left. There is hypotrophy interossii both hands more the left. All muscles left upper limb 3/5 and right upper limb 4/5. There is hypalgesia of both hands more the left. There is weak dorsiflexion left foot 4/5.

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MRI cervical spine done 29-August-2013 showing disc C5-6 with huge extrusion more to the left with central extrusion of C6-7 with malacia of the spinal cord at these levels.

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Using C-arm, the C5-6 level identified. Discectomy of C5-6 and C6-7 was performed, until the dura was seen at both levels. The extruded disc material was partially calcified and it was necessary to drill out some of its parts. Vitatech cages 6.5 height were inserted to both disc spaces. 2 level 46 mm length bended more at its inferior third to accept the natural curve of the C6-7 area was inserted and using 6 screws 4x16 mm were used to fuse C5-6 and C7. All stages of surgery were done with C-arm control. Routine closure of the wound

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Smooth postoperative recovery. The power of  left foot became normal and the power of both upper limbs improved slightly. 

 

 

Comments  

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The patient has severe compression from the extruded calcified disc. Anterior approach is the adequate solution in this case.

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.


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

 

 

 

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