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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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IOM Sites
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Neurosurgical Encyclopedia
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Neuroanatomical Sites
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Neuro ICU Site
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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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26-JULY-2013  GHASAN MITHQAL DHEMISH  40 YEARS  HUGE EXTRUDED RECURRENCE L5-S1 WITH RIGHT FORAMINAL COMPRESSION.

 

Anamnesis

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The patient was operated by me 18-March-2013 for huge extruded disc L5-S1 with foraminal occlusion. He is living in Vietnam and after arriving there, he started to complain of the same sciatica and he was advised to repeat MRI which was not done. The patient then came 21-July-2013 telling that the sciatica disappeared the last month, but he continued to complain of LBP when standing and turning.

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On examination: the patient is not limping with less scoliotic stance. SLRS was 90 degrees both sides. There is no motor or sensory deficit.

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The patient was sent for new MRI lumbar spine which was done 22-July-2013 showing huge recurrence of L5-S1 with right foraminal occlusion and upward migration.

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Scarolysis with foraminotomy right S1 root. The extruded disc with slipped annulus fibrosis were removed lateral to axilla. Right sided intradiscal cleaning L5-S1 disc space. It seems the patient has minor degree of L5-S1 spondylolisthesis.

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Routine closure of the wound. Smooth postoperative recovery. The patient showed escalation of an agonizing left sciatica and the sciatica of the right side disappeared.

 

 

Comments

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The patient still has an estimated postoperative recurrence less than 7%, because the disc space is shallow, but still not complete.

Leica HM500

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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