neurophysiology.ws
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pituitaryadenoma.net
meningiomas.org
munir.ws

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
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IOM Sites
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Neurosurgical Sites
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Neurosurgical Encyclopedia
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Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
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ependymomas.com
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glioma.co
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neurooncology.me
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theneuro-oncology.com

Neuroanatomical Sites
diencephalon.info
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Neuroanesthesia Sites
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Neuroendocrinologiacl Site
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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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12-JUNE-2013  HALIMEH NIJEM SHAREEF  47 YEARS  RECURRENCE OF C5-6 WITH PCD C6-7 WITH LEFT RADICULOPATHY.

 

Anamnesis

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The patient came to the clinic 09-June-2013 complaining of neck and left shoulder pain, 5 months after performed discectomy C5-6 in Turkey in June-2011.

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MRI of the cervical spine done 07-February-2013 showing complete collapse of C5-6 with extruded recurrence at C5-6 left side with minimal extrusion C6-7 left side.

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On examination: The patient has pain when turning the head to the right, up and down and bending the head to the right shoulder. There is weak grip and extension of the left hand 4/5 with weak left triceps muscle 3/5.

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MRI of the cervical spine was repeated 09-June-2013 with dynamic studies confirming the presence of recurrence at C5-6 and extrusion at C6-7.

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Discectomy C5-6, C6-7. Insertion of Fidji cervical cages: 12x15x5.3 to C5-6 level and 12x15x6.1 mm to C6-7 level. Using Zimmer Trinica 2 level cervical plate 42 mm length, 4 variable 14x4.2 mm screws and 2 fixed 14x4.2 mm screws, fusion of C5-6-7 was achieved, using NovaBone during that.

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

 

 

Comments

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The cause of the recurrence at C5-6 was the total collapse of C5-6 space. Insertion of a cage can prevent such an event.

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Correction of the mal-alignment with fixation can improve the patient condition.

 

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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved