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.tv
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
12-SEPTEMBER-2014 HALIMEH AL-AZHARYY MUNIR 80
YEARS SEVERE LUMBAR CANAL STENOSIS L4-5 WITH POSSIBLE SEGMENTAL MOBILITY.
Anamnesis
The patient came from Libya 09-September-2014
and admitted to Shmaisani hospital
complaining of LBP with left sciatica for 3
years with bilateral sciatica with
numbness both lower limbs at L5 and S1
territories. MRI
done 09-September-2014 showing severe lumbar
canal stenosis L4-5. The patient is a
Parkinsonian patient for 1 year without
treatment.
On examination; the patient is bedridden with
Foleys catheter. She was using wheelchair for 6
months. She has tremor four limbs more the left
side. She had chronic constipation for long time
and high enema was needed to ease her abdominal
pain. SLRS was 30 degrees both sides with pain.
Weak dorsi and planterflexion both feet 2/5 with
analgesia both L5 and S1 territories.
Senimet 250/25 1/2 tab 3 times a day was started
and blood transfusion was given before surgery
to correct the anemia.
Decompressive laminectomy lower half of L4
and upper half of L5. Foraminotomy L5 roots
both sides. All the compressive elements were
eliminated. Routine
closure of the wound.
Smooth postoperative recovery. The power of the
feet still the same.
Comments
The patient has severe weak both feet
within long period of time. The sooner the intervention, the better the recovery.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .
