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
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20-JANUARY-2014 HAMAD MUHAMED FATTOOT 70 YEARS SEVERE
CERVICAL CANAL STENOSIS C3-4, 4-5 AND C5-6 WITH COINCIDENTAL CAVERNOUS ANGIOMA
RIGHT OCCIPITAL LOBE.
The patient came to the clinic 09-January-2014
complaining of numbness of the four limbs for 1
year with difficult walking with progressive
course MRI cervical spine done recently showing
severe cervical canal stenosis C4-5 and C5-6
with malacia of the spinal cord. Lumbar MRI done
21-October-2013 showing severe lumbar canal
stenosis L2-3, 3-4 and L4-5.
On examination; the patient walking with help of
2 persons, for what Romberg position was
ignored. There is limitation of neck movement to
all directions. There is severe atrophy
interossii both hands more the right with
anaesthesia below elbows both upper limbs with
weak biceps 4/5 and below muscles 3/5 both upper
limbs. Hoffman positive both sides. There
is pronounced weak both lower limbs 4/5 left
foot and -3/5 right leg with exaggerated
deep reflexes. Diabetic neuropathy both
The patient was sent for MRI of the brain which
was done 19-January-2014 showing a cavernous
angioma of the right occipital lobe receiving
feeder from the posterior choroidal artery.
There is periventricular changes compatible with
Decompressive laminectomy of
C3,4,5,6 and upper 2/3 of C7 with preservation
of the spinous process of C7. There was no
epidural fat. Routine closure of the wound.
recovery. The patient improved dramatically
The patient has progressive cervical canal
stenosis. The sooner the surgical intervention,
the better the postoperative outcome.
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Notice: Head injuries and very urgent surgeries are also
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