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


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

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.

 

Anamnesis

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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.

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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 feet

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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 amyloid encephalopathy.

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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.

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Smooth postoperative recovery. The patient improved dramatically after recovery.

 

 

Comments  

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The patient has progressive cervical canal stenosis. The sooner the surgical intervention, the better the postoperative outcome.

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

 

 

 

[2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved