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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.tv

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Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

10-SEPTEMBER-2012  HASSAN AHMAD AL-SAUD  44 YEARS  PCD C6-7 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 06-September-2012 complaining of left shoulder pain for 45 days with minimal neck pain. The pain then increased to involve the ulnar territory of the left upper limb.

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MRI cervical spine done 16-August-2012 showing PCD C6-7 with left foraminal occlusion.

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On examination, the patient in agonizing pain  and has pain when looking to the left and bending the head to the left shoulder and tightness when looking down. There is weak grip and extension left hand 4/5 and the left triceps 3/5.

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MRI repeated 08-September-2012 showing the same data and a small extrusion in the right side at C6-7 level.

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Discectomy of C6-7 with osteophytectomy until the dura was seen from the most lateral aspects both sides. Fidji cage 12x17x5.3 mm was inserted to the disc space with Novabone. Using Trinica plate 22 mm one level and 4 screws 14x4.2 mm fixed type were used to fuse C6-7. All stages of surgery were performed using C-arm.

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

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient has extruded disc with foraminal occlusion. Surgical decompression with stabilization is the appropriate solution and recurrence in this case is zero.

 

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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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