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19-AUGUST-2019 ISAM YASEEN ISMAEEL 47 YEARS
HUGE EXTRUDED DISC C3-4 WITH MALACIA OF THE SPINAL CORD AND LEFT
BROWN-SEQUARD SYNDROME.
Anamnesis
The patient came to the hospital with neck pain,
left upper limb pain and numbness both upper
limbs and right leg
since 01-July-2019. The patient was operated 5
years ago for PCD C5-6. MRI cervical spine
performed 03-July-2019 and repeated
07-August-2019 showing huge extruded
disc C3-4 with severe compression of the spinal
cord and malacia of the spinal cord with the
extrusion more to the left. The patient
is a known diabetic for 9 years in medication.
On examination: He is in agonizing pain with
weak left deltoid 4/5, grip left hand 3/5,
extension left hand 4/5 and left triceps muscle
4/5. There is hypalgesia of the right side of
the body, below the right D2 dermatome.
Discectomy of C3-4 with removal
of the extrusion inside the canal was achieved until
the dura was seen relax behind the entire posterior
border of the disc space. OSImplant EOS hybrid 16x14 H6 was
inserted to the disc space. All stages of surgery
were performed with C-arm control. Routine closure of the
wound.
Smooth postoperative recovery. The power
of the left upper limb normalized and the radicular
pain
disappeared.
He was sent to the ward.
Comments
The patient has huge extruded disc with
partial Brown-Sequard syndrome. Surgery is the only solution.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted 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 .
