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
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cns-clinic.net
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
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 .

16-SEPTEMBER-2014  JAMIL YOUSEF SAWAQED  68 YEARS SPONDYLOLISTHESIS C7-D1 WITH SEVERE CERVICAL CANAL STENOSIS C3-4, 4-5, 5-6 AND C6-7.

 

Anamnesis

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The patient came to the clinic 14-September-2014 complaining of four limbs pain with difficult walking with deterioration last year, that he is using crutches the last 2 months. He is a known hypertensive for 10 years and underwent surgery 2009 and 2010 in the lumbar area elsewhere. MRI lumbar spine done 30-September-2013 showing laminectomy L4 and L5, but the data are bad quality. Cervical MRI performed the same day, better quality showing spondylolisthesis C7-D1 with malacia of the spinal cord with severe cervical canal stenosis C2-3, 3-4, 4-5, 56 and C6-7. MRI of the cervical spine repeated 08-April-2014 showing the same data as before.

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On examination; the patient is using crutches for walking with both deltoid, biceps, triceps and extension of both hands -3/5. The grip both hands 4/5. There is hypalgesia below C3 both sides. Weak dorsi and planterflexion both feet 4/5. The right quadriceps 4/5 and the left 3/5. SLRS was 20 degrees in the right and 20 degrees in the left due to weakness. All deep reflexes are exaggerated and Babinski positive both sides with brisk clonus more the left foot.

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Anterior fusion of C7-D1 using Alphatec spine cervical plate one level 22 mm length and 4 monoaxial screws 16 mm length. The wound was closed. The patient then was repositioned and decompressive laminectomy of C3,4,5,6 and partial of C2 and C7 was achieved trying not to cause surgical trauma to the spinal cord. Routine closure of the wound.

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Smooth postoperative recovery. The power of the four limbs dramatically improved after surgery.

 

 

Comments  

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The patient has a lot of problems which needed surgical correction. Anterior fusion of C7-D1 is more reliable than posterior, for what it was done in the first stage. Decompression was done after repositioning the patient.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

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.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014


Inomed MER system



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

 

 

 

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