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 .

30-SEPTEMBER-2014  JIHAD MAHMOUD FARASH  40 YEARS HUGE EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION AND BULGE L4-5 MORE TO THE LEFT.

 

Anamnesis

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The patient came to clinic 29-Sptember-2014 complaining of LBP with left sciatica for 5 years with exacerbation last 2 months and further deterioration last 20 days after physiotherapy. MRI lumbar spine done 19-July-2014 showing bulge L4-5 and extruded disc L5-S1 with left foraminal occlusion.

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On examination; the patient is limping walking with aid and using crutches for with exaggerated scoliotic stance. SLRS 30 degrees with pain in the left and 75 degrees in the right. There is almost drop left foot.

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MRI repeated today showing further enlargement of the L5-S1 extrusion with same bulge of L4-5.

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Skeletonization of L5, upper sacrum and lower third of L4 laminae. There is recent fracture of the upper sacrum at its spinous process, for what C-arm was used to check level. Foraminotomy both S1 roots and left L5 root. Bilateral cleaning of the extruded disc L5-S1 with bilateral intradiscal cleaning of its space. Inspection of the extruded disc of L4-5 from the left showed old changes without mobile material, for what it was decided not to violate the disc material. Instead, good decompression of the root canal was achieved. Routine closure of the wound.

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Smooth postoperative recovery. The power of the left foot became better.

 

 

Comments  

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The patient still has an estimated postoperative recurrence around 7%, because the disc space is still not completely shallow.

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If both disci were violated then the recurrence rate would be around 30%.

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The fractured elements of upper sacrum could not be figured by MRI.

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

 

 

 

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