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 .

05-OCTOBER-2014  KHALED UTHMAN AL-SIBAEE  72 YEARS  HUGE EXTRUDED DISC C3-4 WITH SPINAL CORD COMPRESSION AND TETRAPARESIS.

 

Anamnesis

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The patient came to clinic 02-October-2014 complaining of neck pain for 2 months with inability to walk and numb four limbs for 1 month. The patient is a known hypertensive for 4 years. MRI cervical spine done 30-September-2014 showing huge extruded disc C3-4 with spinal cord compression and malacia.

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On examination; the patient in wheelchair. There is neck pain when turning the head up and to the right and bending it to both shoulders. The right deltoid and both biceps are 4/5. Grip both hands 3/5 and extension both hands 2/5 weaker in the right. The triceps right-3/5 and the left 4/5. There is hypalgesia from the right C4 and below to include the right lower limb. The deep reflexes are high both sides with Hoffmann sign positive both sides. There is weak both lower limbs -3/5 all muscles more weak in the left side with Babinski positive in the left side.

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Discectomy C3-4 with removal of the all extrusion until the dura was seen behind. Vitatech cervical cage 3x16x6.5 mm inserted. Using cervical plate one level 26 mm with 2 fixed 4x16 mm screws to C3 and 2 screws revision 4.5x16 mm to C4, fusion of C3-4 achieved. Routine closure of the wound.

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Smooth postoperative recovery. The power of all four limbs became normal except the left foot dorsiflexion which improved to +3/5.

 

 

Comments  

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The patient has radiculo-myelopathic syndrome, which functionally improved after decompression.

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