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
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IOM Sites
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Neurosurgical Sites
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Neurosurgical Encyclopedia
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neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
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ependymomas.com
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glioma.co
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onconeurosurgery.com
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theneuro-oncology.com

Neuroanatomical Sites
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Neuroanesthesia Sites
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Neuroendocrinologiacl Site
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Neurobiological Sites
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Neurohistopathological
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Neuro ICU Site
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Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
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neurophysiology.ws

Neuroradiological Sites
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

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

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
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 .

29-APRIL-2014  KHAWLA RASHED MISWADEH  46 YEARS  HUGE EXTRUDED DISC D12-L1 MORE TO THE LEFT.

 

Anamnesis

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The patient came to the clinic 19-April-2014 complaining of LBP with left sciatica for 6 months, then bilateral the last months and now more to the right. MRI lumbar spine done 15-March-2014 showing huge extruded disc D12-L1 with bulge D11-12, L3-4, L4-5 and L5-S1

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS was 80 degrees both sides without pain. There is weak dorsi and planterflexion both feet -4/5. Weak also both quadriceps muscles 4/5. MRI of the lumbar spine repeated the same day showing the same data as before, but showing the extrusion more to the left side.

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Using the C-arm, the D12-L1 level identified. Laminectomy lower 3/4th of D12 and upper 1/4th of L1. Discectomy of D12-L1 disc was performed from the left trying to avoid any traction injury to the spinal cord. The centrally extruded huge piece was removed in several pieces until all the fragments were cleaned out. Check of the right side for any extrusion was negative.

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Smooth postoperative recovery. The power of the both legs became normal.

 

 

Comments  

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The patient still has a low postoperative recurrence rate, less than 7%, because the area is not under stress and the disc space height is shallow.

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


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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