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.tv
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25-MARCH-2010 LAYLA ABDEL-HAFEZ AL-NIJDAWI 46
YEARS EXTRUDED DISC c5-6 WITH COMPLETE OCCLUSION OF THE LEFT FORAMEN.
Anamnesis
The
patient was
admitted urgently to the Shmaisani hospital
24-March-2010 with agonizing pain in the neck
and left shoulder and upper arm for several
hours.
The patient was
complaining of tolerable neck pain for 1 year.
RF was positive. But ESR and CRP were normal.
On examination: the
patient is in severe agonizing pain with
inability to move her neck with severe weak all
muscles of the left upper limb.
MRI of the cervical
spine performed 24-March-2010 showed huge
extruded disc C5-6 with complete fresh occlusion
of the left foramen.
Using image-intensifier the
level was indentified and discectomy of C5-6 was
achieved after what the extruded disc was
removed from the left foramen in several pieces.
The extruded disc was soft in consistency and it
was possible to remove the fragments with
suction.
Routine closure of the wound.
Smooth postoperative
recovery, and the power of left upper limb
improved.
Comments
The patient had extruded disc
with complete obliteration of the left C5-6
foramen with superacute course, that necessitate
urgent intervention.
One level discectomy usually
not necessitate insertion of cages or fixation
as in the case performed 2 days ago.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
