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 .

28-SEPTEMBER-2014  LIZA ANTONY AZER  74 YEARS  SPONDYLOLISTHESIS L4-5 WITH COMPLETE SEGMENTAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 20-September-2014 complaining of LBP with bilateral sciatica for 2 years more to the right with numbness big toe left foot. The patient is a known hypertensive for 8 years and diabetic for 3 years. MRI lumbar spine done 01-September-2014 showing spondylolisthesis L4-5with severe stenosis L4-5. MRI cervical spine showing bulge C5-6.

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On examination; the patient is not limping with exaggerated scoliotic stance. SLRS was 70 degrees with pain in the right and 85 degrees in the left with pain. Weak dorsiflexion both feet 4/5.

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Skeletonization of L3,4,5 and upper sacrum. Inspection of the spine: L4-5 is flail. Foraminotomy of right L4 and L5 root with discectomy L4-5 from the right with insertion of TL cage 8x25x40x8 mm. Pin point dural defect took place from the right side and it was repaired with 6 zero nylon. Trendelenburg position and Valsalva maneuver applied. No CSF leak. XIA 3 monoaxial screws 6.5x45 were inserted to the L4 body and 2 long arm 6.5x45 mm to L5. Decompressive laminectomy L4-5. 2 bended rods were used with cross connector MAC 42 mm length with allograft were used to obtain transpedicular fixation L4-5 Slight compression was applied at the level of L4-5. The harvested bone was applied lateral to the rods. Routine closure of the wound.

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Smooth postoperative recovery. The power of both feet became normal.

 

 

Comments  

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The patient has a lot of problems which needed surgical correction.

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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