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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15-MAY-2012 MAHMOUD SALEEM UMAR 65 YEARS
SEVERE LUMBAR CANAL STENOSIS L4-5.
Anamnesis
The
patient came to the clinic 19-September-2010
complaining of LBP for three months and numbness
big toe with right sciatica for months.
On examination at that time, the patient was
limping had
scoliotic stance with hypalgesia below right
knee and weak dorsiflexion right foot 4/5. The
right AJ was absent. The patient was sent for
investigations. He came 25-September-2011 with
MRI lumbar spine performed 22-September-2011
showing severe lumbar canal stenosis
The
patient then came 12-May-2012 complaining of
the same data mentioned above with micturition
problems for 4 months and weak left foot
dorsiflexion 4/5 and right foot -4/5. with
hypalgesia right L5 territory.
Decompressive laminectomy L4
and upper half of L5. The kissing facets were
drilled out parallel to the ligamentum flavum.
Foraminotomy both L5 roots. The epidural fat was
missing at the compressed areas. Inspection of
the disc posterior border was uneventful.
Routine
closure of the wound. Smooth postoperative
recovery and the power of the feet became
normal.
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Comments
The patient has lumbar
canal stenosis, the sooner the surgical
decompression, the better the outcome.
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 .
