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
The patient a known diabetic came to the clinic
16-April-2006 complaining severe agonizing LBP with bilateral
sciatica with inability to walk with drop left foot. The patient was
sent to perform MRI of the lumbar spine, which proved to have
discitis of L4-5 after 2 surgeries, one performed 2004 and the last
4 weeks ago by other neurosurgeon. The patient was treated by
dalacine-C 300 mg twice daily and pain-killers. The patient then
came 17-July-2006 with the same agonizing pain with drop left
foot and hypalgesia of left L5 territory. The patient was sent
another time for MRI, which showed massive bilateral recurrence of
L4-5 disc.
The patient was operated and foraminotomy of both L5
roots was performed and the dural sleeve was followed superiorly and
the massive extrusion was removed from both side with meticulous
cleaning of the L4-5 disc space. The disc material which was removed
was partially involved in the inflammatory process.
Comments:
1. Vigorous
cleaning and presence of diabetes mellitus with the inflammatory
process are predisposing factors for recurrence.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II in the run starting from 14-March-2020
