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 .

08-JUNE-2014  MARIAM JAMAL ISMAEEL  53 YEARS  EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 08-June-2014 complaining of LBP with left sciatica for 5 years with exacerbation last three months with numbness all toes left foot. MRI lumbar spine done 03-May-2014 showing extruded disc L5-S1 with left foraminal occlusion.

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On examination; The patient is limping with exaggerated scoliotic stance. SLRS was 80 degrees left side with pain. The left AJ is absent. There is weak dorsi and planterflexion left foot -3/5.

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Left S1 foraminotomy. The extruded disc was removed lateral to the axilla. Left sided cleaning L5-S1 disc space. Routine closure of the wound.

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Smooth postoperative recovery. The power of the left foot became normal.

Follow Up

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The patient came 12-July-2014 telling that the last 2 days got exacerbation of the left sciatica. On examination, she was limping with SLRS 80 degrees with pain left side and weak dorsiflexion left foot 4/5. The patient was sent for new MRS which was done the same day, showing recurrence of the extrusion with soft material. The patient was advised to wait for 30-45 days until the extrusion shrink by itself, or undergo surgery to ease the pain. They agreed to wait this period of time.

 

 
 

 

Comments  

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The patient still has an estimated postoperative recurrence around 7% because the disc space is still not shallow.

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When recurrence take place, if it is medium size and soft in consistency, then with time 80% of cases improving without undergoing second surgery, due to shrinkage of the soft extrusion.

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

 

 

 

[2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved