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Dr. Fuad Al-Masri Syrian neurosurgeon.

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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10-SEPTEMBER-2013  MARIAM ABDEL-QADER ABDALLAH 60 YEARS  LUMBAR CANAL STENOSIS L2-3, L3-4.

 

Anamnesis

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The patient came to the clinic 11-May-2013 complaining of LBP with bilateral sciatica for 1 year with numbness both feet more the left foot for 6 months and inability to walk more than 10 meters due to intermittent claudication. The patient underwent discectomy L4-5 1995 and cervical discectomy 2002.

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MRI of the lumbar spine performed 28-February-2013  showed stenosis at L2-3, L3-4.

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On examination: the patient was limping with exaggerated scoliotic stance. The right AJ was absent. Weak dorsiflexion right foot -4/5 and left foot 4/5. There is severe OA both knees without pain. The patient was sent for investigations.

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ESR was 72 mm/h, CRP was 24 mg/L and dynamic studies were normal. Vit D3 was low. MRI lumbar spine done 10-June-2013 showing stenosis of L2-3 and L3-4 with extruded disc L3-4.

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Decompressive laminectomy L3, upper half of L2 with removal of the remnant of L4. Foraminotomy both L4 roots. Inspection of the disc of L3-4 from both sides. It was decided not to violate it.

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

 

 

Comments

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The patient has LCS which needs decompression. The extrusion must be evaluated during surgery.

Leica HM500

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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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