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
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
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 .

20-FEBRUARY-2014  MARIAM DARWEESH HALEES  62 YEARS  EXTRUDED DISC L1-2 MORE TO THE RIGHT WITH SEVERE STENOSIS AT D12-L1, L1-2 AND L4-5.

 

Anamnesis

bullet

The patient came to the clinic 08-February-2014 complaining of LBP for 1 year with inability to walk more than 20 meters and weak both legs more the right. The patient was diagnosed elsewhere as having Guillain-Barre syndrome without performing minimal investigations. The patient is a known hypertensive.

bullet

On examination; the patient walking with help of one or 2 persons. SLRS was 70 degrees due to weak right lower limb. AJ was absent in both sides. Babinski was positive in the right and questionable in the left. Weak dorsiflexion both feet 3/5 and planterflexion right foot 4/5.There is weak right quadriceps muscle and both knees abduction 4/5. Sensation intact.

bullet

The patient sent for MRI of the dorsal and lumbar spine and done 08-February-2014, showing extruded disc L1-2 more to the right and severe stenosis D12-L1, L1-2 and L4-5.

bullet

Using C-arm, the level of L1-2 was identified. Decompressive laminectomy D12, L1 and upper third of L2. The disc of L1-2 was inspected from the right side. It was compressing the crossing root. Discectomy of L1-2 disc space with right sided cleaning. The root then became lax and free. Through another incision, laminectomy of L4 and upper third of L5 with bilateral foraminotomy both L5 roots. Routine closure of the wounds.

bullet

Smooth postoperative recovery. The power of both lower limbs improved.

 

 

Comments  

bullet

There is still an estimated postoperative recurrence around 7%, because the disc space is still not completely shallow.

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.


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