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Munir Elias 20-12-2013
Surgical group is like a football team.

 
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

 

 MOHAMED ABDEL-RAOOF ASFOUR   49 YEARS  PCD C5-6 WITH LEFT FORAMINAL EXTRUSION.

The patient came 28-August-2006 complaining of neck pain for 10 months. MRI performed and showed PCD C6-7 . The patient treated conservatively and improved. The last 3 days the patient progressed agonizing pain  with left shoulder pain and numbness of the median distribution.

On examination, the patient had pain when looking to the left and downward with weak grip extension left hand the left triceps muscle. The patient was sent to perform another MRI, which showed PCD C5-6 with left foraminal extrusion.

Discectomy C5-6 was performed and the extruded fragments were removed in several pieces and check for patency of the root was normal. The dura was seen  thin and transparent. Routine closure.

Comments:

1. It is mandatory to see the dura in the field of the removed lesion to confirm, that no pieces were left behind.

2. In contrary to the PLD, the recurrence rate after PCD is zero.

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