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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

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 .

23-MARCH-2015  MUHAMED ALI AL-HMOUD  56 YEARS  HUGE RECURRENT EXTRUSION L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 17-March-2015 complaining of LBP with agonizing left sciatica down to the big toe left foot for one month. The patient underwent discectomy 1994, 1997 and 1998 for the lumbar spine in Syria and fixation of D7-8 2006 in Syria. Cath done 2008 was normal.  

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On examination, the patient is limping, bended anterior with exaggerated scoliotic stance. SLRS 70 degrees with pain shooting to the left leg and 10 degrees in the left with more pain. There is weak dorsi and planterflexion left foot 3/5 with analgesia left L5  and hypalgesia left S1 territories.

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The patient was sent for investigations and MRI done same day showing huge recurrence L5-S1 with left downward migration.

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Neurolysis of the left S1 root. There is massive scar. The disc space of L5-S1 is very shallow. The downward migrating fragment was removed in several pieces. The root still swollen. Subaxillary inspection ruled out the presence of subaxillary fragments. The root was opened 2 mm length at the posterior wall. No intradural fragment, neither CSF flow. Routine closure of the wound.

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Smooth postoperative recovery. The power of left foot limb became better.

 

 

Comments  

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The patient has massive scars with intradural arachnoiditis with this slipped fragment. Recovery will depend upon the degree of the problem caused by the 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


Inomed MER system


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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