neurophysiology.ws
neurosurgery.fr
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
munir.ws

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.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 .

27-JULY-2013  MURAD MUHAMED ALIYAN  42 YEARS  EXTRUDED DISC C6-7 WITH SEVERE SEGMENTAL STENOSIS. RESIDUAL AFTER OLD FRACTURE C5 AND DISCECTOMY C3-4.

 

Anamnesis

bullet

The patient came to the clinic 16-Ocotber-2001 complaining of progressing weakness of four limbs, numbness both hands, more the right  with dyspnea the last 2 months. The patient due to falling down 31-July-1990 got fracture C5 with complete paraplegia, for what surgical correction and stabilization done at KHMC immediately after insult, with partial recovery over several months. Conservative treatment was recommended. The patient then came 25-January-2010 complaining of deterioration of his walk. The hypalgesia below C4 disappeared, but there is weak grip and extension right hand 2/5, triceps right arm 3/5 with weak quadriceps right leg 3/5, abduction and adduction of the right knee 4/5, planterflexion and dorsiflexion right foot 3/5. MRI cervical spine performed 17-January-2010 showed huge extruded disc C3-4 with spinal cord compression. Discectomy with fusion was advised and he underwent surgery in Germany.

bullet

The patient then came 25-July-2013 complaining of weak four limbs with general weakness and difficult walk the last 3 months with dyspnea and intrascapular pain with left sciatica.

bullet

On examination: the patient is limping with exaggerated scoliotic stance. There is pain when turning the head to the right down and up and bending the head to both shoulders. The power of the right upper limb the same as before and there is weak grip and extension of the left hand. The weakness of the right lower limb more pronounced than before, and there is weak dorsi and planterflexion left foot 4/5. The right lower limb is spastic and Babinski and Hoffmann signs were positive and brisk both sides. Clonus both feet, more pronounced in the right side. MRI cervical spine performed 15-June-2013 showing huge PCD C6-7 with severe compression of the spinal cord at this level. The spinal cord has gross malacia all over the cervical spinal canal. MRI lumbar and dorsal spine done also showing bulge D6-7, D10-11, L4-5 and L5-S1. Cervical X-ray done 25-July-2013 showing a cervical disc system inserted to C3-4 with calcification around it. Fusion of C4-5-6 in one bone.

bullet

Discectomy C6-7 with removal of the bone elements compressing the spinal cord. The dura was seen all over the removed disc posterior borders. Insertion of Fidji cervical cage 12x15x6.9 mm with NovaBone. Using Trinica cervical plate 24 mm length, fusion of C6-7 done with three fixed screws 16x4.2 mm and one 14x4.2 mm to the left side of C6 body. C-arm was used at all stages of surgery.

bullet

Routine closure of the wound. Smooth postoperative recovery.

 

 

Comments

bullet

The patient after fusion of C4-5-6 progressed over time extruded disci at near by segments. C3-4 was treated 2 years ago and now C6-7 required surgical correction.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.


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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved