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
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IOM Sites
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Neurosurgical Sites
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neurosurgery.guru
neurosurgery.me
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neurosurgeryspine.org

Neurosurgical Encyclopedia
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neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
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glioma.co
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meningiomas.info
meningiomas.org
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onconeurosurgery.com
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theneuro-oncology.com

Neuroanatomical Sites
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microneuroanatomy.com

Neuroanesthesia Sites
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Neuroendocrinologiacl Site
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Neurobiological Sites
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Neurohistopathological
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Neuro ICU Site
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Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
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neurophysiology.ws

Neuroradiological Sites
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NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

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

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
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 .

22-JULY-2014  NADIA ALI AL-ANSI  40 YEARS  HUGE EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 17-July-2014 complaining of LBP for 5 years with left sciatica for 3 years with numbness all toes left foot with exacerbation last 2 years. MRI lumbar spine done 13-July-2014 showing huge extruded disc L5-S1 with left foraminal occlusion.

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On examination; the patient is not limping now with exaggerated scoliotic stance. SLRS was 80 degrees with pain in the left. There is weak dorsiflexion left foot -3/5 and planterflexion same foot -4/5.

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Using C-arm, the L5-S1 level was identified. Midline incision. Foraminotomy left S1 root with preservation of the ligamentum flavum, reflecting it to the right. . The MICRODISCXS with VITOM were used to the next steps of surgery. The huge extruded disc was removed lateral to the axilla in several pieces. Left sided intradiscal cleaning of L5-S1 disc space. The ligamentum flavum was returned to place. Routine closure of the wound.

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Smooth postoperative recovery. The power of left foot became normal and the left sciatica disappeared.

 

 

Comments  

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

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This case a good demonstration, that the ligamentum flavum can be preserved and the surgery can be proceeded, using the tubular endoscopic facilities.

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


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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