Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity.

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
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neuroendocrinologiacl Site
humanneuroendocrinology.com

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 .

24-DECEMBER-2017  NAEL SAEED AL-NAJJAR  34 YEARS HUGE EXTRUDED DISC C4-5 WITH SEVERE SPINAL CORD COMPRESSION AND MALACIA OF THE SPINAL CORD.

 
 

Anamnesis

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The patient came to the clinic 20-December-2017 complaining of numbness four limbs for 3 weeks. Bad MRI cervical spine performed 17-December-2017 showing huge extruded disc C4-5, C6-7 with spinal cord compression more from the right side with malacia of the spinal cord at the C4-5 level.

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On examination; the patient is limping, with weak extension of the right biceps 4/5, both hands flexion -4/5, extension hands -3/5 with inability to extend both hands fingers and triceps both arms 3/5. Hoffmann positive both sides. There is hypalgesia for pin brick below both L2 roots territories. There is weak dorsi and planterflexion both feet  4/5, more week at the right. SLRS was 60 degrees both sides with weak right quadriceps, The deep reflexes are exaggerated in the right side with Hoffmann signs positive both sides and Babinski positive in the right. There clonus both feet more brisk at the right.

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The patient was sent for investigation and proper MRI done 20-December-2017 showing huge extrude disc C4-5 with bilateral compression of the spinal cord, more the right and an old calcified extrusion C6-7 left side. Dynamic studies were normal and CT-scan of the cervical spine showed the ossification of C6-7 left side.

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Discectomy C4-5 until the dura was seen at both sides. ON PLUS (EOS) Cervical bladed cage 14x17 H7 with IN'OSS 2x0.5 ml inserted to C4-5 level.  Routine closure of the wound.

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Smooth postoperative recovery. The power of four limbs improved dramatically. He was sent to the ward.

Comments  

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The patient having severe stenosis of the cervical spine with malacia of the spinal cord with sudden onset deterioration the last 3 weeks. Surgical decompression of C4-5 is the best solution to prevent further deterioration and the old calcified extrusion of C6-7 was left untouched.

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Here the compression is from anterior, for what anterior approach is performed.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted 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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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