Dr. Ali Al-Bayyati and Dr. Munir Elias

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
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites

cns-online.com
neurosurgery.ag  neuro.science

neurosurgery.art
 
neurosurgery.tv
neurosurgery.me 
neurosurgery.mx




neurosurgery.tv
neurosurgery.tw
 
meningiomas.org

Neurosurgical Encyclopedia Sites
neurosurgicalencyclopedia.com neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
meningiomas.org 
glioma.ws
meningiomas.info
meningiomas.org
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com 
pituitaryadenomas.com
pituitaryadenoma.net
theneuro-oncology.com 

Neuroanatomical Sites
diencephalon.info
humanneuroanatomy.com
medullaoblongata.info
mesencephalon.org
microneuroanatomy.com

Neuroanesthesia Sites
neuroanesthesia.info

Neurobiological Sites
humanneurobiology.com

Neurohistopathological Sites
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological Site
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
neurosurgery.art
neuro.science
shmaisanihospital.com
shmaisani-hospital.com

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

Stem Cell Therapy Site
neurostemcell.com

16-MARCH-2013  NASER ABDALLA AL-MOMANY  79 YEARS  SEVERE CERVICAL STENOSIS C3-4, 4-5 AND 5-6 WITH RADICULO-MYELOPATHIC SYNDROME.

 

Anamnesis

bullet

The patient came to the clinic 18-February-2013 complaining of severe weak four limbs after falling down 40 days ago with feeling numbness both hands with difficult moving of the hands and right shoulder pain radiating to the right upper limb.

bullet

MRI cervical spine done 16-January-2013 showing severe cervical canal stenosis C3-4 with malacia of the spinal cord at his level and stenosis to lesser degree at C4-5 and C5-6 levels.

bullet

On examination: The patient is standing and walking with help. There is weak both deltoid muscles -4/5, both biceps brachii -3/5 more weak at the right side and 2/5 grip both hands and 1/5  extension left hand and 0/5 right hand and 2/5 of the right triceps muscle right upper limb with good power of the left. There is weak dorsiflexion both feet -4/5 more the left. Hypalgesia both hands.  Hoffmann positive both sides more brisk in the right  with exaggerated deep reflexes all over.

bullet

Decompressive laminectomy C3,4,5 and upper half of C6. The ligamentum flavum at C2-3 was calcified, for what it was drilled out. The epidural fat was missing all over due to severe compression. The dura start to show good cardio-pulmonary pulsation.

bullet

Routine closure of the wound. Smooth postoperative recovery. The power of the feet became normal. The upper limbs still the same.

 

 

Comments

bullet

The trauma triggered the pathology, but the stenosis when severe is a source of repetitive trauma, which must be eliminated.

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


View Larger Map
 

© [2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved