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.tv

Functional Neurosurgery
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Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
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neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
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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
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Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
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neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

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Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

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

Stem Cell Therapy Site
neurostemcell.com


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22-NOVEMBER-2013  NASHAAT MAHMUD MUSA  37 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 14-May-2013 complaining of LBP with right sciatica for 5 months down to L5 territory.

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MRI lumbar spine done 04-May-2013 showing extruded disc L5-S1 with right S1 root compression.

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On examination is limping with exaggerated scoliotic stance with positive cough sign. SLRS was 60 degrees right side with pain. There is weak dorsiflexion right foot 4/5. The patient was advised to undergo surgery, but he escaped for financial reasons.

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The patient then came 21-November-2013 urging for surgery. He is in agonizing pain and right SLRS was 20 degrees with the same weakness with analgesia of right S1 and hypalgesia of right L5 root.

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New MRI done urgently and confirmed the presence of the same extrusion.

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Right S1 foraminotomy with partial flavotomy. The extruded disc was removed lateral to the axilla. Right sided intradiscal cleaning L5-S1 disc space. Routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot became normal.

 

 

Comments

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The patient still has an estimated postoperative recurrence around 7%, because the disc space is still not shallow.

 

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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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