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
Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator
07-JUNE-2014 NIMER MAHMOUD TALLUSA 72 YEARS
SEVERE CERVICAL CANAL STENOSIS C2-3, 3-4,4-5, 5-6 AND C6-7 WITH MALACIA OF THE
The patient came to the clinic 01-June-2014
complaining of weak four limbs for 9 months with
inability to walk the last 4 months. MRI
cervical spine done 03-February-2014 showing
severe cervical canal stenosis C2-3, 3-4, 4-5,
5-6 and C6-7. MRI lumbar spine done 08-June-2013
showing old extruded disc L4-5 and L2-3. The
patient is diabetic and has arterial
hypertension for 2 years in treatment and taking
Baby aspirin. The patient underwent laminectomy
of L4-5 done 2 years ago at Islamic hospital -
On examination; The patient in wheelchair. He
has difficult micturition for 3 months. He
cannot grip both hands and the biceps both upper
limbs 3/5. He cannot extend the right hand and
there are elements of extension of the left hand
1/5.The right triceps muscle power 3/5, the left
4/5. The power of dorsiflexion both feet -3/5
and planterflexion -4/5. There is hypalgesia of
the left C3,4,5,6,7,8 roots territories and
below the right C4 down to include the right
lower limb. There is profound atrophy of both
interossii muscles both hands. Babinski was
positive in both sides and clonus of the right
The patient was sent for dynamic cervical X-ray
which ruled out presence of any instability. The
patient was sent for cardio consultation and
Aspirin stopped for 5 days before surgery.
In supine position with Hallo traction 7 Kg,
decompressive laminectomy C3,4,5,,6 with lower
third of C2 and upper third of C7. The dura was
transparent and after the decompression expanded
dramatically. Routine closure of the wound.
Smooth postoperative recovery. The power of
the four limbs still the same.
The patient immediately before surgery
got slight improvement of the four limbs because, Somazina
and Nucleo-CMP were started the moment of his visit and they
will be continued for 12 months at least.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .