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
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.fr
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tv
neurosurgery.tw
neurosurgeryspine.org

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

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

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

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

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 .

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 SPINAL CORD.

 

Anamnesis

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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 - Amman.

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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 side.

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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.

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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.

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Smooth postoperative recovery. The power of the four limbs still the same.

 
 

 

Comments  

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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.

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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