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.tv

Functional Neurosurgery
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IOM Sites
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Neurosurgical Encyclopedia
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gliomas.info
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neurooncology.me
pinealomas.com
pituitaryadenomas.com 

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Neuro ICU Site
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Neurophysiological Sites
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Neuroradiological Sites
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Personal Sites
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Spine Surgery Sites
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paraplegia.today

Stem Cell Therapy Site
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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

21-APRIL-2014  RADWAN MUHAMED ISMAEEL  35 YEARS  EXTRUDED DISC L4-5 CENTRAL WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 20-April-2014 complaining of difficult walking for three years, more during winter time. The last 6 months got LBP and right sciatica. MRI lumbar spine done 07-January-2014, bad quality showing central bulge disc L4-5. MRI lumbar spine repeated 08-April-2014 better quality, but not complete study, showing extruded disc L4-5 ventral with right foraminal occlusion.

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS was 40 degrees with pain in the right. There is weak dorsiflexion both feet -4/5. MRI of the lumbar spine repeated the same day confirming the previous data.

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Using the C-arm, the L4-5 level identified. Using MICRODISCXS system, foraminotomy right L5 root was performed and the huge extruded disc was removed lateral to the axilla. Right sided cleaning L4-5 disc space. The root hanging free. Routine closure of the wound.

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Smooth postoperative recovery. The power of the both feet became normal.

 

Medicon MICRODISCXS set.

 

Comments  

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

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The MICRODISCXS set helps as good retractor system, but lacking illumination and as seen in the video, nothing is seen inside the wound.

 

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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