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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 .

14-NOVEMBER-2022  RUQAYA THEEB SALEEM  82 YEARS  SEVERE CERVICAL CANAL STENOSIS C3-4, 4-5 WITH TETRAPARESIS.

 

Anamnesis

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The patient came to the clinic 19-October-2022 complaining of inability to walk for 40 days with weak both upper limbs. The condition started 1 year ago with slowly progressive course. MRI of the brain done 17-October-2022 showing scattered lacunar infarction with periventricular changes. MRI of the cervical spine showing severe stenosis C3-4, 4-5 with malacia of the spinal cord with compression more from behind. The patient is a known hypertensive for 4 years and diabetic for 4 years

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On examination, the patient is in wheelchair with tetraparesis both deltoids -4/5, both biceps and triceps 3/4, flexion both hands 3/5 and extension 2/5. Both iliopsoas and quadriceps femoris 3/5. Dorsi and planterflexion right foot 3/5 and 4/5 left foot. Right hemihypalgesia below the face starting from right C3 dermatome. Hoffmann positive left side. so Babinski left foot. There is no neck pain.

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The patient was sent for investigations and dynamic studies ruled out overmobility of the cervical spine. Seen by cardiologist and gave permission for G.A.

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Decompressive laminectomy C3-4 and upper edge of C5. The dura was thin and transparent. No CSF leak. The power of the four limbs slightly improved. She was sent to the ward.

 

FOLLOW UP

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Too early now.

Comments  

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The sooner the decompression, the better the outcome.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted 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

LooksCam II in the run.
LooksCam II Xenosys in the run  starting from  14-March-2021 with SheerVision TTL x4 magnification. 

 
Cios-Spin flat panel in the run.

 

 

 

 

 

 

 


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 .


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