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
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
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
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

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

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 .

13-MAY-2014  SEHAM KHALEEL ABDEL-QADER  62 YEARS  RECENT EXTRUSION OF L4-5 WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the hospital 01-March-2014 complaining of LBP for 10 years with exacerbation of LBP and right hip pain the last 2 weeks. The patient is a known diabetic and hypertensive for 5 years in treatment. At that time, the patient was not limping with no scoliotic stance. SLRS was 75 degrees both sides without pain. There was weak dorsiflexion right foot 4/5. The patient was sent for investigations the same day and MRI lumbar spine showed bulge disci L3-4, L4-5 and L5-S1. The patient was treated conservatively.

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The patient then came 06-May-2014 telling that the last 4 days got agonizing right sciatica with numbness right foot.

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On examination; the patient was limping with exaggerated scoliotic stance. SLRS was 40 degrees with pain in the right side. There is weak dorsi and planterflexion right foot 3/5. MRI lumbar spine repeated the same day showing extruded disc L4-5 with right foraminal occlusion and downward migration.

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The L4-5 level was identified with C-arm. Using MICRODISCXS system with Carl Storz VITOM, foraminotomy of the right L5 root was performed. The extruded downward migrating disc was removed in several pieces. Right sided intradiscal cleaning L4-5 disc space.

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

 

 

Comments  

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There is still an estimated postoperative recurrence rate around 7%, because the disc space is still not shallow.

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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