Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity.

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
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neuroendocrinologiacl Site
humanneuroendocrinology.com

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 .

07-NOVEMBER-2017  SODA IYADA AL-RWELI  57 YEARS  EXTRUDED DISC C3-4 WITH SPINAL CORD COMPRESSION AND MALACIA OF THE SPINAL CORD.

 
 

Anamnesis

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The patient came to the clinic 22-February-2017 complaining of neck and LBP for 20 years with exacerbation last year with bilateral sciatica. MRI cervical spine performed 08-June-2015 showing huge PCD C3-4 with spinal cord compression more to the left. MRI lumbar spine showed bulge L4-5.

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On examination, at that time, the patient is limping with exaggerated scoliotic stance. SLRS was 45 degrees in the right with pain and 30 degrees in the left with more pain. There is pain of the neck when turning to all direction with limitation when looking to the left. Biceps brachii both sides 4/5, Grip and extension both hands 4/5 weaker in the left. Both triceps -4/5. Weak both quadriceps 4/5 and weak dorsiflexion both feet 4/5 more weak in the left.

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The patient was sent for investigations and disappeared. She came 28-October-2017 with deterioration of her condition with right shoulder pain and left sciatica. MRI performed 25-May-2017 showing the same huge extrusion of C3-4 with bulge L3-4, L4-5 and L5-S1.

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On examination; the weakness slightly deteriorated with hypalgesia left shoulder, and right upper limb below the shoulder and hypalgesia of the entire right leg.

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The patient was sent for investigation. MRI of the cervical spine performed 28-October-2017 showing the same extrusion with malacia of the spinal cord. MRI lumbar spine showed bilge L4-5 with stenosis. Dynamic studies showed I degree spondylolisthesis L4-5.

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Transnasal intubation. Projection incision over C3-4 was created and discectomy of C3-4 was achieved until the dura was seen all over the posterior aspect of the disc space.  Epidural bleeding took place from the left upper corner, which was controlled by positioning the patient with the head above the heart level. ON PLUS CERVICAL BLADED CAGE 13X15 H7 IN'OS bone graft were inserted to the disc space and control C-arm showed acceptable positioning. Routine closure of the wound.

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Smooth postoperative recovery. The power of four limbs became better. She was sent to the ward.

Comments  

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The patient has huge extruded disc compressing the spinal cord with progressive clinical deterioration. Decompression of the spinal cord is the only solution to prevent further deterioration.

 

 

 

 

 

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

 


 

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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