www.neurosurgery.tv 
   
Munir Elias 20-12-2013
Surgical group is like a football team.

 
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 .

31-MAY-2010  TAYMA MUHAMED ABUL-FILAT  40 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT S1 ROOT COMPRESSION.

Anamnesis

bullet

The patient came to the clinic 23-December-2009 complaining of LBP for 4 years with left sciatica. MRI performed 06-June-2005 showed extruded disc L5-S1 with bulge L4-5. MRI lumbar spine repeated 24-April-2007 showed extruded disc L4-5 with left downward migration.

bullet

On examination at that time, SLRS was 75 degrees both sides with pain without weakness or sensory deficit. She was sent for another MRI which was performed 24-December-2009 showing shrinkage of L4-5 disc extrusion, but same extrusion of L5-S1. The patient was advised to keep in conservative measures.

bullet

The patient then came 23-February-2010 complaining of exacerbation of LBP with bilateral sciatica more the right with exaggerated scoliotic stance. She had weak dorsi and planterflexion right foot 4/5 with SLRS 70 degrees in the right with pain.

bullet

MRI of the lumbar spine performed 27-February-2010 showing extruded disc L5-S1 with compression of the right S1 root.

bullet

Right L5-S1 hemiflavotomy was performed and foraminotomy right S1 root was achieved. The extruded disc was identified and removed after what the root was free of compression. Inspection of the shallow disc space of L5-S1 revealed that it was empty, for what it was not violated.

bullet

Routine closure of the wound and smooth postoperative recovery with full recovery of the power of the right foot.


Comments

bullet

The patient had evolution of the clinical picture and most of the time it was changing.

bullet

The extruded disc of L5-S1 was persisting all the time and it became more large, in the contrary the extrusion of L4-5 shrunk with time.

bullet

The patient is in agonizing right sciatica, for what surgical removal of the extrusion was the only remaining solution.

bullet

The expected recurrence rate in this case is minimal since the disc space is shallow and empty.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

 


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


View Larger Map

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved