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
gliomas.uk
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 .

22-OCTOBER-2002  TAWFEEQ ABDEL-FATAH TAYEM  57 YEARS  HUGE EXTRUDED DISC C4-5 AND C5-6 WITH BROWN-SEQUARD SYNDROME.

 
 

Anamnesis

bullet

The patient came to the clinic 21-October-2002 complaining of neck pain for 2 months with both shoulder pain, more the left. Numb both upper limbs for 20 days and weak left upper limb with hypalgesia of the right side of the body below the nipple. (Brown-Sequard syndrome left side). Hypertensive for 20 years. MRI cervical spine done 15-October-2002 showing huge extruded disc C4-5 with stenosis C5-6.

bullet

On examination: There is mild kernicterus both eyes. Neck pain when rotating the head to left, up and down. Drop left wrist with severe weak grip left hand and triceps muscles both upper limbs. Rossolimo's sign positive left side. There is hypalgesia below the right nipple and weak all muscles left lower limb 4/5. All deep reflexes both lower limbs exaggerated with Babinski both sides and clonus more pronounced in the left foot. Dripping urine for 20 days.

bullet

Anterior approach with identification of C4-5 level by C-arm. Discectomy C4-5 with removal of the extrusion until the dura was seen relax at the bottom of the disc cavity. The same is done for C5-6. Using 2 level Scientx plate with 6 screws, fusion of C4-5-6 was achieved.  Routine closure of the wound.

bullet

Smooth postoperative recovery. The power of the left upper limb improved and he was sent to the ward.

Follow Up

bullet

The patient came to the clinic 05-November-2002 with clean wound, normal voiding, no drop left wrist and still slight weak left upper limb

Comments  

bullet

The estimated postoperative recurrence is zero in cervical disci.

bullet

The myelopathic syndrome require several months to recover. In this case dramatic improvement took place because of relatively short duration of suffering.

 

 

 

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.

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

© [2002] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved