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Dr. Ali Al-Bayyati and Dr. Munir Elias

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.fr

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Neuro ICU Site
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Neurophysiological Sites
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Neuroradiological Sites
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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WAFIQ UTHMAN JABER  54 YEARS HUGE PCD C5-6 WITH RIGHT BROWN-SEQUARD SYNDROME.

 

Anamnesis

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The patient came to the clinic 24-January-2013 complaining of neck pain for 3 years, cephalic pain and left shoulder pain for 1 month. Numbness of both legs for 2 weeks progressing up to involve the upper limbs the last weeks more the left hand.

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On examination: the patient using crutches for 2 days, limping with wide based legs gait. He has pain when looking up and to both sides more to the left with weak grip and extension both hands 3/5 and both triceps 3/5 right , -3/5 left and the left biceps 4/5. Weak both quadriceps 4/5 and dorsi and planterflexion both feet 3/5 more weak in the left. There is hypalgesia ulnar side of the right upper limb and paraaneasthesia below the nipples. Hoffmann positive both sides and all deep reflexes are exaggerated and Babinski positive both sides. Clonus of the feet. SLRS was 30 degrees both sides due to weakness.

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The patient was immediately sent to perform MRI of the brain with contrast and MRI of the cervical spine, which was done after 3-4 hours to show a very huge extruded disc C5-6 with malacia of the spinal cord.

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Discectomy of C5-6 was done until the dura was seen along all the posterior aspects. Samarys cervical cage 17x13x5 mm was inserted to C4-5 space and 17x13x6 mm to C5-6 level. Trestle 1 level cervical plate 30 mm length was used  with 4 variable 4x14 mm screws inserted to C4 and C5 bodies and 3 fixed 4x14 mm to C5 body. All stages of surgery were done under C-arm control.

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Routine closure of the wound. Smooth postoperative recovery. The power of the upper limbs became normal and the shooting pain to the left shoulder dramatically decreased.

 

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

Comments

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The patient has extrusion of C5-6 causing the tetraparesis.

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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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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[2003] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved