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

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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

24-APRIL-2014  YOUSEF ABDEL-JABBAR FAYYAD  36 YEARS  HUGE EXTRUDED DISC L3-4 WITH RIGHT DOWNWARD MIGRATION

 

Anamnesis

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The patient came to the clinic 22-April-2014 complaining of left sciatica for 4 years with exacerbation the last 3 months with inability to stand and walk in the morning. MRI lumbar spine done 29-February-2014, bad quality, showing huge extruded disc L3-4.

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On examination; the patient is limping with no apparent scoliotic stance. SLRS was 80 degrees right side with pain shooting to the left and 30 degrees in the left with more pain. There is weak dorsiflexion left foot -3/5. MRI of the lumbar spine repeated the same day showing huge extruded disc L3-4 central more to the right with right downward migration.

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Using the C-arm, the L3-4 level identified. Laminectomy of the lower 2/3 of L3 and upper third of L4 with bilateral foraminotomy both L4 roots was done. The huge extruded disc with downward migrating pieces was removed from the right. Bilateral intradiscal cleaning of L3-4 disc space with removal of the compressing osteophytes.

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Smooth postoperative recovery. The power of the both feet became normal.

 

 

Comments  

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The patient has still have an estimated postoperative recurrence around 7%, because the disc space is still not shallow.

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The use of endoscopic techniques in this circumstance is not adequate, because the task was for wide decompression.

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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