Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
02-DECEMBER-2007 YOUSRA ISMAEEL ABU-TAHA 67 YEARS
SEVERE CERVICAL CANAL STENOSIS WITH MALACIA OF THE SPINAL CORD AT C3-4 DOWN TO
C5-6 DUE TO LIGAMENTUM FLAVUM HYPERTROPHY.
Anamnesis
The patient came to Shmaisani hospital
02-December-2007 complaining of severe weak four
limbs, more the left side with progressive
course. MRI performed 5 days ago showing severe
cervical canal stenosis with maximal stenosis at
C3-4 down to C5-6 with the maximal compression
arising from behind, from the hypertrophied
ligamentum flavum with malacia of the spinal
cord at these levels.
On examination: the patient is unable to walk
for 2 months and have profound weak for limbs
right 3/5 and the left 1/5 with the level up to
C3.
The patient was taken to the operating and
before induction of anesthesia the patient could
not tolerate the hyperextension position, for
what intubation was done avoiding, during that
extension of the neck.
Laminectomy of C3-6 and partial of C2 and C7 was
achieved. There was no epidural fat and the
hypertrophied ligamentum flavum was removed.
Check for instability was negative.
Routine closure of the wound and smooth
postoperative recovery with some improvement of
the power of the four limbs.
Comments
The compressive elements were from behind
the spinal cord, despite the fact, that the patient had
minimal OPLL. The logical decompression in this case was
posterior decompression.
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
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
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 starting from 14-March-2020
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 .
