www.neurosurgery.tv 
   
TRUMPH TruSyatem 7500

 
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

The patient after falling down from 4-5 meter height, got fracture-dislocation C4-5 with locked facet and complete paraplegia below C4 level. The patient was observed for other vital signs and was operated after several hours of observation. Open reduction with anterior fixation after removing the fragmented disc material at C4-5 level. The patient is covered with solumedrol 1 gm  daily. The patient progressed apnea attack the third postoperative day, while he was setting in the chair, for what he was intubated and put in artificial ventilation. Today tracheostomy performed .

15-September-2005 the trail to wean the patient from ventilator showed complete absence of respiratory drive, despite that the level of consciousness was normal and fully alert.



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