Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
03-NOVEMBER-2003 AYSHEH HAMADI BADER 31 YEARS
HUGE FALX MENINGIOMA LEFT OCCIPITO-PARIETAL REGION.
Anamnesis
The patient came to the clinic
29-December-2003 complaining of
LBP for 3 year with left sciatica intermittent
course. Exacerbation the last 15 days. He is
diabetic for 2 years in treatment.
On examination: the patient is in agonizing
pain, limping with exaggerated scoliotic stance.
SLRS was 40 degrees left side with pain. There
is weak dorsi and planterflexion left foot with
hypalgesia left S1 territory. The is also weak
grip, extension both hands, biceps and triceps
both upper limbs with hypalgesia left ulnar
distribution.
The patient was sent for new MRI and performed
08-February-2003 showing suspected plague behind
C4-5 and bulge lumbar disci. He was treated
conservatively. Then he came several times
complaining of LBP with left sciatica. He was
advice for surgery since 15-March-2003, but he
is thinking. Then came 22-October-2003 urging
for surgery. MRI lumbar spine done recently
showing extruded disc L5-S1 with bulging L4-5.
Decompressive laminectomy
L4-5 and
L5-S1. Foraminotomy both L5 and S1
roots was achieved. The first big piece was
removed lateral to the left S1 root. The
extruded disc material of L5-S1 was removed from the
left
side with left sided intradiscal cleaning L5-S1 was achieved.
Inspection of L4-5 was uneventful. A free fat tissue piece obtained from the
subcutaneous layer obtained and transferred to
the root area to minimize postoperative
scarring. The patient was put in Reverse Trendelenburg
position with Valsalva maneuver and
hyperventilation. No CSF leak. Routine closure
of the wound.
Smooth postoperative recovery. The power of the
left foot normalized.
FOLLOW UP
The patient
came to the clinic 12-November-2003 with clean wound
no motor, nor sensory deficit. SLRS was 60 degrees
both sides with no pain and numbness left S1 territory.
The patient
then came 02-February-2014 complaining of LBP for 4
days and right sciatica.. He was in agonizing pain
walking with help SLRS was 5 degrees right side
with hypalgesia right L5 and S1 territory with weak
dorsiflexion right foot -4/5. He was given
medications and sent for investigations and
disappeared.
Comments
There is still an
estimated postoperative recurrence around 7%
because the disc space not completely shallow.
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 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 .
