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

Functional Neurosurgery
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IOM Sites
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Neurosurgical Sites
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neurosurgery.me
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skullbase.surgery

Neurosurgical Encyclopedia
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Neurooncological Sites
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craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
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Neurobiological Sites
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Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
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Neuroophthalmological
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Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
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Neurovascular Sites
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Personal Sites
cns.clinic

Spine Surgery Sites
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spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
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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 .

02-JULY-2014  HISHAM YOUSEF GHAWANMEH  46 YEARS  LEFT FAR-LATERAL EXTRUSION L4-5  WITH SEVERE FORAMINAL OCCLUSION.

 

Anamnesis

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The patient admitted urgently to Shmaisani hospital at 2.00 A.M. 01-July-2014 with agonizing LBP with left sciatica. There is numbness of the anterior left thigh and the perianal region. The patient is unable to set or walk or stand for examination. Pethidine was given to ease his pain. The pain started several hours ago.

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On examination; the patient was unable to examine him for limping or scoliotic stance evaluation. SLRS was 0 degrees both sides. There is weak dorsi and planterflexion left foot 3/5.Hypalgesia left L5 and S1 roots territories.

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The patient was sent for MRI lumbar spine which showed left far-lateral extrusion L4-5 with foraminal occlusion.

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Using MICRODISCXS system with VITOM, left L5 foraminotomy was done and the left far-lateral extruded disc was removed in several pieces. Left sided intradiscal cleaning L4-5 disc space.

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Smooth postoperative recovery. The power of the left foot became normal.

Follow up

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The wound was small but strangely oozing. He was covered with Cefazolin, which was stopped 04-July-2014 and the patient was discharged 05-July-2014.

 

 

 

Comments  

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The estimated postoperative recurrence is still around 7% because the disc space height is still not shallow.

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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