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 trauma 2 months ago started to complain of LBP with numbness of the right lower limb. On examination, she had weak dorsi and planterflexion right foot. She had scoliotic deformity of the spine and hypalgesia below S1 root right side. She had hair in the back with small dimple at the coccygeal region.  MRI performed showing tethered cord. The patient was operated and the sacrum was defective of bone with the dura under the muscles. It was opened and the hypertrophied arachnoid was opened. All the roots attached to the tethered band were released and electrical studies were performed. The end of the tethering band was yellow and showed no neural conductivity. It was detached at the dural ending after what the spinal cord jumped upward. The hypertrophied arachnoid was closed and the dura also.