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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
05-SEPTEMBER-2009 RABAB KHALED MAHAMEED 38
YEARS ROUND CELL TUMOR OF THE CERVICAL SPINE WITH BILATERAL EXTRADURAL
EXTENSION AND INVOLVEMENT OF SOFT TISSUES.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient came to the
clinic 02-September-2009 complaining of neck
pain for 1 year with progressive course
and cephalic pain right side and radicular pain
in the left upper limb for three months.
On examination: the patient
cannot set from supine without help and with
agonizing neck pain. She has pain when rotating
the neck to all directions and suffer fainting
when flexing the neck. She has inability to hold
the left arm and weak right deltoid 3/5. All
muscles of the upper limb are weak 3/5 more weak
in the left side. There is analgesia of the
right C3 root territory and hypalgesia of the
thumb right hand.
MRI of the brain was
unremarkable, but there is a huge extradural
mass extending from the right side of C2 down to
C6 and other mass in the left side from C3 down
to C5 with involvement of the roots both sides
and the muscles of the spine posteriorly and
anteriorly. The C4 body was also involved.
Laminectomy of C3-5 with
partial of C2 and C6. The tumor was seen
invading the pathologic epidural fat at the
right side and adherent to the dural. It was
highly vascular. Frozen section revealed round
cell tumor mostly Ewing's sarcoma. The
extradural mass was removed after coagulating
all its mass, because it was consisting of rich
cluster of vascular walls. The roots were kept
intact after decompression, but it was
impossible to remove the part involving the left
C3 root, because the root itself was a tumorous.
Routine closure of the
wound and smooth
and the patient sent to
Round cell tumor could be a
Ewing's sarcoma which in this case is
an advanced one and radiotherapy combined with
chemotherapy will be the last options for the
The aim of the surgery was to
remove compression of the cervical spine so as
to prevent eminent quadriplegia.
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 .