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 came to the clinic 12-February-2006 complaining of agonizing left sciatica for 2 weeks. He had LBP for 3 months with left sciatica. At that time MRI performed showing only bulging L3-4, L4-5 and L5-S1. MRI done 4 days ago showed extrusion of the L4-5 with mideolateral extension more to the left.

On examination he had weak dorsiflexion both feet with planterflexion left foot. He had hypalgesia left L5 and S1 territories. According to that, he was planned for surgery. The patient was operated and bilateral L4-5 flavotomy with left L5 foraminotomy was performed. The left L5 root was severely compressed and the extrusion was removed lateral to the axilla from the left. Inspection of the right side showed bulge, which was pushed bluntly to the left and removed from the left side. Routine closure.


1. The patient showed immediate postoperative recovery of the power of the lower limbs, which is the usual finding after such surgery, when performed in the early period.



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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved