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
The patient for 1 year
suffering of neck and left shoulder pain. Exacerbation last 5 months
with radicular and numbness of the left hand. The right hand got
numb the last week. MRI done 01-August-2005 showing a huge
schwannoma locating behind the body of C3 with dumbbell-shape
appearance with extension and widening of the left foramen with mass
following the nerve 3 cm out of the canal, pushing the vertebral
artery anteriorly. On examination the left deltoid, triceps, biceps,
supination, pronation very weak 2/5. The grip and extension of the
hand were 4/5 with hypalgesia of the ulnar side of the left forearm.
The deltoid and triceps right side were 3/5, biceps and
extension of the right hand 4/5. Brown-Sequard elements were noticed
with hypalgesia below D6 right side and both quadriceps
femores , abduction, adduction of the left knee and dorsi and
planterflexion of the left foot 4/5. The patient was operated and
the mass was radically removed including the mass out of the foramen
and it was possible to notice the vertebral artery hanging free
after that. Smooth postoperative course and considerable recovery of
the power of his four limbs.
The patient came to the clinic
27-August-2005 with complete recovery of his neurologic deficits
with clean wound and told to perform check MRI after 3-4 weeks.