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
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17-MARCH-2010 IDEH ALIAN AL-HUWAITY 75 YEARS SEVERE
CERVICAL CANAL STENOSIS C3-4 WITH MALACIA OF THE SPINAL CORD.
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patient came to the clinic 15-March-2010
complaining of neck pain for 1 year and pain of
both upper limbs and shoulders with cephalic
syndrome. She is unable to walk for several
On examination: the
patient is unable to elevate both upper limbs
with limitation of neck movement and pain when
looking to right and downward. She has analgesia
both upper limbs from C3 down to D2 both sides.
There is profound weakness all muscles upper
limbs 3/5. Hoffmann positive in the left side
and Babinski positive both sides. There is
hypalgesia both lower limbs below the knees.
She is a known
hypertensive for 5 years.
MRI brain with
contrast and MRA of the brain and carotids and
MRI cervical spine
done 16-March-2010 showing severe cervical
stenosis at C3-4 with malacia of the spinal cord
at this level. ESR was 64 mm/h and uric acid was
Decompressive laminectomy of
C3-4 and partial of C2 and C5 was performed.
There was no epidural fat in this area and the
compression was more pronounced in the right
Routine closure of the wound.
recovery, and the power of both upper limbs became
Cervical canal stenosis is a
progressive disease and the sooner the
compression is removed the better the outcome.
When the major compressive
elements are located posteriorly, posterior
decompression is the preferred approach.
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 .