Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
20-OCTOBER-2004 ABDEL-MAJEED ISMAEEL RASRAS 55
YEARS EXTRUDED DISC C5-6 AND C6-7.
Anamnesis
The patient came to the
clinic 06-June-2004 complaining of neck pain
with left shoulder pain for 2 months
with radicular pain left upper limb and
hypalgesia ulnar side of the left forearm. MRI cervical spine done 08-June-2004
showing extruded disci C5-6, C6-7. The patient
was treated conservatively and came several
times and came 17-October-2004 with agonizing
neck pain urging for surgery.
On examination, the patient
having neck pain when turning
the head to all directions. There is severe weak
grip and extension left hand 3/5 and left
triceps muscle 3/5. There is hypalgesia of the
medial aspect of the left forearm.
The patient was sent for
investigations and MRI cervical spine done
10-August-2004 showing huge extruded disc C5-6
and bulge C6-7.
Using the C-arm, the level of
C5-6 was identified and discectomy of C5-6 was
performed and the extruded pieces were removed until the dura was seen at the
bottom of the removed disc cavity. The same was
done for C6-7. Routine closure
of the wound.
Smooth postoperative recovery. The power of the
upper limbs dramatically improved.
FOLLOW UP
The patient
came to the clinic 30-October-2004 with clean wound
and the motor power upper limbs normalized with
no sensory deficit.
The patient
then came 02-January-2005 complaining of left upper
limb pain with weak grip, extension left hand 2/5
with hypalgesia ulnar side left upper limb. He was
sent for investigations with MRI of the soft tissues
of the neck, brachial plexus protocol and EMG. There
is edema of the left supraclavicular area, which he
noticed the last 2 weeks.
The patient
then came 03-March-2005 with MRI done 01-March-2005
showing a tumor expanding all over the left
retroclavicular area which could be an abscess.
Biopsy was taken, which proved to be adenocarcinoma
and was sent for oncologist for further
investigations and possible chemo and radiotherapy.
Comments
The recurrence rate
in cervical disc surgery is zero. Another disc
can cause de novo extrusion.
In this case mts could be was before surgery and
surgery with medications improved him
temporarily, or the mts could be de novo after
surgery.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
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 .
