Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
gliomas.uk
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com


 

Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


 

Multigen RF lesion generator .

16-DECEMBER-2003  ABDEL-RAHMAN AL-GHAWI 67 YEARS LUMBAR CANAL STENOSIS L3-4, 4-5 WITH BULGING DISC L4-5.

 

Anamnesis

bullet

The patient came to the clinic 10-November-2003 complaining of LBP and bilateral sciatica for 18 months. He is a known diabetic and hypertensive for 5 years under treatment. H has essential tremor left hand.

bullet

On examination: the patient is unable to walk, using crutches for 5 months with scoliotic stance and limping. SLRS was 50 degrees both sides without pain. There is severe weak dorsi and planterflexion both feet, more the right with hypalgesia both L4.5 and S1 roots territories both sides.

bullet

The patient was sent for investigations and MRI lumbar spine showed lumbar canal stenosis L3-4 and L4-5 with bulge L4-5.

bullet

Laminectomy L4, upper third of L5 and lower third of L3. Foraminotomy both L4 and L5 roots in the right side. Inspection of the disci was negative for violation. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. A free fat was harvested from the subcutaneous layer and covered the exposed parts of the root. to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The power of the feet slightly improved.

FOLLOW UP

bullet

The patient came to the clinic 16-November-2003 with clean wound with more improvement of the power of both feet.

 

Comments

bullet

The sooner the decompression in progressive lumbar canal stenosis the better the outcome.

 

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

Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

LooksCam II in the run.
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 .


 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 


View Larger Map

© [2003] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved