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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23-JANUARY-2014 ABDEL-RAHMAN HUWAYEL AL-KHLEWEE 62 YEARS
SEVERE CERVICAL CANAL STENOSIS C5-6, 6-7 WITH OLD EXTRUDED DISC C5-6 RIGHT SIDE.
The patient came to the clinic 20-January-2014
complaining of ataxic gait and numbness four
limbs less the right upper limb for 5 years with difficult walking with progressive
course MRI cervical spine done 19-January-2014 showing
severe cervical canal stenosis C5-6 and C6-7
with malacia of the spinal cord with old
extruded disc C5-6 right side.
On examination; the patient has wide based gait. Romberg position-
swaying to all directions. There is limitation of neck movement to
all directions with pain. There is severe atrophy
interossii both hands with
anaesthesia left ulnar distribution with
weak grip both hands 4/5 and extension both
-3/5, both triceps 2/5. Hoffman positive both sides. There
is pronounced weak both lower limbs 3/5 left
foot and -3/5 right leg with exaggerated
deep reflexes. Diabetic neuropathy both
feet. Babinski ? right side.
Decompressive laminectomy of
C4,5,6 and upper 3/4 of C7 with preservation
of the spinous process of C7. Foraminotomy right
C6 root and inspection of the C5-6 extrusion was
bony hard. There was no
epidural fat. Routine closure of the wound.
recovery. The patient showed dramatic
The patient has progressive cervical canal
stenosis. The sooner the surgical intervention,
the better the postoperative outcome.
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