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
neurosurgery.tv
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08-MAY-2012 ABEER SHUKRY ASKAR 34 YEARS HUGE
EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The
patient came to the clinic 06-May-2012
complaining of LBP for 5 months with left
sciatica for 2 months with positive cough sign.
She could not walk more than 10 meters due to
pain.
MRI lumbar
spine performed 24-April-2012 showing
huge extruded disc L4-5 with left foraminal
occlusion.
On
examination, the patient is limping, dragging
the left lower limb with exaggerated scoliotic
stance. SLRS was unable to achieve due to severe pain.
Planterflexion left foot was 4/5 and
dorsiflexion left foot -3/5.
Left partial flavotomy L4-5
with foraminotomy left L5 root. The extruded
disc was removed from under the axilla. Left
sided cleaning L4-5 disc space.
Routine
closure of the wound. Smooth postoperative
recovery. with disappearance of left sciatica
and normalization of the power of the left foot.
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Comments
The patient still has
estimated postoperative recurrence around 7%,
because the disc space height still not shallow.
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 .
