Dr. Ali Al-Bayyati and Dr. Munir Elias

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

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
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


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07-APRIL-2013  AFAF YOUNIS ABU-JUDEH  41 YEARS  EXTRUDED RECURRENT DISC L4-5  WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 04-April-2013 in agonizing LBP with left sciatica the last 3 days with positive cough sign. The patient underwent discectomy L5-S1 1999 for for left sciatica and 2003 for right sciatica.

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MRI lumbar spine done 04-April-2013 showing huge extruded recurrent disc L4-5 with left downward migration.

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On examination: The patient is limping. She cannot stand to evaluate the scoliotic stance, nor normally sleep for proper clinical evaluation. SLRS was 80 degrees in the right and 5 degrees with shooting pain in the left. Almost drop left foot with weak planterflexion left foot 3/5. Weak dorsiflexion right foot 4/5 with analgesia of the left L5 territory and hypalgesia of the left S1 territory.

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Left L4-5 hemiflavotomy with left L5 root foraminotomy. The huge extruded disc material was removed from under the axilla in one big piece. Left side cleaning of the L4-5 disc space.

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Routine closure of the wound. Smooth postoperative recovery.

 

 

Comments

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There is still an estimated postoperative recurrence rate around 7% because the disc space of L4-5 still not shallow.

 

 

Leica HM500

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Back Up!

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

 


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