www.neurosurgery.tv 
   
Munir Elias 20-12-2013
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
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 .

23-OCTOBER-2011  AMNEH MAHMOUD ABDALLAH  56 YEARS  LUMBAR CANAL STENOSIS L3-4, L4-5 LEVELS.

Anamnesis

bullet

The patient was operated 27-July-2010 for severe cervical stenosis, after what considerable improvement was noticed. She had also lumbar canal stenosis, which was considered to be reevaluated later.

bullet

The patient then came 10-October-2011 claiming that the upper limbs and the neck are in good condition, but still complaining of cramps of both lower limbs  with LBP.

bullet

MRI lumbar spine done 13-July-2011 showing severe lumbar canal stenosis L3-4 and L4-5.

bullet

On examination: the patient is limping with scoliotic stance. There is bilateral sciatica with SLRS 75 degrees in the left with pain, but weak dorsiflexion right foot 3/5 and planterflexion right foot 4/5 and anaesthesia of right L5 and S1 territories.

bullet

Decompressive laminectomy of L4 and partial of L3 and L5. Foraminotomy of L4 and L5 roots both sides. The right L4 foraminotomy was extended far lateral so as to decompress the severely deformed root. Only 8 mm width of the pedicle was left to preserve stability to the bony construct.

bullet

Routine closure of the wound.  Smooth postoperative recovery  and improvement of the power of the right foot.


 

 

 

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

 

Comments

bullet

The patient has lumbar canal stenosis, which is a progressive one. The surgery was postponed to resolve the cervical canal stenosis which must take precedence.

bullet

The sooner the decompression, the better the postoperative outcome. Foraminotomy is mandatory in most cases, because the roots most of the time are compressed.


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


View Larger Map

  

© [2011] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved