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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
11-JUNE-2014 ASHRAF ALI ZAHRAN 40 YEARS HUGE
EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 02-June-2014
complaining of LBP for 7 years with left
sciatica for 3 months . Numbness of the left foot down
to the IV and V toes with positive cough sign.
MRI lumbar spine bad quality done 04-May-2014
showing huge extruded disc L5-S1 with left
downward migration.
On examination; The patient is limping with
exaggerated scoliotic stance. SLRS was 80
degrees without pain in the left. The left AJ is
absent. Weak dorsiflexion left foot 3/5.
Using microdiscectomy with endoscopic
facilities, left S1 foraminotomy was done. The
extruded disc was removed from under the axilla.
The swollen root the was shifted medially and
left sided intradiscal cleaning L5-S1 disc space
was performed. The root is hanging free, but
swollen. Routine closure of the wound.
Smooth postoperative recovery. The power of the
left foot became normal.
Comments
The patient still has an estimated
postoperative recurrence rate around 7%, because the disc
space is still not completely shallow.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .
