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

The patient was operated 1992 for PLD L4-5 for left sciatica and continued to complain of the same sciatica. The patient then came to the clinic with agonizing pain and drop left foot with anesthesia of left L5 and S1 territory. The MRI showed huge recurrence of his PLD with left downward migration. The patient after removal of his huge extruded disc with great caution paid not to traumatize the exposed root, showed very minimal CSF leak . Inspection for the source of leak was negative. A piece of muscle was inserted to engulf the root to prevent postoperative CSF leak and the wound was closed tightly.