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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
27-SEPTEMBER-2014 BADER ODEH AL-KHALIDI 55 YEARS
EXTRUDED DISC C5-6 WITH SEVERE MALACIA OF THE SPINAL CORD.
The patient came to clinic 24-September-2014
complaining of neck pain for 2 years with left
upper limb pain. LBP with left lower limb pain.
He is recently diagnosed with diabetes mellitus
and has severe decreased hearing right ear for
25 years 10% and the left ear 50% for 8 years.
He has prostate hypertrophy in Xatral 10 mg not
in regular treatment. MRI lumbar spine done
23-September-2014 showing dehydrated disc L4-5.
Dorsal MRI normal, but MRI cervical spine
showing severe malacia of the spinal cord with
extruded disc C5-6. Even the malacia is so
severe and located at the disc level, but
suspicion about MS aroused. The patient deny any
On examination; the patient using crutches for 2
years, has shuffling gait. There is no neck pain. There is weak grip
and extension both hands 3/5. Triceps both arms
3/5. There is hypalgesia below the left D11 and
right L3 levels. The deep reflexes both upper
limbs are brisk with Hoffmann positive both
sides. SLRS was
degrees right side due to weakness and 60
degrees left side due to weakness. There is weak all
muscles both lower limbs -4/5, more the right
The patient was sent for MRI of the brain with
dynamic studies of the cervical spine. There are
no data supporting multiple sclerosis.
Discectomy C5-6 with removal of the all
extrusion until the dura was seen behind.
Samarys cervical cage 6x15x12 mm inserted. Using
Trestle cervical plate one level 16 mm with four
fixed 4x16 mm screws, fusion of C5-6 achieved.
Routine closure of
Smooth postoperative recovery. The power of
all four limbs became normal.
The patient has radiculo-myelopathic
syndrome, which functionally resolved after decompression.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .