Dr. Fuad Al-Masri Syrian neurosurgeon.

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


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

05-SEPTEMBER-2013  FATHI MUHAMED ABDEL-QADER  59 YEARS  EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

bullet

The patient came to the clinic 04-September-2013 complaining of left hip pain for 3 months when walking more than 300 meters. Exacerbation of LBP with right sciatica and numbness of the right foot with drop foot for 1 month. Using crutches for 3 days.

bullet

MRI of the lumbar spine performed 20-August-2013  showing bulge L5-S1 with extruded disc L4-5 with right downward migration.

bullet

On examination: the patient cannot walk or stand with agonizing sciatica. He is using drop foot brace right foot for 4 days. The patient is limping with exaggerated scoliotic stance. There is drop right foot with hypalgesia right L5 root territory. SLRS was 60 degrees in the right with pain.

bullet

Considering the patient has lumbarization of the S1, the C-arm was used to identify the L4-5 level. Laminectomy of L4 and upper fifth of L5 was done. Foraminotomy of the right L5 root. The root was severely compressed by the extrusion and surrounding bony and soft tissues elements. The extruded downward migrating disc fragments were removed lateral to the axilla. Right sided intradiscal cleaning of L4-5 disc space.

bullet

Smooth postoperative recovery. The power of the right foot still the same.

 

 

Comments

bullet

The patient still have an estimated postoperative recurrence around 7% because the disc space height still not shallow.

bullet

When complete drop foot take place for several days before surgery, recovery will be partial and extend for several months.

 

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.


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
 

© [2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved