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
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25-JULY-2009 HASHEM KAMEL AL-MUFTY 75 YEARS
LUMBAR CANAL STENOSIS L1-2, 2-3, 3-4 AND L4-5 WITH LATERAL RECESS SYNDROME.
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Anamnesis:
The patient came to the
clinic 16-June-2009 complaining of LBP for 30
years with
left drop foot which recovered. The patient the
last 5 years noticed gradual deterioration and
now cannot walk more than 20 meters with
intermittent claudication more the left foot.
On examination: the
patient is limping with
scoliotic stance, SLRS
was 60 degrees in the
left with pain and weak
dorsi and planterflexion
left foot 3/5 and weak
dorsiflexion right foot
-4/5. There is
hypotrophy of the left
quadriceps and muscles
of the left foreleg.
MRI lumbar
spine performed 20-June-2009
showing severe lumbar
canal stenosis L1-2,
2-3, 3-4 and L4-5 with
lateral recess syndrome.
The patient is a known
hypertensive and sent
for cardiologic
consultation.
Decompressive
laminectomy of L2-3-4
and partial of L1 and L5
with foraminotomy of
L2-3-4 and L5 roots both
sides was performed with
special attention to the
left side. The dura was
transparent and there
was no epidural fat.
Smooth postoperative recovery
with improvement of the power of both feet.
Comments
Lumbar canal stenosis is a
progressive disease and the sooner the better to
operate such cases. The aim of surgery to halt
the progression of the disease and the patient
can gain improvement as in this case.
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 .
