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 had RTA 04-August-2005 with amnesia to the event. She
had several fractures of the pelvic rim and cut wounds of the face
and right elbow. She was treated for that, but the patient continued
to complain of neck and left shoulder pain with fainting attacks for
several months after the accident. The patient was seen at the
clinic 26-March-2006. She had weak grip and extension of left hand
and the left triceps muscle. SLRS was 45 degrees left side with weak
dorsi and planterflexion left foot with Babinski positive both sides
and exaggerated reflexes both lower limbs. MRI of the cervical and
lumbar spine were requested and performed and showed huge disc C5-6
with malacia of the spinal cord at that level.
The patient was
admitted 28-March-2006 and operated. Discectomy of C5-6 with removal
of the extruded disc was performed. Inspection of the dura was
negative for dural tears. Inspection for instability also was
negative, for what fixation was not performed.
Smooth postoperative recovery. The patient was setting and
walking 6 hours after surgery.
