Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity.

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
gliomas.uk
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 .

07-APRIL-2016  HUSAM HASAN TAHA  49 YEARS  HUGE EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION AND DROP LEFT FOOT.

 

Anamnesis

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The patient came to the clinic 06-April-2016 complaining of LBP with left sciatica for 6 years with intermittent course. Exacerbation of the LBP with left sciatica the last 3 weeks with further deterioration the last three days with numbness of all toes left foot. MRI lumbar spine performed 05-April-2016 showing very huge extruded disc L4-5 with left downward migration.

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On examination: the patient using crutches and walking with help of 2 person and unable to estimate the limping nor scoliotic stance. SLRS was 30 degrees with pain in the right and 3 degrees with more pain in the left. The left AJ is absent in the left. There is drop left foot with weak planterflexion left foot 2/5. Hypalgesia both left L5, S1 roots.

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The level of L4-5 was identified and partial decompressive laminectomy of L4 and upper left half of L5 was achieved from. Left L5 foraminotomy. The extruded disc of L4-5 was removed subaxillary in 2 huge pieces with left sided cleaning of the disc space. Using MultiGen, a bipolar pulsed mode RF with 42 Celsius, 240 sec, 2 Hz and 20 msec duration to left L5 root was achieved using 2 bended catheters 10 mm exposed length. Stimulation of the root with 1.2 V showed slight response, but with 2 V brisk response. Routine closure of the wound.

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Smooth postoperative recovery. The planterflexion power of left foot became normal and the patient could dorsiflex the big toe with slight weakness. The patient is sciatica free. He was sent to the ward.


MultiGen

 

Comments  

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The patient still having an estimated postoperative recurrence around 7%, because the disc space is still not shallow.

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This is the 48th case using the BPRF mode with MultiGen. This procedure regained routine acceptance  it became a usual part of the spine surgery. Click here for reference.

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Before application of BPRF stimulation was applied to the root and got response with 1.2 V which indicate that the nerve have good chance for postoperative recovery. This means, that if the patient has a drop foot with agonizing pain with minimal period of time with good response to stimulation, the expected postoperative recovery will be considerable.

 

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 


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

 


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