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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02-DECEMBER-2010 HUSSEIN ALI AL-MOMANI 49 YEARS
WIDE BASED HUGE EXTRUSION C5-6 WITH MALACIA OF THE SPINAL CORD.
Anamnesis
The patient
came to the clinic 29-November-2010 complaining
of numbness both upper limbs ulnar division for
two months.
MRI
cervical
spine performed 25-November-2010 showing
huge wide based extrusion C5-6 compressing
the spinal cord with malacia of the later, with
bulge C4-5.
On
examination: The patient has no neck pain,
but has hypalgesia both ulnar territories of the
hands with weak grip and extension of both hands
4/5 and both triceps muscles 4/5. The weakness
is more profound in the left with hypotrophy of
the interossii left hand. There is no
myelopathic syndrome.
Using image-intensifier, discectomy of C5-6 was
performed and osteophytectomy to achieve
complete decompression of the spinal cord. The
dura was thin and transparent.
Routine
closure of the wound. Smooth postoperative
recovery and improvement of the power of both
upper limbs.
Comments
The patient had no neck pain,
but the spinal cord was severely damaged by the
compression at C5-6.
It was explained to the
patient the various options for his surgery and
he decided to perform simple discectomy without
using artificial disc or cages.
Recurrence rate in cervical
disc surgery is zero.
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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 .
