Munir Elias 20-12-2013

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
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IOM Sites
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Neurosurgical Sites
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Neurosurgical Encyclopedia
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gliomas.info
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neurooncology.me
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pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
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Neuro ICU Site
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Neurophysiological Sites
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Neuroradiological Sites
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Personal Sites
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Spine Surgery Sites
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paraplegia.today

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


Multigen RF lesion generator .

11-FEBRUARY-2015  KAMAL FAWZI ANBA  48 YEARS  HUGE EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION WITH SEGMENTAL STENOSIS.

 

Anamnesis

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The patient came to the clinic 09-February-2015 complaining of right sciatica for 10 days with numbness right foot. 1 year ago had minor episode in the left side and disappeared after 10 days.

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On examination, the patient is in agonizing pain limping with exaggerated scoliotic stance with SLRS 30 degrees with pain in the right and slight decrease of the right AJ and weak dorsiflexion right foot 3/5 and left foot 4/5  with hypalgesia right S1 territory.

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MRI lumbar spine done 10-February-2015 showing huge extruded disc L4-5 with right downward migration causing segmental stenosis.

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Using the C-arm, the level of L4-5 was identified. Partial laminectomy lower 2/3 of L4 and upper 1/5th of L5. Foraminotomy both L5 roots. The extruded disc was attacked from the right and the downward migrating big piece was removed. Bilateral cleaning L4-5 disc space. The disc space was filled with Omnipaque and control image was achieved. It seems that even with meticulous cleaning the disc space is still have plenty filaments from the endplates.  Routine closure of the wound.

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Smooth postoperative recovery. The power of the both feet became normal immediately after surgery.

 

 

Comments  

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The patient still has an estimated postoperative recurrence around 7%.

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

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


Inomed MER system


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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