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02-MARCH-2003 MAHMOUD SULAYMAN AL-NABALY 25 YEARS
EXTRUDED DISC L4-5 RIGHT FORAMINAL OCCLUSION.
Comments
The recurrence rate in this case still
ranking around 14% because the disci spaces are not completely
collapsed.
Anamnesis
The patient was operated by me 15-August-2001
for extruded disc L5-S1 with left foraminal
occlusion. The he came to the clinic 23-February-2003
complaining of LBP for 1 month with right sciatica
down to the big toe. MRI done 16-February-2003 showing
huge extruded disc L4-5 with right downward
migration.
On examination: the patient in pain,
limping with exaggerated scoliotic stance. SLRS
was 45 degrees with pain right side. There is
weak dorsiflexion right foot -4/5.
Right sided hemiflavotomy L4-5
with foraminotomy right L5 root. The extruded disc was
attacked from the right and right sided cleaning of
L4-5 was done. The patient was put in
Reverse Trendelenburg position with Valsalva
maneuver and hyperventilation. No CSF leak. Routine closure of
the wound
Smooth postoperative recovery.
The radicular pain decreased and the power of right
foot normalized. He was sent to the ward.
Follow Up
The patient came to the clinic 13-March-2003
with clean wound normal motor and sensory
functions. SLRS still 50 degrees right side with
pain.
The patient then came several times and MRI
lumbar spine performed 29-June-2004 showed no
recurrence. The last
visit was 20-April-2014 complaining of left
sciatica for 2 weeks with weak dorsiflexion left
foot 4/5. MRI done the day of the visit showing
small recurrence at L5-S1 left side. He was given medications and
advised to perform surgery, but he did
not show up.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
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After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
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LooksCam II Xenosys in the run starting from 14-March-2021 with
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
