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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
03-DECEMBER-2014 MAHMOUD ABDEL-AZIZ AL-UMARY 72
YEARS SEVERE CERVICAL STENOSIS C2-3 DOWN TO C5-6 WITH MALACIA OF THE
came to the clinic 29-November-2014 in
wheelchair for 22 days with neck pain and
difficult walking for 3 months with numbness
four limbs more the left side. MRI of the brain
done 18-November-2014 compatible with age and
cervical showing severe stenosis from C2-3 down
to C5-6. The patient underwent cath 2006 without
stinting. He was operated for laryngeal mass 5
On examination, the patient examined in wheelchair. There is
hypalgesia left side below the D2 level and below.
He has pain in the neck when looking down, up
and to the left. Both deltoid muscles 4/5,
biceps 3/5, grip right hand 3/5, left hand 2/5,
extension right hand 3/5, left hand 1/5, left
triceps 3/5. The patient has drop left wrist.
Complete drop left foot. Dorsiflexion right foot
3/5. Planterflexion right foot 4/5 and left foot
1/5. The right quadriceps femoris 4/5 and the
left 3/5. Hoffmann positive both sides more
brisk in the left. Babinski positive both sides.
Loss of urinary control the last 3 days.
The patient was sent for cervical X-ray with
dynamic studies to rule out instability. MRI of
the cervical spine performed the same day
confirming the presence of the above mentioned
levels with small recent disc at C5-6 left side. Cardio
consultation approved his tolerance for surgery.
Foley's catheter was inserted 3 days before
Decompressive laminectomy of C3,4,5 and upper
3/4 of C6 and lower 3/4 of C2. There is no epidural fat and the
dura was transparent at several places. The disc
of C5-6 was inspected from the left. No major
extrusion detected. Strict
Routine closure of the
Smooth postoperative recovery. The power of
four limbs improved slightly.
The patient has a progressive
disease, the earlier the surgical decompression the better
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .