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 .

26-MAY-2016  MAHMOUD ALI JABER  27 YEARS  EXTRUDED DISK L1-2 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 24-May-2016 complaining of LBP with left sciatica for 1 month down to the gastrocnemius muscle. MRI lumbar spine performed 10-May-2016 showing huge disk L1-2 with left downward migration.

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On examination: the patient is limping with mild scoliotic stance. SLRS was 30 degrees in the right with pain shooting to the left leg and 60 degrees left side with less pain. There is weak dorsiflexion left foot -4/5 and dyseasthesia of the left L1 territory.

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Using the C-arm, the L1-2 level was identified and left L1 foraminotomy was achieved. The extruded disk was removed from left side and left sided cleaning of L1-2 was performed. Using MultiGen, stimulation of left nerve was achieved with 0.8 V. A bipolar pulsed mode RF with 42 Celsius, 240 sec, 2 Hz and 20 msec duration to left L1 root was achieved using 2 bended catheters 10 mm exposed length. Further motor stimulation done to the same root and the same response was noted. Routine closure of the wound.

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Smooth postoperative recovery. The patient is sciatica free. The power of left foot normalized and he was sent to the ward.


MultiGen

 

Comments  

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

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This is the 59th 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.

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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