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
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
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 .

22-AUGUST-2015  MAJIDA MUHAMED AL-SAWALHA  44 YEARS  EXTRUDED DISC L4-5 WITH RIGHT FAR DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 18-August-2015 from Qatar complaining of LBP and right sciatica for 8 years with exacerbation last 3 years.

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On examination: the patient is not limping with no scoliotic stance. SLRS was 90 degrees both sides with pain in the right. There is weak dorsiflexion right foot 3/5 with hypalgesia right L5 territory.

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The patient was sent for investigations and MRI of the lumbar spine performed 18-August-2015 showing extruded disc L4-5 with far downward migration with bulge L5-S1. Dynamic studies showed very minimal spondylolisthesis L4-5.

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Using the C-arm, the level of L4-5 was identified. Right L5 foraminotomy was extended far and drilling of the right side of L5 lamina was done until the L5-S1 disc space and the right S1 axilla was under vision. Right side L4-5 discectomy was done and hard consistency fragments were subaxillary removed. The right L5 root is swollen and distorted. Circumferential inspection was done. All the compressive elements were eliminated. Using MultiGen parallel mode, pulsed RF ablation was applied to the right L5 root using the curved Stryker canula 10mmX 15 cm length 21 French gauge. The upper canula was located lateral to the axilla and the lower medial and below the dorsal ganglion. Pulsed mode was applied for 240 sec, 2 Hz with 42 Celsius. Inspection of the root after that showed no morphologic changes. Routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot became normal and no paraaneasthesia was noticed. The patient was sent to the ward.

 


MultiGen

Theoretical backgrounds.

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Omar Pasha taking the ideas of Sluijter ME et al.,  using the epidural catheters in treating the neuropathic syndrome. In this case and to my knowledge will be the first case, these parameters were applied directly under vision to the exposed nerve.

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Time and accumulation of the material will reflect the effectiveness of this maneuver.

 

 

Comments  

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

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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