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
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-JUNE-2014  MALIK MUHAMED AL-MOMANI  40 YEARS  EXTRUDED DISC L2-3 WITH UPWARD MIGRATION AND SEVERE SEGMENTAL STENOSIS.

 

Anamnesis

bullet

The patient came to the clinic 21-June-2014 complaining of LBP for 2 months after falling down with left sciatica for 45 days down to the left knee. The patient had RTA 10 years ago. MRI lumbar spine done 15-May-2014 showing extruded disc L2-3 with upward migration with severe stenosis at this level.

bullet

On examination; The patient is limping with exaggerated scoliotic stance. SLRS 80 degrees with pain in the left. There is weak quadriceps muscle right 3/5, left 2/5, abduction and adduction right knee 3/5, dorsiflexion both feet  -3/5.

bullet

The patient was sent for investigations and MRI lumbar spine done the same day showing the same extrusion with severe segmental stenosis.

bullet

Using C-arm, the L2-3 level was identified. Laminectomy of lower 2/3 of L2 and upper third of L3 was achieved. Intradiscal decompression was achieved from both sides and the extruded disc was removed from both sides. Further intradiscal cleaning of L2-3 disc space. Foraminotomy was not performed, since the extruded disc was mainly upward migrating.

bullet

Smooth postoperative recovery. The power of both lower limbs became better.

 

 

Comments  

bullet

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

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


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

 


View Larger Map
 

© [2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved