Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
06-JULY-2003 MARIAM AHMAD AQEL 60 YEARS LUMBAR
CANAL STENOSIS L2-3, 3-4, 4-5 WITH DROP FEET.
Anamnesis
The patient came to the clinic 06-April-2003
complaining of LBP with left sciatica for 5
years with exacerbation last month with
bilateral sciatica. Hypertensive for for 2 years
in treatment. MRI lumbar spine performed
18-August-2001 showing LCS L2-3, 3-4 and 4-5.
On examination, the patient limping with
waddling gait, bended anterior with exaggerated
scoliotic stance. There is weak quadriceps
muscles 4/5 abduction and adduction of the knees
3/5. flail left foot for 3 years and the right
after that.
The patient was sent for investigation and MRI
lumbar spine repeated 26-May-2003 showing severe
stenosis L2-3, 3-4 and L4-5.
Decompressive laminectomy
L3,4 and upper half of L5 and lower half of L2.
Foraminotomy all L3,4,5 roots both sides. 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 patient showed some improvement of the power of
her proximal muscles both legs. She was sent to the ward.
FOLLOW UP
The patient
came to the clinic 20-July-2003 with clean wound.
The power of the proximal muscles became full 5/5,
but still drop both feet.
The patient
then came 06-May-2007 with further improvement: the
dorsiflexion right foot 3/5 and planterflexion right
foot 4/5, planterflexion left foot 3/5, but drop
left foot.
The patient
then came 17-November-2008 telling that she was
improving, but the last 3 months got right hip pain
and walking with walker. MRI lumbar spine performed
26-October-2008 showing lumbar canal stenosis L1-2.
with extruded disc at this level. She was advised to
perform surgery.
Comments
The patient came too late with drop left foot
for 3 years. In this case the recovery of this
drop left foot mostly will be zero.
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
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
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 .
