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01-MAY-2004 MUHAMED HASAN ABDEL-NABI 37 YEARS EXTRUDED DISC C5-6
WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient a Palestinian Authority
citizen came to the
clinic 27-April-2004 complaining of neck pain
for 2 months. The last week got right upper
limb pain. Not diabetic nor hypertensive.
On examination, the patient
in agonizing pain, having neck pain when turning
the head to all directions. There is severe weak
grip and extension right hand 3/5 and right
triceps muscle 3/5. There is hypalgesia of the
thumb right hand.
The patient sent for
investigations and MRI cervical spine done
28-April-2004 showing extruded disc C5-6 with
occlusion right side.
Using the C-arm, the level of
C5-6 was identified and discectomy of C5-6 was
performed and the extruded pieces in the right
side were removed until the dura was seen at the
bottom of the removed disc cavity. Routine closure
of the wound.
Smooth postoperative recovery. The power of the
right upper limb dramatically improved.
FOLLOW UP
The patient
came to the clinic 15-May-2004 with clean wound
and neurologically free.
The patient
then came twice, the last one 29-June-2011 after RTA
with MRI cervical spine done after accident showing
extruded disc C6-7, but he improved and not
complaining and neurologically free. He was treated
conservatively.
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Comments
The recurrence rate
in cervical disc surgery is zero. Another disc
can cause de novo extrusion.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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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
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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
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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 .