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21-AUGUST-2004 MUHAMED MUSTAFA TAHAT 57 YEARS
EXTRUDED DISC C4-5 WITH RIGHT SPINAL CORD COMPRESSION.
Anamnesis
The patient came to the
clinic 15-August-2004 complaining of right
sciatica for 20 months with ataxia and weak all
right lower limb. Hypertensive for 2 years under
treatment. MRI cervical spine
done 06-August-2004 showing huge extruded disc
C4-5, more to the right and small extruded disc
L4-5.
On examination, the patient
in minimal neck pain, having neck pain when turning
the head to the right. There is severe weak
grip and extension left hand 3/5 and left
triceps muscle 3/5. Hoffman positive both sides.
Weak all muscles lower limbs 4/5.
The patient was sent for
re-investigation and MRI of the brain
done17-August-2004 was normal and huge PCD C4-5
with malacia and compression of the spinal cord.
Using the C-arm, the level of
C4-5 was identified and discectomy of C4-5 was
performed and the extruded pieces compressing
the spinal cord 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
left upper limb dramatically improved.
FOLLOW UP
The patient
came to the clinic 01-September-2004 with clean wound
and neurologically free except for the pathologic
reflexes.
The patient
then came 02-August-2007 got weak right foot for 8
months. MRI cervical spine performed 07-January-2006
showing bulge C3-4. He was limping due to OA left
knee.
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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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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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
