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

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Neurosurgical Encyclopedia
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Personal Sites
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Stem Cell Therapy Site
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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

25-AUGUST-2014  MUHAMED ABDEL-RAHMAN AL-KHALIDI  62 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 23-August-2014 complaining of right sciatica for 6 months with exacerbation the last 2 weeks. The patient is a known diabetic insulin-dependent for 20 years. MRI lumbar spine done 02-March-2014 showing extruded disc L5-S1 with right downward migration.

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On examination; the patient is in agonizing pain, limping with exaggerated scoliotic stance, using crutches to walk for 2 weeks. SLRS was 70 degrees in the right with pain. There is weak dorsiflexion right foot 3/5 and planterflexion same foot 4/5.

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The patient was sent for new MRI of the lumbar spine with dynamic studies and lab investigations. The MRI performed the same day showing increase of the previous extrusion. Dynamic studies were normal.

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The L5-S1 level was identified by the C-arm. Right S1 foraminotomy. The extruded disc was removed lateral to the axilla in several pieces. Right intradiscal cleaning L5-S1 disc space. During the surgery ILLICO MSI retractor was used. Routine closure of the wound.

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Smooth postoperative recovery with normalization of the power of the right foot.

 
ILLICO MSI retractor

 

Comments  

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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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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