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 .

16-SEPTEMBER-2015  MUTEE HUSSEIN AL-ZQAYER  43 YEARS  SEVERE CERVICAL CANAL STENOSIS C3-4 AND C4-5 WITH SEVERE MALACIA OF THE SPINAL CORD.

 

Anamnesis

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The patient came to the clinic 13-September-2015 with clinical history of dysphonia and delayed milestones since birth. He could walk at 12 years of age with inability to control both hands, but he could manage himself and could marry and has three sons. The last three years he deteriorated and he became in wheelchair with right severe plegia of the upper and lower limbs.

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On examination: the patient has dysphonia in wheelchair with deep tetraparesis. He can understand the verbal commands and the memory function is intact. He has pain of the neck when turning the head up and to the right . There is hypalgesia below C3 more deep in the left side. The right deltoid is 0/5, the left is -3/5. The right biceps muscle is 1/5 and the left 2/5. The grip of the right hand 2/5 and the left 3/5. The extension of the right hand 0/5 and the left 1/5. The right triceps muscle is 0/5 and the left 4/5. There is flexor deformity of the right upper limb. The right quadriceps is 2/5 and the left 4/5. Dorsi and planterflexion right foot 2/5 and the left 3/5. All deep reflexes are exaggerated and more brisk in the left upper limb. All pathologic reflexes are present in the upper and lower limbs with clonus both feet.

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MRI cervical spine performed 10-September-2015 showing severe cervical canal stenosis at C3-4 and C4-5 with severe malacia of the spinal cord at these levels.

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 Decompressive laminectomy of C3,4,5 without violating the epidural space. Routine closure of the wound.

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Smooth postoperative recovery. The patient still the same and was sent to the ward.

 

 

 

Comments  

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The patient patient has an old insult to the brain since childhood. The cervical stenosis was added to his condition.

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The aim of the surgery is to stop his clinical deterioration.

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

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

 


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