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
The patient came to the clinic
04-March-2006 complaining of LBP with right sciatica for 9 years with
mild scoliotic stance. The last 2 years, she has progression of weak
right lower limb. MRI performed 10-June-2003 showed complete
occlusion at L3-4. She came limping with atrophied muscles of the
right foreleg.
On examination: SLRS was 75 degrees both sides with
more pain in the right side. She had hypalgesia below the right knee
with almost drop both feet and severe weak planterflexion both feet.
The patient was sent for another MRI, which confirmed the presence
of LCS L2-3, L3-4 and L4-5.
Decompressive laminectomy of L2-3-4 and partial of L5 was
performed and foraminotomy of L3-4-5 both sides was achieved.
Postoperative period was uneventful with the recovery of the left
foot with normalization of the planterflexion right foot.
Comments:
1. LCS when
progressing, surgery give better results when the patient still not
suffering from irreversible damage to the neural structures. In the
contrary, when the compression is longstanding as in this case the
atrophied muscles of the right foreleg needs long time to recover.
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 in the run starting from 14-March-2020
