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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02-AUGUST-2008 NAJAH BASSAM MUHAMED 50 YEARS
EXTRUDED DISC C6-7 WITH LEFT DOWNWARD MIGRATION.
Anamnesis:
The patient came to the
clinic 29-July-2008 complaining of severe neck
and left upper limb pain for 24 days.
MRI performed today
29-July-2008 showing huge extrusion C6-7 with
left downward migration.
The patient was operated by
me 20-June-2007
for huge extruded disc L5-S1 with left downward
migration.
On examination: the patient
in agonizing pain with pain when looking to left
and down with weak grip left hand 4/5 and
extension of the fingers -4/5 and profound weak
left triceps muscle 3/4 and hypalgesia all the
left hand and medial side of the upper limb.
Using image-intensifier,
discectomy of C6-7 was performed. The disc
material was calcified, but removable with
pituitaries. After removal of the extruded
inside disc material the weight applied to the
Hallo traction was increased from 5 Kg to 15 Kg
to augment the slipping of the extrusion.
Further removal of the extrusion was achieved,
until the dura was seen all over the field. The
extruded disc was adherent to the dura.
Routine closure of the wound
with improvement of the power of the left upper
limb.
Comments
The patient mostly had
an old extrusion with de novo extrusion, because
the extruded material was adherent to dura.
This factor could predict a protracted period of
recovery.
Recurrence in cervical disc
surgery is zero.
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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 .
