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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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


 

Multigen RF lesion generator .

07-AUGUST-2014  NAJWA KHALEEL SAADE-EDEEN 77 YEARS  LUMBAR CANAL STENOSIS L2-3, L3-4 WITH EXTRUDED DISC L3-4 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 26-July-2014 complaining of left sciatica for 6 months with LBP. The condition continued to deteriorate and the last 2 weeks got bilateral sciatica. MRI lumbar spine done 26-July-2014 showing old extruded disc L3-4 left side with severe stenosis of L2-3 and L3-4 with old spondylolisthesis L4-5 and very shallow disc space of this level. The patient is a known diabetic for 5 years with arterial hypertension for 14 years with CVA one year ago.

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On examination; the patient is limping with exaggerated scoliotic stance walking bended anterior. SLRS was 40 degrees with pain in the left shooting to the right leg. There is weak dorsiflexion both feet -3/5.

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The patient was sent for investigations: MRI lumbar spine done 27-July-2014 showing the same data as before. Dynamic studies were normal. ESR was 38 mm/h.

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Laminectomy of L3, lower 3/4th of L2 and upper half of L4 was done. Foraminotomy left L4 root was achieved. Routine closure of the wound.

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The patient showed good improvement of the power of both feet.

 

 

Comments  

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The patient has lumbar canal stenosis with progressive course. Surgical decompression is the only solution.

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 .

WELCOME TO AL-SHMAISANI HOSPITAL

 


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