Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
21-JANUARY-2005 NAJWA MUHAMED ABDO 61 YEARS SEVERE CERVICAL STENOSIS C4-5-6-7
WITH QUADRIPARESIS.
Anamnesis
The patient came to the clinic 17-January-2005
complaining of neck pain for 2 moths with
exacerbation last month with numbness of the
left hand with heaviness both legs. MRI cervical
spine performed 23-December-2004 showing severe
cervical stenosis C4-5-6-7 with malacia of the
spinal cord at C4-5 level.
On examination: The patient is limping with
ataxic gait. There is weak flexion, extension
both hand and both triceps muscles 3/5. There is
hypalgesia lateral aspect left arm. Hoffmann
sign positive more brisk in the left. All the
muscles of both legs are weak 4/5.
Through anterior approach
discectomy of all levels with fusion of C4-5-6-7 was
achieved. Routine
closure of the wound.
Smooth postoperative recovery.
She was sent to the ward.
Follow Up
The patient came to the clinic 03-February-2005
with dramatic improvement of the power of four
limbs with mild regression of the hypalgesia.
The last visit 24-April-2006 came with new
complain and MRI dorsal spine involved with
multiple myeloma and sent to hematologist.
Comments
Here the anterior approach was in favor,
because the extruded disc C4-5 must be dealt from anterior.
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 Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
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 .