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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29-SEPTEMBER-2009 NUHA HEDAR ASFOUR 55 YEARS
LCS L2-3, 3-4 AND L4-5 WITH LATERAL RECESS SYNDROME.
Anamnesis:
The patient came to the
clinic 08-April-2005 complaining of LBP with left sciatica for
3 weeks. MRI lumbar spine
performed 10-April-2006 showing bulge D11-12,
L1-2, 2-3, 3-4 and L5-S1.
The patient then came several
times and the last visit 25-July-2009
complaining of LBP with intermittent
claudication with progressive course. She cannot
walk more than 50 meters in the last months.
The patient had exaggerated scoliotic
stance with bilateral sciatica. SLRS was 60
degrees in the right and 75 degrees in the left. The
patient had weak dorsi and
planterflexion both feet 4/5 and hypalgesia
right L5 territory.
MRI lumbar spine repeated
10-August-2009 showing severe stenosis L2-3,
L3-4 and L4-5 with bilateral recess syndrome.
Decompressive laminectomy
L3-4 and partial of L2 and L5 was done and
foraminotomy of L3-4-5 roots was performed both
sides. The epidural fat was missing at the
compressed levels.
Routine closure of the
wound and smooth
postoperative recovery
and the power of the
feet normalized and the patient sent to
the ward.
Comments
Lumbar canal stenosis is a
progressive disease and when it take a
progressive course, the sooner the better to
perform surgery.
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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 .
