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
16-MAY-2006 RAYED MUHAMED ABU-LABAN 39 YEARS
HUGE RECURRENT PLD L4-5 RIGHT SIDE
The patient was operated by me
09-December-2003 for PLD L4-5 for
right sciatica with drop right foot at that time. The patient came
28-September-2005 complaining of right sciatica without
neurological deficit and he was sent for check MRI but he
disappeared. The patient then came 09-May-2006 complaining of LBP
with right sciatica for 1 week with numbness of the big toe. On
examination SLRS was 60 in the right with intact motor and sensory
functions. The patient was sent for MRI of the spine, which revealed
a huge recurrence of L4-5 disc in the right side.
The patient was
advised to undergo reoperation. Through the old incision, the upper
right corner of the previous fenestration, slight drilling of the
bone edges was achieved to attack the extrusion from up. The
extrusion was identified and it was removed in one piece. It was the
annulus fibrosis detached with hard consistency. Inspection of the
disc space showed empty narrow space. The right L5 root was hanging
free.
