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Multigen RF lesion generator .
12-JULY-2018 RANDA SAMEER JADA-ALLA 39 YEARS
EXTRUDED DISC C6-7 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 03-July-2018
complaining of neck pain with left upper limb
for 20 days with numbness left hand. MRI
cervical spine done 13-June-2018 showing huge
extruded disc C6-7 with left foraminal
occlusion. The patient has eczema and underwent
drainage of the breast abscess and has chronic
sinusitis. The patient complaining that the left
hand showing blue hue sometimes associated with
numbness.
On examination the neck is spastic as
torticollis with pain when turning the head to
the right and up. There is weak grip, extension
left hand and left triceps muscle 3/5.
The patient was sent for Lab investigations and
ESR was 104 mm/h for what Zinnat was started
before surgery. Further lab investigation one
week later showed decrease of ESR down to 84
mm/h and ANA detect was positive. Suspicion of
Raynaud's syndrome was considered.
Discectomy C6-7 with removal of
the extruded disc until the dura was seen along the
posterior border of the removed disc with inspection
of the left foramen for disc remnants. ON PLUS
(EOS) CERVICAL BLADED CAGE 13x15H6 was inserted with IN'OSS
bone substitute. Routine closure of the
wound. All stages were C-arm guided.
Smooth postoperative recovery. The power of
the left upper limb became normal. She was free
of pain of the left upper limb.
She was sent to the ward.
Comments
The patient has radiculo-myelopathic
syndrome due to spinal cord compression. Surgical
decompression and insertion of bladed cages was a necessity.
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
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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
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After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
MRI demonstrating the extruded fragment at C6-7 with occlusion of
the left foramen.
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 .
