Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
09-NOVEMBER-2007 RASHA BASHEER AL-QAYSI 27 YEARS ACUTE EXTRUDED DISC L4-5
RIGHT SIDE.
Anamnesis
The patient was admitted to the emergency of
Al-Shmaisani hospital 3 days ago with agonizing
left sciatica and inability to walk for 2 days.
On examination, SLRS was 5 degrees in the right
with drop and severe weak planterflexion right
foot and analgesia of the right L5 and S1 roots.
The patient performed MRI the next day
confirming the presence of extruded disc L4-5
with occlusion of the right foramen. The patient
was in Pethidine and several pain-killers I/V
root and without effect.
Right L4-5 hemiflavotomy with right L5 root
foraminotomy was performed and the extruded
mobile disc was removed lateral to the axilla.
The root was severely compressed, that no
epidural fat was surrounding it. Meticulous
cleaning of L4-5 disc space. The root was
covered by epidural fat transferred from the
surround. Routine closure.
Smooth postoperative recovery.
Comments
The patient has moderate sized extrusion,
but with agonizing pain and severe functional neurologic
loss.
It is not the size of the disc extrusion
alone play role in selection of the patients for surgery,
but the relation of the extrusion to neural tissues in
combination with other factors lead to the decision of
surgical intervention.
The epidural fat was transferred to the
root area to minimize the scar formation around critical
areas.
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 in the run starting from 14-March-2020
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 .
