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
The patient came to the clinic
18-July-2006 complaining of left sciatica for 2 years with
exacerbation the last 2 months. She was limping with scoliotic
stance and agonizing pain for 2 weeks. On examination: SLRS 70
degrees right side and 45 degrees left side with absent left AJ,
hypalgesia left S1 territory and almost drop left foot with
weak planterflexion left foot.
MRI performed 14-June-2006 showing huge extrusion L5-S1 left side
with up and downward migration with coincidental Tarlov cyst.
Left L5-S1 hemiflavotomy was done and the extruded material was
removed. Inspection of the axilla and the root canal was negative
for remnants. Routine closure with prompt postoperative recovery.
Comments:
1. The patient
has huge extrusion and the disc space of L5-S1 is narrow. An
attention will be paid for this factor in the recurrence rate.
Logically the narrow space must decrease the possibility of
recurrence. Time will give the answer for that.
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
