Munir Elias 20-12-2013

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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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

23-SEPTEMBER-2014  RUWAEDA MAHMOUD ALI  62 YEARS  HUGE PCD C6-7 WITH SPINAL CORD COMPRESSION.

 

Anamnesis

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The patient came to clinic 27-August-2014 complaining of LBP with bilateral sciatica for 2 months, more the left side with neck pain and numbness four limbs. The patient is a known diabetic for 12 years, underwent laminectomy for PLD L4-5 2006 cervical fixation C5-6 elsewhere. MRI lumbar done 15-June-2014, showing bulge L4-5. Cervical X-ray showing the cage between C5-6. EMG done 04-March-2014 reporting as having bilateral CTS, more the right.

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On examination; the patient has shuffling gait with mild scoliotic stance. There is pain when turning the head to the right and down with limitation. There is weak grip both hands -4/5 more the right. Extension right hand 3/5, left hand 4/5. Triceps right arm 2/5,  and 3/5 of the left. There is hypalgesia of both hands with ulnar side of the arm and forearm. SLRS was 85 degrees with pain both sides. There is weak all muscles both lower limbs -4/5, more the left leg.

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The patient was sent for thorough investigations and MRI cervical spine showed very huge disc C6-7 with spinal cord compression.

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Discectomy C6-7 with removal of the all extrusion until the dura was seen behind. Samarys cervical cage 5x15x12 mm inserted. Using Trestle cervical plate one level 16 mm with four fixed 4x16 mm screws, fusion of C6-7 achieved. Routine closure of the wound.

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Smooth postoperative recovery. The power of all four limbs became normal.

 

 

Comments  

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The patient has radiculo-myelopathic syndrome, which functionally resolved after decompression.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014


Inomed MER system



Back Up!

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 .

WELCOME TO AL-SHMAISANI HOSPITAL

 


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