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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
13-MAY-2015 SAEED ABDEL-JABBAR SALEH CHRONIC BACK
PAIN AT THE OLD KYPHOTIC DEFORMITY AT TH8-10 WITH RIGHT SCIATICA.
Anamnesis
The patient came to the clinic 09-May-2015
complaining of mid back pain for long years
after spinal kyphotic deformity of the Th 8-10
since early childhood and right sciatica for
several years. MRI dorsal spine done
28-February-2015 showing the segmental kyphotic
deformity at Th 8-9 without any compression.
On examination; the patient is not limping. Neck and upper
limbs were neurologically free. SLRS was 90 degrees without pain. There is
hypalgesia right L5 root territory with weak dorsiflexion
right foot 4/5.
The patient was sent for investigations and MRI
lumbar spine performed 10-May-2015 showing bulge
L5-S1. Dynamic studies ruled out instability.
Using the C-arm, Inomed Neuro N50 with tcu 215
15 mm electrodes, radiofrequency stimulation and
ablation of Th8-11 and S1 facet rootlets was
achieved. The patient noticed immediate
disappearance of pain all over.
The patient discharged after 1 hour pain free.
Comments
RF ablation of the involved facets
generating the pain is gratifying procedure. It is done with
accuracy by testing with stimulation and simple. The
ablation time for each was 120 sec with temperature not
reaching above 90 degrees.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted 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
Inomed MER system
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 .