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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23-JUNE-2012 SAEED IBRAHEEM ABU-TAHA 53 YEARS
SEVERE LUMBAR CANAL STENOSIS L4-5 WITH RIGHT L5 COMPRESSION BY GANGLION.
Anamnesis
The patient came to the
emergency
of Shmaisani hospital 22-June-2012 complaining
of agonizing right sciatica for 10 days down to
the right L5 root territory with numbness. The
patient is a known diabetic in glucophage and
Amaryl and hypertensive for 4 years.
On
examination, the patient is limping using crutch with
exaggerated scoliotic stance with SLRS 45 degree
with pain more right side with the left shooting
to the right. The AJ is absent both
sides with analgesia right L5 and hypalgesia
right S1 roots and drop right foot and weak
planterflexion same foot 4/5.
New MRI was requested and done 22-June-2012
showing severe lumbar canal stenosis L4-5 with a
ganglion compressing the right L5 root.
Decompressive laminectomy L4
and partial of L5 with foraminotomy right L5
root. The calcified ganglion with soft
components were drilled out and there was
extrusion L4-5, which was removed and right
sided cleaning L4-5 was performed.
Routine closure of the wound. Smooth
postoperative recovery.
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Comments
The patient still have an
estimated postoperative recurrence around 7%
because the disc space is still not shallow.
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 .
