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 got numbness and dysesthesia-like pain in the left lower limb with inability to walk for 2 months. On examination he had hypalgesia below D3 dermatome left side with weak all left lower limb and massive mass reflexes both lower limbs. He had also weakness of the right limb to lesser degree. MRI cervical spine showed mild compression of the spinal cord at C4-5 level with malacia of the spinal cord. MRI dorsal spine showed massive compression of the spinal cord by hypertrophied facets and ossified ligamentum flavum at D2-3, 7-8, 10-11 levels more from the left side. The patient was operated in one setting through three separate incisions  over the dorsal spine to decompress all the mentioned above dorsal lesions. The patient also have LCS L3-4 and L4-5  and it was decided to postponed the decision about its importance after 3-4 months. The patient showed the next postoperative day considerable improvement.