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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06-JANUARY-2010 TAMAM MUHAMED AL-MASDOUR 64 YEARS HUGE
EXTRUDED DISC C4-5 CENTRAL MORE TO THE LEFT WITH RADICULO-MYELOPATHIC SYNDROME.
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Anamnesis:
The patient
came to the clinic 05-January-2010 complaining
of neck pain for three months with inability to
walk the last 2 months and numbness of the left
upper limb.
MRI brain done
19-December-2009 was normal but MRI of the
cervical spine showed very huge extrusion of
C4-5 centrally located more to the left with
malacia of the spinal cord.
On examination: the patient
has weak left upper limb 3-2/5 and right upper
limb 4-3/5 with Hoffmann positive in the right .
Weak all muscles left lower limb 3/5 and right
lower limb 4/5. Sensation was intact.
Anterior discectomy of C4-5
was performed and cleaning of the extrusion was
achieved. The dura was seen in the entire
segment behind the disc space and for
confirmation of total cleaning of the extruded
fragments, contrast material was injected to the
disc space and image-intensifier was used for
this.
Routine closure of the wound
and smooth postoperative course and improvement
of the power of the four limbs.
Comments
One level discectomy in the
cervical area is sufficient and there is no need
for stabilization or implantation of the various
devices.
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 .
