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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26-AUGUST-2008 TARIQ FAWAZ HAMDALLAH 36 YEARS
PCD C6-7 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis:
The patient came to the
clinic 24-August-2008 complaining of neck and
right shoulder pain for three years with
exacerbation last month with numb index right
hand.
MRI performed 26-July-2008
showed PCD C6-7 with right foraminal occlusion.
On examination: the patient
has weak extension of the right hand the
weak right triceps muscle 3/5. The patient has
pain when looking down and bending the head to
the right with agonizing pain with sleep
disturbances due to pain.
Anterior approach with
discectomy of C6-7 was done under
image-intensifier. The extruded material was
removed in several pieces.
Routine closure of the wound
and smooth postoperative recovery with
normalization of the power of the right upper
limb.
Comments
The patient was treated by
traction 3 weeks ago and he noticed that
traction increased the pain. When the extrusion
is big as in such case it is preferable to avoid
traction, so as to prevent catastrophic
complications.
Surgery as in this case must
be performed as soon as possible.
Simple discectomy is the
preferred choice of treatment, since there is no
signs of instability.
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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 .
