Munir Elias 20-12-2013

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

Functional Neurosurgery
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IOM Sites
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Neurosurgical Sites
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Neurosurgical Encyclopedia
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Neurooncological Sites
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craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
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Neurobiological Sites
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Neurohistopathological
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Neuro ICU Site
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Neurophysiological Sites
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Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
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Neurovascular Sites
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Personal Sites
cns.clinic

Spine Surgery Sites
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spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

20-MAY-2014  WAFA IZZIDEEN MUHAMED AL-ALI  57 YEARS  SEVERE LUMBAR CANAL STENOSIS L4-5, L3-4 WITH RIGHT L4-5 EXTRAFORAMINAL  EXTRUSION.

 

Anamnesis

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The patient came to the clinic 11-May-2014 complaining of LBP with left sciatica for 5 years with headache, neck and left upper limb pain for 8 years. The patient is hypertensive for 5 years.

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS was 40 degrees with pain in the left. Weak dorsiflexion right foot 3/5 with hypalgesia right L5 and S1 roots territories.

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The patient was sent for new investigations: MRI done 14-May-2014 showing the right far-lateral extrusion L4-5 with stenosis at L3-4 and L4-5 level. Dynamic studies not confirmative.

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Laminectomy L4. upper third of L5 and lower 2/3 of L3 was done with foraminotomy right L4 and L5 roots. The right far-lateral extrusion of L4-5 was removed in several pieces and the exposure of the annulus fibrosis was extended so that the right L4 root was running free at this level. Check for instability was negative for all levels. Meticulous intradiscal cleaning of L4-5 disc was performed from the right. 2 ml Hydr,Os bone graft was inserted to the disc space. Routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot became normal.

 

 

Comments  

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The estimated postoperative recurrence is still around 7%, but here 2 ml of bone graft was inserted to the disc space to prevent future collapse of the area and promote fusion of L4 and L5. Time will tell how effective this procedure is.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014


Back Up!

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 .

WELCOME TO AL-SHMAISANI HOSPITAL

 


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