www.neurosurgery.tv 
   
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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 was operated by me 17-September-2003 for PCD C5-6 for severe compression of the spinal cord causing severe weak both upper limbs . The patient had severe myelopathic syndrome and she improved partially for her left upper limb. Her right upper limb and both lower limbs became worse and the right lower limb was almost drop. She is in wheelchair. MRI showing moderate disc at C4-5 and still hanging calcification at C5-6  with compression of the spinal cord at D2-3 and D3-4. The major compression was at D9-10 and LCS L4-5 for what she was operated at the same setting. Decompression of D9 and  10 and L4 and 5 with foraminotomy of both L5 roots was done.

The next day the patient could walk and the weak right foot regained power. It was explained to the patient that, she still have two sites, one at the D2-3 level and the C4-5 and C5-6 levels could be considered for surgery. This decision will be taken after three months according to her clinical status at that time.


 


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