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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Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
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neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
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Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com


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


Multigen RF lesion generator .

29-APRIL-2014  YAHYA HUSSEIN AL-AQEL  65 YEARS EARLY DISCITIS L4-5 LEFT SIDE.

 

Anamnesis

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The patient was operated by me 24-April-2014 and was discharged 2 days with good condition. The last day got agonizing left sciatica, for what MRI repeated showing fullness of the area with possible soft disc fragments extrusion. The patient is from Yemen and time is critical in this situation. The patient was admitted and a trail for conservative treatment failed for what exploration of the wound was decided.

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS was 60 degrees with pain in the left. There is no weakness. CRP was 85 mg/dL  and ESR 20 mm/h.

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The wound opened. A gush of pus came out from under the facia and it was coming fro the disc space. It was sent for CXS. Cleaning of the disc space from the discitis material. The edematous soft tissues were cleaning, to eliminate any source of compression. Meticulous irrigation with saline, Gentamicin and a powder of Maxipime 1 gm was filled to the operative field and routine closure of the wound. Nylon stitches were used for the cutaneous layer.

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Smooth postoperative recovery. The sciatica disappeared. Targocid 400 mg daily started.

 

 

Comments  

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The patient is a diabetic, but such rapid escalation of the events with pus collection within several hours, despite the fact the the patient was covered empirically with 2 antibiotics, is rare but possible.

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The patient must have low immunity, that triggered such event.

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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