How we do it? The speaker is Dr. And an occurrence, reoccurrence of the disease in a thoracic spine with instability at creative treatments. And after many months, had a 12th nerve palsy that were symptomatic with no further progression of the disease. He'll talk about what he did and how he did this challenging case In his second case, he'll talk about a patient with a symptomatic lower clival mass that led to the transoral removal of a lesion with a surprise diagnosis, followed by a cervical occipital fusion in a challenging environment.
You'll find out what he did, how he did it, and why. And in this example, there's a message for all neurosurgeons, physicians, on providing the best one can do for the patient wherever you are. My honor to be between you, to present my cases, and share my symbol, let's say my symbolic experience, the spying surgery, as Dr.
Haszade, I'm as the professor neurosurgeon from McKinsey Medical College, University of Baghdad, and work as a specialist in neurosurgeon in neurosurgical teaching hospital in Baghdad. And the MRI revealed there is a mass in L1. When I, this is the mass, as you see in the MRI in the L1 mass, I advise them to do surgery, fusion surgery, with the decompression of the mass but the family refused to do surgery, They decide to receive a dose of radiotherapy or radiation for the bag to relieve the pain and diffuse surgery.
At that time, the patient just having severe back pain, there is no weakness. After three weeks of the receiving radiotherapy, the patient develops lower limb weakness of around the grade two to three, especially on the left side.
Then come back to me and advise them again to do the surgery. This is the CT scan of the same patient with sagittal and coronal views, as you can see This is the mass at the alwandis tractive region involving the body of alwandis. In the patient have osteoporosis or element of osteoporosis because of the, it is used for at least two years, heavy dose of steroid of dexamethasone at each week My plan was to do fusion from doors or lumbar fusion with posterior approach to the body, to do carbactam with insertion of pyromish or titanium cage.
