Dr. Ahmad Mansour Abu Alika

Dr. Ahmad Mansour Abu Alika

Brain and Spine Specialist - Neurologist

  , Sharjah, United Arab Emirates

  22+ Years of experience

BIOGRAPHY

Qualification and Experience

Dr. Ahmad Mansour Abu Alika has more than 22 years of experience in the field of neurology. He went onto complete his MBBS (Bachelor of Medicine, Bachelor of Surgery) and then his MS (Master of Surgery) in Neurology.

Contribution to Medical Science

Dr. Ahmad has his special interest in headaches and migraines, epilepsy, stroke, neck pain and back pain, MS multiple sclerosis, Parkinson's disease, and neurophysiology, ECG, EMG- N.C.S. He is also a member of the Syrian Neurological Society and the Syrian Board of Neurology since 1993. At present, he is working as a specialist neurologist with the Zulekha Hospital, Dubai. Dr. Ahmad was also the head of the department of neurology in general authority of the DARAA Hospital, Syria. Before joining Zulekha Hospital he was associated with Khorfakkan Hospital (MOH), Sharjah. He is an extensive researcher. Dr. Ahmad has done research on the relationship between Road Traffic Accidents and Seizures under the General Authority of DARAA Hospital, Syria. Dr. Ahmad has conducted research on the relationship between uncontrolled hypertension and cerebrovascular accident under the General Authority of DARAA Hospital, Syria.

Past Experience

  • Head of Department of Neurology in General authority of DARAA Hospital, Syria
  • Consultant, Khorfakkan Hospital (MOH) Sharjah

Qualifications

  • MBBS
  • MS (Neurology)
MEMBERSHIPS (2)
  • Member of Syrian Neurological Society
  • Member of Syrian Board of Neurology
RESEARCH PAPERS AND PUBLICATIONS (3)
  • Research on the relationship between Road Traffic Accidents (R.T.A) and Seizures under General Authority of DARAA Hospital- Syria (1998 2001).
  • Research on the relationship between uncontrolled Hypertension and Cerebrovascular Accident (C.V.A) under General Authority of DARAA Hospital Syria from 2003 to 2010.
Procedures
Brachial Plexus Injuries/Stereotactic Procedures

Brachial plexus injury is a medical emergency caused due to an injury to the brachial plexus group of nerves that sends signals from your spine to your shoulder, arm, and hand. These nerves control and administer feelings in the muscles of the shoulder, elbow, wrist, hand, and arm. This damage is also known as brachial plexopathy. Brachial plexus injury appears when these nerves are compressed, stretched, or in the most serious case, ripped apart from the spinal cord. Some brachial plexus injuries known as stingers or burners are inconsequential and will completely recover in a few weeks. However, other brachial plexus injuries are severe enough and may cause some permanent impairment in the arm. In severe conditions, it can paralyze your arm, with a failure of function and sensation.


Brachial Plexus Injury Causes

Brachial plexus injury results when the brachial nerves are damaged by excessive stretching, pressure, or cutting. Stretching can occur when your shoulder is forced down while your neck stretches up and away from the injured shoulder such as during a motorcycle or a car accident. In case of a serious injury, the brachial nerve may rip off the spinal cord in the neck. This type of brachial plexus injury is classified as traumatic brachial plexus injuries. It may occur because of different reasons, including:

  • Contact sports: Contact sports players may experience burners or stingers, which can occur when the nerves in the brachial plexus get stretched above their limits during collisions with other players.
  • Trauma: Several types of trauma, including motorcycle and car accidents or bullet wounds, can result in a brachial plexus injury.
  • Inflammation: Inflammation may also cause damage to the brachial plexus. An uncommon condition known as Parsonage-Turner syndrome or brachial plexitis causes brachial plexus inflammation without any trauma.
  • Tumors: Noncancerous (benign) or cancerous tumors may damage the brachial plexus.
  • Childbirth: Injury during complication of childbirth.

Brachial plexopathy may also result from exposure to radiation at the time of stereotactic radiosurgery or specific procedures such as stereotactic breast biopsy.


Brachial Plexus Injury Symptoms

Symptoms of the brachial plexus injury depend on the seriousness of the injury. A minor injury can often occur during any contact sport and minor trauma when the brachial plexus nerves get stretched or compressed. Minor brachial plexus injury symptoms include the following:

  • Burning sensation and shocks shooting down your arm
  • Weakness and numbness in your arm

More serious brachial plexus injury symptoms result when nerves are torn or ruptured. Such injuries may produce the following symptoms:

  • Weakness or inability to use certain muscles of hand, arm or shoulder
  • Complete lack of movement and feelings (paralysis) in your arm, including your shoulder and hand
  • Severe pain

In case of childbirth brachial plexus injury, symptoms can be seen right after the birth of the child. These may include:

  • No movement in the upper or lower arm or hand of the baby
  • Arm flexed (bent) at the elbow and held against the body
  • Absence of Moro reflex on the affected side
  • Decreased grip on the affected side
Brain Tumour Treatment

A brain tumor is a cancerous or a non-cancerous growth of cells in the brain. This growth of abnormal cells can take place in any part of the brain or it can happen in any other body party and spread to the brain.

It is a fairly common condition that affects millions of people around the world. An undiagnosed brain tumour can prove fatal and therefore, it is necessary to undergo specific tests and initiate treatment as soon as the diagnosis is confirmed.

The symptoms of a brain tumour can be confused with some other medical condition, especially migraine. Increasingly strong headache and blurred vision are the two most common symptoms of a brain tumour. People with this condition can also experience seizures, confusion, nausea, vertigo, impaired voice, and loss of balance.

Treatment for a brain tumour depends on several factors. The type, size, and the location of a tumour, in addition to the overall health of the patient and his or her age, are some of the considerations made by the doctor while preparing a brain tumour treatment plan.

Different treatment modalities can be used to treat brain tumour patients and surgery, chemotherapy, and radiation therapy are among them. Usually, a combination of treatment modalities is used to conduct brain tumour treatment.

Craniotomy

Craniotomy surgery is one of the most common types of brain surgery conducted to treat a brain tumor. It mainly aims at removing a lesion, tumor, or a blood clot in the brain by opening a flap above the brain to access the targeted area. This flap is removed on a temporary basis and again put in place when the surgery is done. Around 90 percent of the cases of brain tumors are diagnosed in adults aged between 55 and 65. Among children, a brain tumor is diagnosed within an age range of 3 to 12 years.

Craniotomy procedures are conducted with the help of magnetic resonance imaging (MRI) scans to reach the location precisely in the brain that requires treatment. A three-dimensional image for the same is achieved of the brain in conjunction with localizing frames and computers to view a tumor properly. A clear distinction is made between abnormal or tumor tissue and normal healthy tissue and to access the exact location of the abnormal tissue.

Who requires a craniotomy?

In a minimally invasive craniotomy procedure, a burr hole or a keyhole may be created to access the brain to fulfill the following purposes:

  • To drain out cerebrospinal fluid in case of hydrocephalus by inserting a shunt into the ventricles
  • To treat Parkinson’s disease by inserting a deep brain stimulator (DBS)
  • To insert an intracranial pressure monitor
  • To conduct needle biopsy, where a small sample of abnormal tissue is removed for study
  • For stereotactic hematoma aspiration, in which a blood clot is drained out
  • For insertion of an endoscope to clip aneurysms and for the removal of small tumors

When there are complex craniotomies involved, the procedure may be referred to as a skull base surgery.  In this kind of surgery, a small portion of the skull is removed from the bottom of the brain. This is the region where delicate arteries, veins, and cranial nerves exit the skull. Complicated planning is done to plan such craniotomies and understand the location of the lesions. This type of approach is usually employed for:

  • The removal or treatment of large brain tumors and aneurysm in the brain
  • Treatment after a skull fracture or major injury like a gunshot
  • The removal of a malignant tumor affecting the bony skull

Primary brain tumors are much less common than secondary brain tumors. Primary ones are found to originate very close to the brain itself or in the tissues very close to it, such as the covering membranes of the brain, including the meninges, cranial nerves, pineal, or pituitary gland. It begins with normal cells, which at a later period undergoes some mutational errors in their DNA. The mutation triggers cells to grow and divide at a very high rate while healthy cells keep dying around it. This results in a mass of abnormal cells which gives rise to a tumor. Unlike primary tumors, the secondary tumors begin as cancer elsewhere and spread to the brain.

Symptoms of brain tumor

  • Different patterns of a headache
  • Headaches get more frequent and acutely painful
  • Nausea
  • Blurred vision, double vision, or loss of peripheral vision
  • Loss of sensation in the arm or any leg gradually
  • Balance difficulty
  • Speech problems with confusion in simple matters
  • Hearing problems
  • Personality change
  • Sudden seizures and attacks or bouts of pain

Types of Craniotomy

No matter what the goal of the surgery is, it is best to ensure that the incision is made to address the intracranial lesion keeping some principles in mind. A wide variety of intracranial processes can be done via a craniotomy with a different variety of incisions. Some of these variations include frontal craniotomy, pterional craniotomy, temporal craniotomy, decompression craniectomy, and suboccipital craniotomy.

Disc Replacement ( Cervical /Lumber)

The spinal cord is a linear arrangement of many small bones known as vertebrae. These vertebrae consist of spaces between them known as intervertebral spaces. They are filled with cartilaginous structures that provide a cushioning effect to the vertebrae and support the movement of the spine. These cartilaginous structures are called Intervertebral discs.

Any pathology of the intervertebral discs such as disc herniation (slipping of the disc from between the vertebrae), ruptured disc, or degenerative disc disease may cause severe back pain due to nerve impingement, indicating the need for either partial or total disc replacement. In partial disc replacement surgery, only a portion of the cartilaginous disc is replaced by the artificial disc, while the total disc is replaced in the total disc replacement surgery.

Cervical disc degeneration and disc rupture may cause chronic neck pain radiating towards the arm.  Thoracic disc degeneration may cause chronic upper/ mid back pain while lumbar disc degeneration may cause chronic lower back pain.

 

Conditions that indicate the need for a disc replacement surgery:

  • Discitis (Inflammation of the intervertebral disc)
  • Scoliosis (abnormal spinal curve laterally)
  • Herniated disc in back (slipping of the cartilaginous disc into surrounding tissue)
  • Disc degeneration and disc rupture (infection of the intervertebral disc causing its degeneration.
Kyphoplasty

Kyphoplasty is also known as balloon kyphoplasty. It is a minimally-invasive surgical procedure that can repair spinal fractures caused by cancer, osteoporosis, or benign lesions. It is not used for spinal stenosis treatment.

Kyphoplasty procedure is designed to relieve the intense pain caused by vertebral compression fractures, to stabilize the bone or to bring back some or all of the lost vertebral body height due to the compression fracture. Kyphoplasty or balloon kyphoplasty is a superb replacement of the typical conventional therapies such as analgesic use, bed rest, and bracing. It is a quick remedy for severe pain due to vertebral compression. It eliminates the pain almost immediately and the risk of complications during kyphoplasty is low. However, it is not intended for the treatment of arthritis or intervertebral disc disease. Kyphoplasty is different from discectomy, which is conducted in case of a herniated disc. Discectomy completely removes the damaged or herniated disc from the vertebrae of the patient.

Laminectomy and vertebroplasty are two other procedures that follow different techniques for stabilizing fractures. Laminectomy works by removing the lamina to create space, vertebroplasty works by injecting cement into the broken or cracked spine. For the same reason, vertebroplasty cost is different from kyphoplasty cost.

Who is the best candidate for kyphoplasty?

Kyphoplasty is typically suggested in case of:

  • Severe pain that cannot be controlled by pain-relieving medications
  • Severe functional restraints such as inability to walk or stand
  • Fractures resulting in loss of height and alignment
  • Multiple fractures in spine
  • Fractures with radical collapse
  • Fractures located at the thoracolumbar junction
  • Spondylolisthesis, that is, displacement of one vertebra over another
Laminectomy

Laminectomy is also known as decompression surgery. In this surgical procedure, a part of the vertebral bone called lamina is removed to create additional space. The lamina is the back part of the vertebrae that covers the spinal canal. Removing the lamina enlarges the spinal canal and thus, helps relieve pressure on the nerves and the spinal cord. Bony growths, especially in people with spinal arthritis, may put an additional pressure on the spinal cord. It may cause severe back pain and in some severe cases, can even cause paralysis. Narrowing of the space between the vertebrae is also known as spinal stenosis.

Laminectomy surgery, which is a form of spinal stenosis treatment, helps relieve pressure on the spinal cord and the nerves by creating a room between the vertebrae and the cord. When the pressure on the spinal cord in the case of lumbar spinal stenosis is relieved by creating a space between the lumbar vertebrae, the procedure is known as lumbar laminectomy. During a lumbar laminectomy, the surgeon may even remove the ligaments or bone spurs pressing the spinal cord.

Microdiscectomy

Microdiscectomy is also known as microdecompression or cervical microdiscectomy. It is one of the most commonly performed spine surgery procedures.

Microdiscectomy or cervical microdiscectomy is preferred for patients with a lumbar herniated disc. The main goal of a discectomy is to relieve the pressure on a spinal nerve root by removing the material causing the pain. Traditionally, this purpose was solved by an open technique called lumbar discectomy surgery, which involves making a large incision to cut some of the back muscles, leading to a slow and painful recovery. Nowadays, an advanced form of surgery called microdiscectomy can achieve the same goal that too with the help of a small incision and fewer injury to back muscles. As a result, the recovery takes less time and is less painful.  A special microscope is used in microdiscectomy to view the disc and nerves. The larger view allows the surgeon to make a smaller incision, causing less damage to the surrounding tissues.

 

When is microdiscectomy needed?

Sciatica is a condition caused by compression of the spinal nerve, which generally results in chronic pain in the legs of the patients. This compression of the spinal nerve is frequently the result of a herniated lumbar disc.  As a herniagrows, the damaged tissue extends into the spinal column and pushes on the nerves. This condition causes the nerves to send pain signals to the brain and the brain interprets the pain source to be coming from the legs.

Most commonly, sciatica heals naturally or with the help of medication in a few weeks. But, if sciatica lasts more than 12 weeks after taking oral medicines, patients may benefit from discectomy. Discectomy is also used for the treatment of spondylosis and lumbar spinal stenosis. While spondylosis occurs due to degenerative osteoarthritis of the vertebrae, lumbar spinal stenosis occurs due to narrowing of the spinal canal leading to nerve compression. The latter may also warrant the need for a spinal stenosis surgery.

Spinal Fusion

Spinal fusion surgery is a type of a spinal procedure used to join two or more bones permanently in the spine and to prevent movement between them. The bones that are joined are called as vertebrae. Spinal fusion surgery is performed along with other surgical procedures such as foraminotomy or laminectomy and after diskectomy in the neck. It is required if the patient has an injury or a fracture of the vertebrae. The spine will become weak due to an infection or tumors. Spinal fusion is also performed in abnormal curvatures that result from scoliosis or kyphosis.

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Frequently Asked Questions
What area of specialization does Dr. Ahmad Mansour Abu Alika have?
Dr. Ahmad Mansour Abu Alika is specialized in United Arab Emirates and of the most sought after doctors in Brain and Spine Specialist.
Does Dr. Ahmad Mansour Abu Alika offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Ahmad Mansour Abu Alika have?
Dr. Ahmad Mansour Abu Alika is one of the most sought after specialists in United Arab Emirates and has over 22+ Years years of experience.
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