داکتر محمد صمیم سردار M.Samim sardar

28/01/2026

L4/5 IVDH
Discectomy

28/01/2026

23/01/2026

Brian abscess...

18/01/2026

Patient come to the hospital while complaining from Neck pain which radiated to his Left upper limb since ever but not cured with medications and physiotherapy ... planned surgery for him..C5/6 ACD and fusion with zero profile cage .
Now the patient feel better free from pain .

Dr. Mohammad Samim Sardar
MD
Neurosurgeon

18/01/2026

The most common causes of low back pain related to L5/S1 joint is:

16/01/2026

Rare cases:
Bilateral Acute-onset Chronic Subdural hematoma(SDH) in 65 year old woman was evacuated successfully.

Dr. Mohammad Samim Sardar
MD.
Neurosurgeon
Kabul,Afghanistan

13/01/2026

ناروغ چی د موتر تصادف له امله ژوبل شوی وو او دملا یوه مهره یی مات شوی وو
په بریالیتوب د
fixation
عملیات ورته اجرا شو
..اوس الحمد الله شه دی او په خپلو پشو گرزی.

12/01/2026

❇️ *د غاړې درد (Neck Pain):*

*لاملونه:*
→ *Degenerative (زړېدو سره تړلي):*
د غاړې سونډیلوسس (cervical spondylosis) ډسک فتق‌ن (ډېری وختونه C5–C6 او C6–C7)

→ *ټپ (Trauma):*
ویپلش، ماتیدل، بې ځایه کیدل (dislocations)

→ *انتاني (Infection):*
اوسټیو مایلایټس، ډسکایټس، ایپیډورال ابسس

→ *نیوپلاستیک (Neoplastic):*
میټاسټاسس، د ملا تیر اصلي تومورونه

→ *رګونو پورې اړوند (Vascular):*
د ورتیبرال یا کاروټید شریان (dissection)

→ *التهابي (Inflammatory):*
روماتایډ آرترایټس، انکیلوزنګ سپونډیلایټس، PMR

---

*خطر زنګونه (Red Flags):*
→ د سرطان تاریخچه
→ تبه یا وزن کمېدل
→ تازه ټپ
→دوامداره عصبي کمزوری ت
→ د بولو یا فضوله موادو کنټرول ستونزې
→ د زنګون شاوخوا بې حسه کېدل (Saddle anesthesia)
→ د IV وریدی
نشه يي توکو کارول

---

*مهم سنډرومونه (Key Syndromes):*

→ *سرویکل ریډیکولوپیتي (Cervical Radiculopathy):*
د لاس درد، د پوستکي حسي له منځه تګ، د رفلکسونو کمښت

→ *سرویکل مایلوپیتي (Cervical Myelopathy):*
د لاسونو کمزوري کار، د قدم وهلو ستونزه، هایپریفلیکسیا، Hoffmann/Babinski مثبت

---

*ارزونه (Evaluation):*
→ بشپړ عصبي معاینه
→ Spurling's ټسټ (د ریډیکولوپیتي لپاره)
→ Lhermitte’s نښه (د نخاع فشار لپاره)
→ *MRI د غاړې ملا* — د خطر زنگ لپاره
*طلایي معیار*

---

*درملنه (Management):*
→ لومړنی درملنه: محافظتي
(NSAIDs، فزیکي درملنه)
جراحی

داکتر محمد صمیم سردار M.Samim sardar
متخصص جراحی اعصاب و ستون فقرات

11/01/2026

تر ضیضات دماغی و‌انواع آن.....
ترضیضات باز و بسته
ترضیضات ابتدایی و ثانوی
کنکسشن
کنتیوژن
ترضیضات منتشر اکسونل
پارگی نسج دماغی

10/01/2026

Nervous system Tuberculosis in Brain and spine with consequences and complications .....
توبرکلوز سیستم عصبی (دماغی ونخاعی) فراورده ها واختلاطات ان ....همچنان باعث تخریب استخوان های ستون فقرات میشود .

08/01/2026

TYPES OF PAIN:
🔹 1. Acute Pain

→ Pain of sudden onset
→ Short duration
→ Usually related to tissue injury, trauma, surgery, or inflammation
→ Serves a protective biological function

Examples
→ Cut, burn, fracture
→ Post-operative pain
→ Acute infection

Key Features
→ Well localized
→ Resolves with healing of underlying cause

🔹 2. Chronic Pain

→ Pain that persists for more than 3 months
→ Continues beyond normal tissue healing time
→ Often associated with long-term conditions

Examples
→ Chronic low back pain
→ Osteoarthritis
→ Rheumatoid arthritis

Key Features
→ May lose protective role
→ Often associated with psychological distress
→ Requires multidisciplinary management

🔹 3. Nociceptive Pain

→ Pain due to actual or potential tissue damage
→ Activation of nociceptors (pain receptors)

Types
→ Somatic pain – skin, muscles, joints (well localized)
→ Visceral pain – internal organs (poorly localized, dull)

Examples
→ Muscle injury
→ Inflammatory joint pain
→ Post-surgical pain

🔹 4. Neuropathic Pain

→ Pain caused by nerve damage or dysfunction
→ Originates from peripheral or central nervous system

Common Descriptions
→ Burning
→ Shooting
→ Electric shock–like
→ Tingling or numbness

Examples
→ Diabetic neuropathy
→ Post-herpetic neuralgia
→ Trigeminal neuralgia

🔹 5. Referred Pain

→ Pain perceived at a site distant from the source of pathology
→ Occurs due to shared spinal cord segments

Classic Examples
→ Cardiac ischemia → pain radiating to left arm or jaw
→ Gallbladder disease → right shoulder pain

Key Feature
→ Area of pain appears normal on examination

🔹 6. Psychogenic Pain

→ Pain influenced or amplified by psychological factors
→ No sufficient identifiable structural pathology
→ Pain perception is real, not imagined

Associated Factors
→ Anxiety
→ Depression
→ Stress disorders

Examples
→ Tension-type headache
→ Somatoform pain disorders

داکتر محمد صمیم سردار M.Samim sardar
متخصص جراحی اعصاب و ستون فقرات