{"id":76447,"date":"2020-12-21T00:00:00","date_gmt":"2020-12-20T23:00:00","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/la-covid-19-malaltia-del-filum-i-la-boira-mental\/"},"modified":"2026-01-21T10:04:19","modified_gmt":"2026-01-21T09:04:19","slug":"covid-19-malaltia-filum-boira-mental","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/ca\/covid-19-malaltia-filum-boira-mental\/","title":{"rendered":"La COVID-19, Malaltia del Filum i la \u201cboira mental\u201d"},"content":{"rendered":"<p class=\"text-muted aniview centerTXT\">Publicat per\u00a0<a title=\"Entrades de ICSEB\" href=\"https:\/\/institutchiaribcn.com\/ca\/author\/chiari\/\" rel=\"author\">ICSEB<\/a>\u00a0el 21 desembre, 2020<\/p>\n<p>&nbsp;<\/p>\n<p>En les actuals circumst\u00e0ncies marcades per la pand\u00e8mia de la Covid-19, s\u00f3n molts els dubtes que poden sorgir. Entre ells, pacients i familiars es pregunten si les persones amb la Malaltia del Filum formen part d\u2019aquest grup de risc de la COVID-19.<\/p>\n<p>Des de l\u2019Institut Chiari de Barcelona desitgem traslladar-los la informaci\u00f3 m\u00e9s rellevant i pertinent que tenim al respecte, amb el prop\u00f2sit d\u2019intentar respondre i potser solucionar els seus dubtes.<\/p>\n<p>La COVID-19 \u00e9s una nova malaltia que es comporta de forma molt variable, sense que sapiguem els factors o circumst\u00e0ncies que la fan ser inn\u00f2cua o mortal.<\/p>\n<p>Els investigadors i professionals de la medicina intenten con\u00e8ixer-ho tot sobre la COVID-19 tant en all\u00f2 referent al virus SARS CoV2 com respecte a l\u2019hoste hum\u00e0, que fa la seva uni\u00f3 tant mort\u00edfera per a alguns.<\/p>\n<p>Un dels primers articles cient\u00edfics que aprofundeixen sobre la gravetat de la COVID\u201419, \u00e9s el de Zsuzsanna Varga de Zurich (Su\u00efssa) a The Lancet<sup>1<\/sup>\u00a0del 17 d\u2019abril de 2020, que afirma l\u2019exist\u00e8ncia d\u2019una afectaci\u00f3 inflamat\u00f2ria de la capa m\u00e9s interna dels vasos sanguinis \u2013 l\u2019endoteli- de diversos \u00f2rgans vitals; com el cor, l\u2019enc\u00e8fal i ronyons. Actualment, hi ha 1.680 articles referits a l\u2019endotelitis per COVID-19 en general, i 822 articles sobre l\u2019afectaci\u00f3 cerebral per COVID-19.<\/p>\n<div align=\"center\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-9641\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2020\/12\/COVID-19-Enfermedad-del-filum-y-la-niebla-mental.png\" alt=\"FIG 1. Lesions isqu\u00e8miques difuses de la subst\u00e0ncia blanca profunda. La difusi\u00f3 per RM (es basa en la detecci\u00f3 del moviment de mol\u00e8cules d\u2019aigua) en un pacient amb COVID-19, mostra nombroses lesions isqu\u00e8miques focals dins de la subst\u00e0ncia blanca profunda hemisf\u00e8rica (A, fletxa blanca), el cos call\u00f3s (A, fletxa vermella), el ganglis basals, els peduncles cerebel\u00b7losos medis i els hemisferis cerebel\u00b7losos (B, fletxes blanques)2\" width=\"307\" height=\"185\" \/><\/div>\n<p><em>FIG 1. Lesions isqu\u00e8miques difuses de la subst\u00e0ncia blanca profunda. La difusi\u00f3 per RM (es basa en la detecci\u00f3 del moviment de mol\u00e8cules d\u2019aigua) en un pacient amb COVID-19, mostra nombroses lesions isqu\u00e8miques focals dins de la subst\u00e0ncia blanca profunda hemisf\u00e8rica (A, fletxa blanca), el cos call\u00f3s (A, fletxa vermella), el ganglis basals, els peduncles cerebel\u00b7losos medis i els hemisferis cerebel\u00b7losos (B, fletxes blanques)<sup>2<\/sup>.<\/em><\/p>\n<p>Aquesta inflamaci\u00f3 que apareix a l\u2019endoteli del cervell en els casos greus de la COVID-19 (Fig. 1), pot generar en molts pacients la sensaci\u00f3 de \u201cboira mental\u201d, \u00e9s a dir, un tipus d\u2019afectaci\u00f3 neurol\u00f2gica que s\u2019observa tant en pacients greus com lleus. Es tracta d\u2019una de les seq\u00fceles a llarg termini de la COVID-19, que cada vegada m\u00e9s persones diuen haver patit o seguir patint, amb conseq\u00fc\u00e8ncies importants per a la seva qualitat de vida.<\/p>\n<p>La \u201cboira mental\u201d, que inclou trastorns de mem\u00f2ria, de concentraci\u00f3, dificultat per parlar i nominar, confusi\u00f3, marejos, fatiga, etc., pot agreujar-se en alguns pacients amb altres lesions cerebrals que l\u2019afavoreixen o la predisposen; en forma d\u2019inflamaci\u00f3 sobreafegida o d\u2019accidents vasculars cerebrals.<\/p>\n<p>El nostre equip m\u00e8dic i d\u2019investigadors ha descrit una nova malaltia, la\u00a0<strong>Malaltia del Filum<\/strong>, en la que s\u2019ha observat, entre d\u2019altres, una afectaci\u00f3 difusa de la circulaci\u00f3 sangu\u00ednia cerebral, de predomini en zones de la subst\u00e0ncia blanca (Figura 2)\u00a0<sup>3<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<div align=\"center\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-9642\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2020\/12\/Lesiones-isquemicas-difusas-de-la-sustancia-blanca-profunda.png\" alt=\"FIG 2. Lesions isqu\u00e8miques difuses de la subst\u00e0ncia blanca profunda. RM en un pacient amb la Malaltia del Filum mostra nombroses lesions isqu\u00e8miques focals dins de la subst\u00e0ncia blanca profunda hemisf\u00e8rica, els ganglis bassals (fletxes vermelles), que van desapar\u00e8ixer despr\u00e9s de la intervenci\u00f3.\" width=\"175\" height=\"179\" \/><\/div>\n<p><em>FIG 2. Lesions isqu\u00e8miques difuses de la subst\u00e0ncia blanca profunda. RM en un pacient amb la Malaltia del Filum mostra nombroses lesions isqu\u00e8miques focals dins de la subst\u00e0ncia blanca profunda hemisf\u00e8rica, els ganglis bassals (fletxes vermelles), que van desapar\u00e8ixer despr\u00e9s de la intervenci\u00f3.<\/em><\/p>\n<p>Podem suposar que la predisposici\u00f3 a d\u2019altres lesions cerebrals relacionades amb l\u2019endotelitis pot agreujar o augmentar les seq\u00fceles en els pacients que pateixen, a la vegada, la COVID-19 i la Malaltia del Filum.<\/p>\n<p>Sabem que aquesta predisposici\u00f3 inflamat\u00f2ria cerebral de la Malaltia del Filum, desapareix amb el tractament quir\u00fargic proposat per a ella, pel que pot ser recomanable el seu prematur diagn\u00f2stic i tractament adequat.<\/p>\n<p>Hi ha una problem\u00e0tica afegida: la Malaltia del Filum, en ser una malaltia de recent descripci\u00f3, de dif\u00edcil diagn\u00f2stic i, pel que sembla, d\u2019una molt extensa incid\u00e8ncia a nivell mundial, \u00e9s poc probable que es tingui en compte associada a la COVID-19.<\/p>\n<p>&nbsp;<\/p>\n<h2>Bibliografia<\/h2>\n<p>&nbsp;<\/p>\n<ol>\n<li>ZsuzsannaVarga , Andreas J Flammer , Peter Steiger , Martina Haberecker , Rea Andermatt , Annelies S Zinkernagel , Mandeep R Mehra , Reto A Schuepbach , Frank Ruschitzka , Holger Moch. Endothelial cell infection and endotheliitis in COVID-19. Case Reports. Lancet. 2020 May 2;395(10234):1417-1418.<\/li>\n<li>R Hanafi, P-A Roger, B Perin, G Kuchcinski, N Deleval, F Dallery, D Michel, L Hacein-Bey, J-P Pruvo, O Outteryck, J-M Constans. COVID-19 Neurologic Complication with CNS Vasculitis-Like Pattern. AJNR Am J Neuroradiol. 2020 Aug;41(8):1384-1387. doi: 10.3174\/ajnr.A6651.<\/li>\n<li>The Filum disease and the Neuro-Cranio-vertebral syndrome: definition, clinical picture and imaging features. BMC Neurology 2020, May 15. 20:175.\u00a0<a href=\"https:\/\/rdcu.be\/b36Pi\">https:\/\/rdcu.be\/b36Pi<\/a>.<\/li>\n<\/ol>\n","protected":false},"featured_media":76448,"template":"","tipos-de-comunicacion":[509],"class_list":["post-76447","comunicacion","type-comunicacion","status-publish","has-post-thumbnail","hentry","tipos-de-comunicacion-noticies"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La COVID-19, Malaltia del Filum i la \u201cboira mental\u201d | ICSEB<\/title>\n<meta name=\"description\" content=\"En les actuals circumst\u00e0ncies marcades per la pand\u00e8mia de la Covid-19, s\u00f3n molts els dubtes que poden sorgir. 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