{"id":77930,"date":"2009-05-14T00:00:41","date_gmt":"2009-05-13T22:00:41","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/incidencies-en-la-seccio-del-filum-terminale\/"},"modified":"2026-01-26T08:30:13","modified_gmt":"2026-01-26T07:30:13","slug":"incidencies-en-la-seccio-del-filum-terminale","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/ca\/incidencies-en-la-seccio-del-filum-terminale\/","title":{"rendered":"Incid\u00e8ncies en la Secci\u00f3 del filum terminale"},"content":{"rendered":"<p class=\"text-muted aniview centerTXT\">Publicat per\u00a0<a title=\"Entrades de ICSEB\" href=\"https:\/\/institutchiaribcn.com\/ca\/author\/anoop\/\" rel=\"author\">ICSEB<\/a>\u00a0el 14 maig, 2009<\/p>\n<p>&nbsp;<\/p>\n<p>Estic molt preocupat davant de les indicacions, comentaris i tipus d\u2019intervencions que s\u2019estan aplicant a pacients amb siringomielia en pa\u00efsos com It\u00e0lia i Fran\u00e7a que han comen\u00e7at a aplicar la secci\u00f3 del filum terminale.<\/p>\n<p>Vet aqu\u00ed un fragment de la consulta recent feta per e-mail d\u2019un pacient itali\u00e0 afecte d\u2019una siringomielia traum\u00e0tica on no estava indicat ni la secci\u00f3 del filum terminale ni el drenatge de la cavitat siringomielica, incloent l\u2019argot ling\u00fc\u00edstic:<\/p>\n<p><em>\u201cdopo un peggioramento da circa 1 anno e mezzo, il dottore della mia citt\u00e0 vorrebbe farmi altro drenaggio, un\u2019altra eqipe di Firenze.. invece vuole farmi la resezione del filum! x via intradurale..senza per\u00f2 garantirmi nulla sul esito..e cmq un\u2019operazione di certo invasiva..mah!\u201d<\/em><\/p>\n<p>L\u2019empitjorament en aquest cas es deu a l\u2019exist\u00e8ncia d\u2019una h\u00e8rnia discal C3-4 molt evident, que no li donen cap valor els diferents especialistes consultats.<\/p>\n<p>D\u2019altra banda hi ha un equip en el H\u00f4pital Kremlin-Bic\u00eater que ha realitzat dues intervencions de secci\u00f3 del filum terminale a dos pacients amb siringomielia sense cap criteri quir\u00fargic v\u00e0lid. Precisament d\u2019aquest hospital s\u00f3n procedents els insults de \u201cxarlatans\u201d que ens proferien fa uns mesos segons un pacient operat de SFT.<\/p>\n<p>Tamb\u00e9 em preocupa l\u2019aspecte mercantilista d\u2019algun professional franc\u00e8s sense cap experi\u00e8ncia en aquestes patologies, que abans d\u2019operar el primer cas, ja estan fent ofertes econ\u00f2miques a persones que es creuen legitimades a dirigir grups de pacients. amb interessos diferents de la correcta praxi m\u00e8dica.<\/p>\n<p>M\u00e9s trist \u00e9s la not\u00edcia que rebem des d\u2019It\u00e0lia de la secci\u00f3 d\u2019un nervi a nivell intradural lumbar quan s\u2019intentava realitzar la secci\u00f3 d\u2019un filum terminale.<\/p>\n<p>La secci\u00f3 del filum terminale proposat per al tractament de diverses malalties neurol\u00f2giques que componen la nova S\u00edndrome NeuroCraneoVertebral, \u00e9s efica\u00e7 quan es realitza una escrupolosa selecci\u00f3 del pacient; davant de l\u2019exist\u00e8ncia de molts factors, tant de la correcta indicaci\u00f3 com de la contraindicaci\u00f3 per a la intervenci\u00f3. A m\u00e9s, \u00e9s prec\u00eds un control postoperatori molt especial i en col\u00b7laboraci\u00f3 amb el pacient per comprendre els objectius de la intervenci\u00f3 i els resultats a esperar. Ja que intervencions reeixides sense aquest control psiconeurol\u00f2gic pot acabar en un resultat negatiu quan en la realitat \u00e9s positiu, especialment per la complexitat del quadre cl\u00ednic i amb la freq\u00fc\u00e8ncia de desqualificacions i insults que profereixen alguns professionals desinformats i malintencionats.<\/p>\n<p>Les indicacions i contraindicacions davant d\u2019aquesta s\u00edndrome NeuroCraneoVertebral de la que forma part la siringomielia, estan reflectides a les diferents publicacions i els seus fonaments en la comprensi\u00f3 de tot l\u2019explicat des de la tesi doctoral fins a l\u2019\u00faltima publicaci\u00f3 (veure bibliografia en les web de l\u2019INB i ICSEB).<br \/>\nEstem actualitzant tots aquests criteris en descobrir noves patologies relacionades amb nous signes i s\u00edmptomes. Confirmant-ho amb estudis d\u2019investigaci\u00f3, uns en forma de tesi doctoral i altres en publicacions patrocinats per la \u201cChiari &amp; Scoliosis &amp; Siringomielia Foundation\u201d.<\/p>\n<p>Dr. Royo Salvador<\/p>\n","protected":false},"featured_media":0,"template":"","tipos-de-comunicacion":[509],"class_list":["post-77930","comunicacion","type-comunicacion","status-publish","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>Incid\u00e8ncies en la Secci\u00f3 del filum terminale | ICSEB<\/title>\n<meta name=\"description\" content=\"Estic molt preocupat davant de les indicacions, comentaris i tipus d\u2019intervencions que s\u2019estan aplicant a pacients amb... \u00a0 Llegir m\u00e9s \u2192\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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