{"id":15057,"date":"2019-04-04T00:00:53","date_gmt":"2019-04-03T22:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/enfermedades\/filum-terminale\/"},"modified":"2026-03-30T10:06:29","modified_gmt":"2026-03-30T08:06:29","slug":"filum-terminale","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/filum-terminale\/","title":{"rendered":"Filum Terminale"},"content":{"rendered":"<div style=\"margin-top: 70px;\">\n<p><strong>\u00daltima actualitzaci\u00f3: 09\/05\/2019, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/cv\/CV_Dr_Royo_ES_Europass.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Miguel B. Royo Salvador<\/strong><\/a>, <strong>N\u00famero de col\u00b7legiat 10389.<\/strong> <strong>Neurocirurgi\u00e0 i Neur\u00f2leg.<\/strong><\/p>\n<p style=\"text-align: justify;\">En aquest apartat tractem d\u2019introduir de forma molt sint\u00e8tica l\u2019anatomia normal del sistema nervi\u00f3s central i, amb aquesta, la del lligament que tantes conseq\u00fc\u00e8ncies pot tenir en la salut dels nostres pacients, perqu\u00e8 es puguin entendre millor les repercussions que pot tenir la seva malaltia en les diverses s\u00edndromes o patologies de les quals ens ocupem.<\/p>\n<p>L\u2019Institut Chiari &amp; Siringomielia &amp; Escoliosis de Barcelona (ICSEB) i el seu equip neuroquir\u00fargic estan altament especialitzats en les patologies del sistema nervi\u00f3s central relacionades amb el lligament del Filum Terminale.<\/p>\n<p>Tal com han confirmat els resultats de les investigacions dels \u00faltims 50 anys del Dr. M. B. Royo Salvador, un Filum Terminale que causi excessiva tracci\u00f3 de la medul\u00b7la espinal provoca l\u2019aparici\u00f3 de la <strong>Malaltia del Filum<\/strong>; motiu pel qual pot ser la causa d\u2019un grup clarament definit de patologies, a m\u00e9s d\u2019estar estretament relacionat amb el desenvolupament d\u2019altres diagn\u00f2stics i el seu pron\u00f2stic.<\/p>\n<p><strong>Introducci\u00f3: El sistema nervi\u00f3s central i la medul\u00b7la espinal<\/strong><\/p>\n<p>El <strong>sistema nervi\u00f3s central <\/strong>(<em>Fig.1<\/em>) <strong>o neuroeix<\/strong> consisteix en dues parts:<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong><strong>L\u2019enc\u00e8fal: <\/strong>\u00e9s la part continguda en el crani.<\/strong><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">&lt;<strong>La medul\u00b7la espinal: <\/strong>\u00e9s la porci\u00f3 inferior o caudal del neuroeix i t\u00e9 forma cil\u00edndrica, continguda al canal o conducte vertebral<strong>.<\/strong>.<\/li>\n<\/ul>\n<div align=\"center\"><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/05\/sistem-nervioso.jpg\"><img decoding=\"async\" class=\"img-responsive\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/05\/sistem-nervioso.jpg\" alt=\"\" width=\"auto\" height=\"400\" \/><\/a><br \/>\nFig.1<\/div>\n<p style=\"text-align: justify;\">El cervell i la medul\u00b7la espinal estan embolicats i protegits per tres membranes o <strong>meninges, de dins a fora: piam\u00e0ter, aracnoides i duram\u00e0ter<\/strong>, que determinen dos espais intermedis: l\u2019espai intraaracnoidal o subaracnoidal que cont\u00e9 <strong>el l\u00edquid cefalorraquidi (LCR)<\/strong>, amb la funci\u00f3 d\u2019esmorteir, protegir, hidratar, nodrir i drenar el sistema nervi\u00f3s central; i <strong>l\u2019espai subdural<\/strong>, per sota de la duram\u00e0ter.<\/p>\n<p>El <strong>tronc encef\u00e0lic<\/strong> connecta l\u2019enc\u00e8fal, i el cerebel amb la medul\u00b7la espinal. Est\u00e0 constitu\u00eft pel mesenc\u00e8fal, protuber\u00e0ncia i bulb raquidi.<\/p>\n<p>La <strong>medul\u00b7la espinal<\/strong> s\u2019est\u00e9n des del bulb raquidi en el <em>foramen m\u00e0gnum<\/em> del crani fins a la primera v\u00e8rtebra lumbar. \u00c9s flexible, el\u00e0stica i de color blanquin\u00f3s. Segueix a la columna vertebral adaptant-se als seus moviments, sense entrar en contacte amb els ossos -en estar recoberta per les meninges i el LCR-.<\/p>\n<p>En un tall transversal de la medul\u00b7la, observem la <strong>subst\u00e0ncia grisa<\/strong> a nivell central amb dues columnes laterals unides per una comissura grisa que t\u00e9 al seu centre el <strong>conducte de l\u2019ep\u00e8ndima<\/strong> (continuaci\u00f3 medul\u00b7lar del sistema ventricular encef\u00e0lic), conferint-li l\u2019aspecte de papallona o en \u201cH\u201d, envoltada de subst\u00e0ncia blanca.<\/p>\n<p>Longitudinalment la medul\u00b7la espinal es divideix en segments medul\u00b7lars definits, denominats <strong>met\u00e0mers<\/strong>. De cada met\u00e0mera emergeix una parella de nervis espinals, pels foramen intervertebrals. La medul\u00b7la espinal es connecta amb el sistema nervi\u00f3s perif\u00e8ric mitjan\u00e7ant 31\/33 parells de <strong>nervis espinals.<\/strong><\/p>\n<p>A nivell lumbar la medul\u00b7la espinal es restringeix a la pres\u00e8ncia del <strong>con medul\u00b7lar<\/strong>. En els tractats d\u2019Anatomia Humana i la majoria de publicacions situen el con medul\u00b7lar als voltants de l\u2019espai intervertebral L1-2. En estudis realitzats a Espanya, amb peculiaritats \u00e8tniques, el nivell del con medul\u00b7lar determinat per dos autors amb publicacions rellevants, el situen a nivell D12-L1.<\/p>\n<p>El complex de les arrels nervioses espinals que corresponen als \u00faltims quatre segments lumbars, sacres i coccigis, sense medul\u00b7la, componen la <strong>cua equina o<\/strong> <strong>cua de cavall<\/strong>, assumint una disposici\u00f3 semblant a una cua de cavall.<\/p>\n<hr \/>\n<h2><strong>Anatomia del Filum Terminale<\/strong><\/h2>\n<p style=\"text-align: justify;\">El sistema nervi\u00f3s central comen\u00e7a a formar-se durant la tercera setmana de gestaci\u00f3. Aquest proc\u00e9s (<em>neurulaci\u00f3)<\/em> porta a la constituci\u00f3 del <strong>tub neural<\/strong>, que al seu torn, a trav\u00e9s de la <em>tunelitzaci\u00f3<\/em>, forma el <strong>con medul\u00b7lar i el ventricle terminal, <\/strong>donant origen a la primitiva<strong> medul\u00b7la espinal.<\/strong><\/p>\n<p>Finalment, al cap de 38 dies de gestaci\u00f3, es produeix la <em>diferenciaci\u00f3 retr\u00f2grada<\/em> i es forma el <strong>filum terminale<\/strong>. A partir de la novena setmana de l\u2019embri\u00f3 hum\u00e0 s\u2019inicia un creixement disarm\u00f2nic entre la columna vertebral i la medul\u00b7la espinal, estimulat el seu creixement per dues hormones diferents i frenat per la textura del <em>filum ferminale<\/em>. Generant-se un conflicte mec\u00e0nic que es traduir\u00e0, en els casos extrems, en les manifestacions de la Malaltia del Filum.<\/p>\n<p>El <strong>filum terminale<\/strong> (<em>Fig.<\/em>2-3) \u00e9s un filament de 2 mm. de gruix i uns 20 cm. de llarg, que s\u2019est\u00e9n des de l\u2019extremitat inferior del con medul\u00b7lar fins a la cara dorsal del c\u00f2ccix, on es fixa mantenint-se <em>in situ<\/em>. Est\u00e0 format per teixit fibr\u00f3s que continua amb el de la piamadre i est\u00e0 embolicat per la duram\u00e0ter fins a la seva inserci\u00f3 en S2. Adherits a la seva superf\u00edcie externa, existeixen alguns filaments nerviosos.<\/p>\n<p>El canal ependimari central de la medul\u00b7la espinal s\u2019est\u00e9n 5-6 cm. a l\u2019interior del filum terminale.<\/p>\n<div align=\"center\"><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/05\/filum-terminale-imagen.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"img-responsive\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/05\/filum-terminale-imagen.jpg\" alt=\"\" width=\"400\" height=\"353\" \/><\/a><br \/>\nFig. 2 y 3 El Filum Terminale, a l\u2019esquerra, secci\u00f3 sagital de la columna lumbo-sacre-cocc\u00edgia; a la dreta, con medul\u00b7lar amb l\u2019obertura de la duram\u00e0ter, arrels nervioses lumbosacres o cua de cavall.<\/div>\n<p style=\"text-align: justify;\">El lligament es compon de dues parts, una superior i una altra inferior:<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">La part superior, o <strong>filum terminale internum<\/strong>, mesura uns 15 cm. de llarg i arriba al nivell de l\u2019extrem inferior de la segona v\u00e8rtebra sacra. Se situa dins del sac de la duram\u00e0ter i est\u00e0 envoltat dels nervis que formen la <em>cua equina.<\/em><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">La part inferior, o <strong>filum terminale externum<\/strong>, est\u00e0 \u00edntimament en contacte i revestida per la duram\u00e0ter; s\u2019est\u00e9n des del v\u00e8rtex del sac dural en S2 fins a la part posterior del primer-segon segment del c\u00f2ccix.<\/li>\n<\/ul>\n<hr \/>\n<h2><strong>Refer\u00e8ncies bibliogr\u00e0fiques<\/strong><\/h2>\n<ol>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Mercedes Arias, Alfonso Iglesias, Beatriz Nieto, Cristina Ruibal, Jorge Ma\u00f1as, Rosa Mart\u00ednez Presentaci\u00f3n del tema: \u201cPatolog\u00eda del filum terminale \u201cUna mirada atr\u00e1s\u201d Unidad de Diagn\u00f3stico por Imagen (GALARIA) Complejo Hospitalario Universitario de Vigo<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1996), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Siringomielia-escoliosis-malformacion-Arnold_Chiari-idiopatica.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Siringomielia<\/strong>, <strong>escoliosis<\/strong> y malformaci\u00f3n de <strong>Arnold-Chiari<\/strong> idiop\u00e1ticas, etiolog\u00eda com\u00fan (PDF).<\/a> REV NEUROL (Barc); 24 (132): 937-959.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1996), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/platibasia-impresion-basilar-retroceso-odontoideo.pdf\" target=\"_blank\" rel=\"noopener\"><strong>Platibasia<\/strong>, impresi\u00f3n basilar, retroceso odontoideo y kinking del tronco cerebral, etiolog\u00eda com\u00fan con la <strong>siringomielia<\/strong>, <strong>escoliosis<\/strong> y <strong>malformaci\u00f3n de Arnold-Chiari<\/strong> idiop\u00e1ticas (PDF).<\/a> REV NEUROL (Barc); 24 (134): 1241-1250<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1997), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Nuevo-tratamiento-sirignomielia-escoliosis-malformacion-Arnold_Chiari.pdf \" target=\"_blank\" rel=\"noopener\">Nuevo tratamiento quir\u00fargico para la <strong>siringomielia<\/strong>, la <strong>escoliosis<\/strong>, la <strong>malformaci\u00f3n de Arnold-Chiari<\/strong>, el kinking del tronco cerebral, el retroceso odontoideo, la impresi\u00f3n basilar y la platibasia idiop\u00e1ticas (PDF).<\/a> REV NEUROL; 25 (140): 523-530<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador, J. Sol\u00e9-Llenas, J. M. Dom\u00e9nech, and R. Gonz\u00e1lez-Adrio, (2005) <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/results-filum-in-20-patients.pdf \" target=\"_blank\" rel=\"noopener\">\u201cResults of the section of the <strong>filum terminale<\/strong> in 20 patients with <strong>syringomyelia<\/strong>, scoliosis and <strong>Chiari malformation<\/strong>\u201c.(PDF).<\/a> Acta Neurochir (Wien) 147: 515\u2013523.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/publicaciones\/dr-royo\/filum-system-bibliography.pdf\" target=\"_blank\" rel=\"noopener\">\u201cFilum System<sup>\u00ae<\/sup> Bibliography\u201d (PDF).<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/filum-system-guia-breve\/\" target=\"_blank\" rel=\"noopener\">\u201cFilum System<sup>\u00ae<\/sup> Gu\u00eda Breve\u201d.<\/a><\/li>\n<\/ol>\n<hr \/>\n<p>&nbsp;<\/p>\n<\/div>\n","protected":false},"featured_media":1298,"template":"","class_list":["post-15057","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Filum Terminale | Institut Chiari Barcelona<\/title>\n<meta name=\"description\" content=\"\u00daltima actualitzaci\u00f3: 09\/05\/2019, Dr. Miguel B. Royo Salvador, N\u00famero de col\u00b7legiat 10389. 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