{"id":15072,"date":"2026-03-20T00:00:53","date_gmt":"2026-03-19T23:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/enfermedades\/sindrome-de-la-fatiga-cronica-o-encefalomielitis-mialgica\/"},"modified":"2026-04-09T13:50:41","modified_gmt":"2026-04-09T11:50:41","slug":"sindrome-fatiga-cronica-encefalomielitis-mialgica","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/sindrome-fatiga-cronica-encefalomielitis-mialgica\/","title":{"rendered":"S\u00edndrome de la Fatiga Cr\u00f2nica"},"content":{"rendered":"<p><strong>\u00daltima actualitzaci\u00f3: 20\/03\/2026, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/ca\/personal-clinic\/\" 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<h2><strong>Definici\u00f3n<\/strong><\/h2>\n<p style=\"text-align: justify;\">La S\u00edndrome de Fatiga cr\u00f2nica (SFC) o Encefalitis Mi\u00e0lgica (EnM) \u00e9s una malaltia greu, un trastorn complex i de llarga duraci\u00f3, que pot afectar a molts sistemes de l\u2019organisme. Es caracteritza per una fatiga extrema, que no millora amb el descans i que implica la dificultat de realitzar activitats normals, a vegades impedeix fins i tot aixecar-se del llit. Tamb\u00e9 \u00e9s definida com a \u201cMalaltia sistem\u00e0tica per intoler\u00e0ncia a l\u2019esfor\u00e7\u201d.<\/p>\n<p>A partir del 1984 s\u2019ha proposat el concepte de S\u00edndrome de sensibilitat central com a concepte patol\u00f2gic que engloba diferents processos amb caracter\u00edstiques comunes, entre les quals el SFC\/EnM i el de fibromi\u00e0lgia.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<div align=\"center\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-8328 img-responsive\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/02\/Sindrome-de-Fatiga-Cronica-o-Encefalomielitis-Mialgica.png\" alt=\"\" \/><\/div>\n<p style=\"text-align: center;\"><em>Fig.1<\/em><\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>S\u00edmptomes<\/strong><\/h2>\n<p style=\"text-align: justify;\">El SFC\/EnM es caracteritza per un quadre cl\u00ednic que pot incloure alguns dels seg\u00fcents s\u00edmptomes: <strong>cansament sever o esgotament extrem que dura m\u00e9s de 24 hores despr\u00e9s de realitzar esfor\u00e7os, malestar o fatiga despr\u00e9s de realitzar esfor\u00e7os amb empitjorament dels s\u00edmptomes, dolor articular o muscular sense causa aparent, mals de cap, dificultat d\u2019atenci\u00f3 i concentraci\u00f3, p\u00e8rdua de mem\u00f2ria, insomni, son lleuger, marejos, mal de coll, discret augment o dolor dels ganglis limf\u00e0tics.<\/strong><\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Diagn\u00f2stic<\/strong><\/h2>\n<p style=\"text-align: justify;\">Fins ara, s\u2019ha tractat d\u2019un diagn\u00f2stic d\u2019exclusi\u00f3, procedint a un ventall de proves que permeten descartar altres patologies amb s\u00edmptomes similars, abans de confirmar-ho.<br \/>\nPer concloure el diagn\u00f2stic per exclusi\u00f3, \u00e9s necessari que la fatiga hagi estat sempre present en els \u00faltims sis mesos i s\u2019associ\u00ef amb almenys de 4 dels s\u00edmptomes esmentats.<\/p>\n<p>Tanmateix, existeixen diferents criteris per considerar l\u2019exist\u00e8ncia d\u2019un SFC\/EnM: criteri Fukuda 1994, Canadian Consensus Criteria (CCC) 2003 i Myalgic Ecephalomyelitis-International Consensus Criteria (ME-ICC) 2011.<\/p>\n<p>Segons Nakatomi Y. 2018, s\u2019ha demostrat amb la tomografia d\u2019emissi\u00f3 de positrons (PET) l\u2019exist\u00e8ncia d\u2019una neuro-inflamaci\u00f3 molt estesa en les \u00e0rees cerebrals dels pacients afectats de SFC\/EnM, que va associada a la gravetat dels seus s\u00edmptomes neuro-psicol\u00f2gics.<\/p>\n<p>El m\u00e8tode Filum System<sup>\u00ae<\/sup>, d\u2019acord amb els descobriments cient\u00edfics sobre <strong>la Fibromi\u00e0lgia<\/strong>, la pertinen\u00e7a al mateix grup d\u2019aquesta \u00faltima del SFC\/EnM i l\u2019observaci\u00f3 de diferents casos co-diagnosticats de la Malaltia del Filum; suggereix que es procedeixi a realitzar una Resson\u00e0ncia Magn\u00e8tica Nuclear encef\u00e0lica i de la columna espinal, com a possible alteraci\u00f3 correlativa i visible a nivell de neuro-imatge. A m\u00e9s a m\u00e9s, es recomana la pr\u00e0ctica de la tomografia per emissi\u00f3 de positrons (PET) encef\u00e0lica.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Causes<\/strong><\/h2>\n<p style=\"text-align: justify;\">Actualment es desconeixen les causes espec\u00edfiques del SFC\/EnM.<\/p>\n<p>Pel que concerneix a la investigaci\u00f3 sobre aquestes, els especialistes consideren que una predisposici\u00f3 cong\u00e8nita al trastorn podria despr\u00e9s desencadenar-se per una combinaci\u00f3 de factors. Es reconeixen com possibles factors causals a investigar, especialment:<\/p>\n<ul>\n<li><strong>Infeccions virals:<\/strong> S\u2019han detectat diversos casos d\u2019insurg\u00e8ncia de la S\u00edndrome despr\u00e9s d\u2019una infecci\u00f3 viral.<\/li>\n<li><strong>Problemes o canvis del sistema immunitari:<\/strong> S\u2019ha observat que el sistema immunitari dels pacients amb SFC\/EnM sembla estar afectat.<\/li>\n<li>Desequilibris hormonals.<\/li>\n<\/ul>\n<p><strong>&#8211; Segons el M\u00e8tode Sanitari Filum System<sup>\u00ae<\/sup>:<\/strong><\/p>\n<p style=\"text-align: justify;\">A causa dels \u00faltims descobriments sobre la Fibromi\u00e0lgia i a la seva possible predisposici\u00f3 \u2013 causada per la tracci\u00f3 an\u00f2mala de la medul\u00b7la provocada per un Filum Terminale excessivament curt o tens-, tanmateix suggereix tenir en compte la possible pres\u00e8ncia d\u2019una tracci\u00f3 an\u00f2mala en el SFC\/EnM, respecte a la patologia del mateix grup de la Fibromi\u00e0lgia.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Factors de Risc<\/strong><\/h2>\n<p style=\"text-align: justify;\">Entre els factors de risc que participen en el SFC\/EnM, es recon\u00e8ixen principalment:<\/p>\n<ul>\n<li><strong>Edat:<\/strong> La S\u00edndrome pot afectar a pacients adults de qualsevol edat, per\u00f2 s\u2019observa que la seva incid\u00e8ncia augmenta especialment entre els 40 i els 50 anys.<\/li>\n<li><strong>Sexe femen\u00ed:<\/strong> Les dones acostumen a rebre el diagn\u00f2stic amb m\u00e9s freq\u00fc\u00e8ncia que els homes, per\u00f2 tractant-se d\u2019una malaltia de recent classificaci\u00f3, encara no est\u00e0 comprovat si aix\u00f2 pot ser degut a una major tend\u00e8ncia del sexe femen\u00ed a referir els seus s\u00edmptomes.<\/li>\n<li><strong>Estr\u00e8s:<\/strong> S\u2019ha constatat que l\u2019estr\u00e8s f\u00edsic o mental pot ser un factor desencadenant del SFC\/EnM.<\/li>\n<li><strong>Factors gen\u00e8tics \/ Antecedents familiars:<\/strong> els membres de la mateixa fam\u00edlia de vegades tenen la S\u00edndrome, per aquesta ra\u00f3 s\u2019est\u00e0 investigant si la gen\u00e8tica podria desenvolupar un paper.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">El Filum System\u00ae t\u00e9 en consideraci\u00f3 tamb\u00e9 la possible correlaci\u00f3 del SFC\/EnM amb la tracci\u00f3 caudal \u2013produ\u00efda per un Filum Terminale excessivament tens- que anomenem Malaltia del Filum i que consisteix en una patologia de tipus cong\u00e8nit, que es pot transmetre entre familiars.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Complicacions<\/strong><\/h2>\n<p style=\"text-align: justify;\">Les principals complicacions que s\u2019observen en els casos diagnosticats de SFC\/EnM s\u00f3n les seg\u00fcents:<\/p>\n<ul>\n<li><strong>Depressi\u00f3:<\/strong> L\u2019esgotament extrem i el cansament generalitzat, juntament amb els altres s\u00edmptomes, i especialment el dolor cr\u00f2nic que afecta els malalts, poden participar en l\u2019aparici\u00f3 d\u2019una depressi\u00f3.<\/li>\n<li><strong>A\u00efllament social:<\/strong> Conseq\u00fcentment a les dificultats per mantenir una activitat normal, al malestar i a les limitacions que la fatiga cr\u00f2nica pot comportar en la vida dels malalts, aquests acaben sovint a\u00efllant-se socialment.<\/li>\n<li><strong>Empitjorament de la qualitat de vida:<\/strong> amb el progr\u00e9s de la malaltia, s\u2019observa en els malalts una p\u00e8rdua del nivell anterior de qualitat de vida.<\/li>\n<\/ul>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Tractaments<\/strong><\/h2>\n<p style=\"text-align: justify;\">No existeix un tractament reconegut per curar el SFC\/EnM. Ara com ara, les cures m\u00e9s efectives s\u2019enfoquen en el tractament i en l\u2019alleujament dels s\u00edmptomes:<\/p>\n<ul>\n<li>Entrenament cognitiu<\/li>\n<li>Exercicis graduals<\/li>\n<li>Estrat\u00e8gies mitjan\u00e7ant rutines regulars, relaxaci\u00f3 i t\u00e8cniques per dormir m\u00e9s i millor.<\/li>\n<li>Tractament de son<\/li>\n<li>Tractament del dolor<\/li>\n<li>Dieta equilibrada<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Pel que fa a la nostra especialitat, la neurocirurgia, a partir d\u2019un estudi publicat pel Dr. Mantia i col\u00b7laboradors el 2015 i basat en l\u2019aplicaci\u00f3 del Filum System<sup>\u00ae<\/sup> als pacients, s\u2019ha comprovat que l\u2019abordatge quir\u00fargic aplicat en alguns casos de fibromialgia abans de la fisioter\u00e0pia pot beneficiar als malalts, sempre i quan es confirmi pr\u00e8viament l\u2019exist\u00e8ncia de signes de la Malaltia del Filum.<\/p>\n<p>Encara no se sap si aix\u00f2 es pot atribuir a un subgrup de S\u00edndromes de Sensibilitat Central o a interpretacions diagn\u00f2stiques equivocades, per\u00f2 tamb\u00e9 en diferents casos co-diagnosticats de SFC\/EnM, s\u2019ha observat la pres\u00e8ncia de la tracci\u00f3 caudal an\u00f2mala del sistema nervi\u00f3s. Per aquesta ra\u00f3, aquest fenomen s\u2019est\u00e0 investigant i recomanem comprovar si es detecten signes de la MF en els pacients, per poder aplicar-los el tractament neuroquir\u00fargic abans del simptom\u00e0tic.<\/p>\n<p>Des de 1993, amb la publicaci\u00f3 de la tesi doctoral del Dr. Royo Salvador que relaciona la tracci\u00f3 caudal de tot el sistema nervi\u00f3s pel <em>Filum Terminale<\/em>, com a causa de v\u00e0ries malalties que s\u2019inclouen en la MF, s\u2019ha dissenyat <strong>un nou tractament <\/strong>\u2013 en aquest cas \u00e9s etiol\u00f2gic o pel que fa a la causa- donat que en <strong>seccionar quir\u00fargicament el filum terminale<\/strong> s\u2019elimina la for\u00e7a de tracci\u00f3 medul\u00b7lar caudal responsable del mecanisme patol\u00f2gic.<\/p>\n<p>La nostra t\u00e8cnica de Secci\u00f3 del Filum Terminale \u00e9s m\u00ednimament invasiva i s\u2019acostuma a indicar en tots els casos de Malaltia del Filum i com m\u00e9s aviat millor, ja que t\u00e9 riscos m\u00ednims i atura l\u2019evoluci\u00f3 de la Malaltia.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Secci\u00f3 del Filum Terminale m\u00ednimament invasiva del Filum System<sup>\u00ae<\/sup><\/strong><\/h2>\n<div class=\"row\">\n<div class=\"col-md-12\">\n<div class=\"boxAdvantages barAdvantages\">\n<div align=\"center\"><\/div>\n<h3><strong>Avantatges<\/strong><\/h3>\n<p style=\"text-align: justify; padding-left: 30px;\">1. Elimina la tracci\u00f3 de la medul\u00b7la espinal provocada pel lligament quan \u00e9s massa curt o tens.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">2. Amb la t\u00e8cnica quir\u00fargica m\u00ednimament invasiva pr\u00f2pia de l\u2019ICSEB, el temps quir\u00fargic \u00e9s de 45 minuts. Poques hores d\u2019ingr\u00e9s. Anest\u00e8sia local. Postoperatori curt i sense limitacions. Sense ingr\u00e9s en la unitat de cures intensives. Sense transfusions de sang.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">3. La seva aplicaci\u00f3 suposa el 0% de mortalitat, sense seq\u00fceles.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">4. Millora els s\u00edmptomes i atura l\u2019evoluci\u00f3 en les patologies associades a la Malaltia del Filum.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Resultats<\/strong><\/h2>\n<p style=\"text-align: justify;\">Amb el m\u00e8tode del Filum System\u00ae ja s\u2019han operat m\u00e9s de 1.500 pacients amb la Malaltia del Filum i la S\u00edndrome Neuro-Cranio-Vertebral, eliminant la causa i aturant l\u2019evoluci\u00f3 de la malaltia i el conflicte mec\u00e0nic en el sistema nervi\u00f3s, amb excel\u00b7lents resultats i un alt \u00edndex de satisfacci\u00f3 dels malalts.<\/p>\n<p>S\u2019ha pogut observar que en pacients amb Fibromi\u00e0lgia sotmesos a un tractament quir\u00fargic de la Secci\u00f3 del Filum Terminale, segons el m\u00e8tode Filum Sistem, i posteriorment a fisioter\u00e0pia, la majoria dels malalts han tingut una millora significativa en comparaci\u00f3 amb els pacients que nom\u00e9s s\u2019han sotm\u00e8s a fisioter\u00e0pia.<\/p>\n<p>En diferents casos, els pacients tamb\u00e9 tenien SFC\/EnM co-diagnosticat amb la Malaltia del Filum o\/i Fibromi\u00e0lgia<\/p>\n<div style=\"padding: 10px;\"><\/div>\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;\"><a href=\"http:\/\/iacfsme.org\/portals\/0\/pdf\/Primer_Post_2014_conference.pdf\">IACFS\/ME: Primer for Clinical Practitioners . Members of the IACFS\/ME Primer Writing Committee, Fred Friedberg, Ph.D., Chairperson Stony Brook, 2014, New York, USA.<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Yunus, M. B. (2007). <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17602995\">Role of central sensitization in symptoms beyond muscle pain, and the evaluation of a patient with widespread pain<\/a>. Best Practice &amp; Research Clinical Rheumatology, 21(3), 481-497.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Nakatomi Y, Mizuno K, Ishii A, Wada Y, Tanaka M, Tazawa S, Onoe K, Fukuda S, Kawabe J, Takahashi K, et al. J Neuroinflammation in Patients with Chronic Fatigue Syndrome\/Myalgic Encephalomyelitis: An C-(R)-PK11195 PET Study. Nucl Med. 2014 Jun; 55(6): 945-50. Epub 2014 Mar 24.<\/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>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\">&#8220;Results of the section of the <strong>filum terminale<\/strong> in 20 patients with <strong>syringomyelia<\/strong>, scoliosis and <strong>Chiari malformation<\/strong>&#8220;.(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 (1992), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/tesis_doctoral-Aportacion-etiologia-Siringomielia.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Aportaci\u00f3n a la etiolog\u00eda de la <strong>siringomielia<\/strong>&#8220;, Tesis doctoral (PDF).<\/a> Universidad Aut\u00f3noma de Barcelona.<\/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\">&#8220;Filum System<sup>\u00ae<\/sup> Bibliography&#8221; (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\/ca\/filum-system-guia-breve\/\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup>\u00ae<\/sup> Gu\u00eda Breve&#8221;.<\/a><\/li>\n<\/ol>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<p><button class=\"btn-full btn btn-primary fade-hover\" type=\"button\" data-toggle=\"collapse\" data-target=\"#collapseExample\" aria-expanded=\"false\" aria-controls=\"collapseExample\" aria-label=\"Left Align\">Saber-ne m\u00e9s<\/button><\/p>\n<div id=\"collapseExample\" class=\"collapse\">\n<div class=\"well\">\n<hr \/>\n<h2><strong>Malaltia del Filum<\/strong><\/h2>\n<p>Despr\u00e9s els estudis del Dr. Royo Salvador (1992) amb la seva tesi doctoral, s\u2019ha demostrat que diferents malalties de causa desconeguda \u2013 com l\u2019angulaci\u00f3 del tronc cerebral, la impressi\u00f3 basilar, la S\u00edndrome d\u2019Arnold Chiari I, Siringomi\u00e8lia i Escoliosi idiop\u00e0tiques, Platib\u00e0sia i retroc\u00e9s odontoide \u2013 formen part del mateix grup, compartint-ne la causa: la tracci\u00f3 de la medul\u00b7la espinal i de tot el sistema nervi\u00f3s, constituint un nou concepte de patologia; la Malaltia del Filum (MF). Quan el conflicte mec\u00e0nic no \u00e9s de causa cong\u00e8nita, es tracta de la S\u00edndrome Neuro-Cranio-Vertebral.<\/p>\n<p>El conflicte mec\u00e0nic que determina la for\u00e7a de tracci\u00f3 de tot el sistema nervi\u00f3s en la MF es presenta en tots els embrions humans, que en major o menor mesura pateixen les seves conseq\u00fc\u00e8ncies i es poden manifestar de molt diverses formes i intensitats.<\/p>\n<p>En la MF tamb\u00e9 estan involucrades -per compartir la seva causa amb d\u2019 \u2018altres-, les h\u00e8rnies discals vertebrals, algunes s\u00edndromes d\u2019insufici\u00e8ncia vascular cerebral, s\u00edndromes de la faceta articular i de Baastrup, fibromi\u00e0lgia, fatiga cr\u00f2nica, enuresi nocturna, incontin\u00e8ncia urin\u00e0ria i parapar\u00e8sies.<\/p>\n<p>Per precisar el diagn\u00f2stic, orientar el tractament i el seguiment de la MF s\u2019ha confeccionat un m\u00e8tode sanitari: <a href=\"https:\/\/institutchiaribcn.com\/ca\/presentacio-filum-system\/\"><strong>El Filum System<sup>\u00ae<\/sup>.<\/strong> <\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"featured_media":1523,"template":"","class_list":["post-15072","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fatiga cr\u00f2nica | Institut Chiari Barcelona<\/title>\n<meta name=\"description\" content=\"Informaci\u00f3 sobre s\u00edndrome de fatiga cr\u00f2nica i encefalomielitis mi\u00e0lgica, relaci\u00f3 amb la malaltia del Filum i enfocament terap\u00e8utic.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/institutchiaribcn.com\/ca\/sindrome-fatiga-cronica-encefalomielitis-mialgica\/\" \/>\n<meta property=\"og:locale\" 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