{"id":81300,"date":"2025-07-04T00:00:00","date_gmt":"2025-07-03T22:00:00","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/favourable-evolution-of-a-case-with-arnold-chiari-i-syndrome-and-idiopathic-syringomyelia-7-years-after-the-application-of-the-filum-system\/"},"modified":"2026-01-23T09:24:20","modified_gmt":"2026-01-23T08:24:20","slug":"favourable-evolution-case-arnold-chiari-i-syndrome-idiopathic-syringomyelia-7-years-application-filum-system","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/en\/favourable-evolution-case-arnold-chiari-i-syndrome-idiopathic-syringomyelia-7-years-application-filum-system\/","title":{"rendered":"Favourable evolution of a case with Arnold-Chiari I Syndrome and Idiopathic Syringomyelia, 7 years after the application of the Filum System\u00ae"},"content":{"rendered":"<p class=\"text-muted aniview centerTXT\">Published by\u00a0<a title=\"Posts by ICSEB\" href=\"https:\/\/institutchiaribcn.com\/en\/author\/chiari\/\" rel=\"author\">ICSEB<\/a>\u00a0at 4 July, 2025<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Case 19475<\/strong><\/p>\n<p><strong>Diagnosis<\/strong>: Neuro-cranio-vertebral Syndrome. Filum Disease. Descent of the cerebellar tonsils (Arnold-Chiari I Syndrome). Intramedullary cyst (Idiopathic Syringomyelia).<\/p>\n<p><strong>Date of the Sectioning of the Filum Terminale (SFT) intervention<\/strong><strong>\u00a0according to the Filum System\u00ae<\/strong>: April 2018.<\/p>\n<p>The patient, who wishes to remain anonymous, was operated on at the age of 11 and has since returned to our centre for several follow-ups, the last one being\u00a0<strong>7 years after the intervention, in early 2025.<\/strong><\/p>\n<div align=\"center\"><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"img-responsive alignnone wp-image-9054 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb.jpg\" sizes=\"(max-width: 2332px) 100vw, 2332px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb.jpg 2332w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb-300x120.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb-1024x411.jpg 1024w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb-768x308.jpg 768w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb-1536x617.jpg 1536w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/caso-chiari-icseb-2048x822.jpg 2048w\" alt=\"\" width=\"2332\" height=\"936\" \/><\/a><br \/>\n<strong><em>Fig.1. Preoperative images of Case 19475<\/em><\/strong><strong><em>:<\/em><\/strong><em>\u00a0magnetic resonance scans from the end of 2017 \u2013 brain, cervical, thoracic and lumbo-sacral.<\/em><\/div>\n<p>Before the application of the treatment, clinically she suffered especially from\u00a0<strong>headaches, instability and vertigo, easy and generalised fatigue.<\/strong><\/p>\n<p>In her preoperative MR images from 2017 (Fig.1), the following findings, among others, could be observed:<\/p>\n<ul>\n<li><strong>Descent of the cerebellar tonsils<\/strong>\u00a0between the lower edge of the posterior arch of C1 and the upper edge of the posterior arch of C2. Mild dilation of the fourth ventricle.<\/li>\n<li><strong>Syringomyelic cavity at C4-D1, highly dilated.<\/strong><\/li>\n<li><strong>Cervical and thoracic ischaemia-oedema, extending to the conus medullaris (pre-syringomyelia).<\/strong><\/li>\n<\/ul>\n<p><strong>Since the check-up one month after surgery, and the one-year follow-up (2019), and then all subsequent ones (2023 and 2024),<\/strong>\u00a0the patient showed an overall\u00a0<strong>improvement in all symptoms, up to the near-complete disappearance of symptoms at the last visit (2025).<\/strong>\u00a0Similarly, with regard to the neurological examination,\u00a0<strong>most of the objective clinical signs had recovered.<\/strong><\/p>\n<p>In this case, we can observe how also in\u00a0<strong>the magnetic resonance imaging, the images correspond to the progressive postoperative improvement<\/strong>\u00a0in the patient\u2019s condition, as seen in Figures 2, 3, and 4.<\/p>\n<p>&nbsp;<\/p>\n<div align=\"center\"><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona.jpg\"><img decoding=\"async\" class=\"img-responsive alignnone wp-image-9055 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona.jpg\" sizes=\"(max-width: 2328px) 100vw, 2328px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona.jpg 2328w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona-300x144.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona-1024x492.jpg 1024w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona-768x369.jpg 768w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona-1536x738.jpg 1536w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-arnold-chiari-barcelona-2048x984.jpg 2048w\" alt=\"\" width=\"2328\" height=\"1118\" \/><\/a><br \/>\n<strong><em>Fig.2 Comparative follow-up of Case 19475<\/em><\/strong><em>: control MRIs from 2019-2023-2024: ascent of the cerebellar tonsils.<\/em><\/div>\n<p>&nbsp;<\/p>\n<div align=\"center\"><em><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona.jpg\"><img decoding=\"async\" class=\"img-responsive alignnone wp-image-9056 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona.jpg\" sizes=\"(max-width: 2322px) 100vw, 2322px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona.jpg 2322w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona-300x134.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona-1024x459.jpg 1024w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona-768x344.jpg 768w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona-1536x688.jpg 1536w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/improvement-syringomyelia-barcelona-2048x917.jpg 2048w\" alt=\"\" width=\"2322\" height=\"1040\" \/><\/a><\/em><br \/>\n<strong><em>Fig.3 Comparative follow-up of Case 19475<\/em><\/strong><em>: control MRIs from 2019-2023-2024: reduction of the cervical syringomyelic cavity.<\/em><\/div>\n<p>&nbsp;<\/p>\n<div align=\"center\"><em><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9057 img-responsive\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb.jpg\" sizes=\"(max-width: 2326px) 100vw, 2326px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb.jpg 2326w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb-300x162.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb-1024x553.jpg 1024w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb-768x415.jpg 768w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb-1536x829.jpg 1536w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/07\/mejoria-siringomielia-icseb-2048x1106.jpg 2048w\" alt=\"\" width=\"2326\" height=\"1256\" \/><\/a><\/em><br \/>\n<strong><em>Fig.4 Comparative follow-up of Case 19475<\/em><\/strong><strong><em>:<\/em><\/strong><em>\u00a0control MRIs from 2019-2023-2024: reduction of the thoracic and lumbar ischaemia\/oedema (pre-syringomyelic image).<\/em><\/div>\n<p>&nbsp;<\/p>\n<p>Here we present, as the first image in each follow-up comparison, the MRIs from 2019, which were still unchanged compared to the preoperative ones from 2017. In most cases, one must wait a few years before visible improvements appear in the images.<\/p>\n<p>Starting from the control MRIs of 2023, five years after the intervention, we have clear evidence of visible improvement in each of the images, even greater in the most recent follow-up\u00a0<strong>of the end of 2024, seven years post-op<\/strong>, showing:<\/p>\n<ul>\n<li><strong>Ascent of the cerebellar tonsils and normalisation of the fourth ventricle (Fig.2).<\/strong><\/li>\n<li><strong>Syringomyelia from C5 to C7, with a reduction also in diameter (Fig.3).<\/strong><\/li>\n<li><strong>Reduction of the ischaemia\/oedema image in the thoracic region (Fig.4).<\/strong><\/li>\n<\/ul>\n<p>We are delighted with the excellent outcome of the treatment in this patient\u2019s case, who now, at the age of 18, is able to enjoy the opportunity that releasing the spinal cord from the traction caused by the Filum terminale has given her. We wish her continued well-being.<\/p>\n<p><strong>The Filum System\u00ae halts the progression of Arnold-Chiari I Syndrome and Idiopathic Syringomyelia, promoting the restoration of reversible lesions in the nervous system and improving patients\u2019 quality of life.<\/strong><\/p>\n","protected":false},"featured_media":81301,"template":"","tipos-de-comunicacion":[512],"class_list":["post-81300","comunicacion","type-comunicacion","status-publish","has-post-thumbnail","hentry","tipos-de-comunicacion-news-announcement"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Favourable 7-year outcome after Filum System\u00ae | ICSEB<\/title>\n<meta name=\"description\" content=\"Seven-year clinical and imaging follow-up of an Arnold-Chiari I with syringomyelia case treated with the Filum System\u00ae.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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