{"id":81345,"date":"2025-05-23T00:00:00","date_gmt":"2025-05-22T22:00:00","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/evolution-of-the-syringomyelic-cavity-and-idiopathic-scoliosis-10-years-after-filum-systemtreatment\/"},"modified":"2026-01-23T10:02:20","modified_gmt":"2026-01-23T09:02:20","slug":"evolution-syringomyelic-cavity-idiopathic-scoliosis-10-years-filum-system-treatment","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/en\/evolution-syringomyelic-cavity-idiopathic-scoliosis-10-years-filum-system-treatment\/","title":{"rendered":"Evolution of the syringomyelic cavity and idiopathic scoliosis. 10 years after Filum System\u00aetreatment."},"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 23 May, 2025<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Case No- 18015<\/strong><\/p>\n<p><strong>Diagnosis:<\/strong>\u00a0\u00a0Neuro-Cranio-vertebral Syndrome, Filum Disease. Descent of the Cerebellar Tonsils (Arnold-Chiari Syndrome I). Idiopathic Syringomyelia and idiopathic Scoliosis.<\/p>\n<p><strong>Date of the Sectioning of the Filum terminale (SFT) procedure:<\/strong>\u00a0April 2015<\/p>\n<p><strong>Patient no. 18015<\/strong>, who wishes to remain anonymous but has given consent for her case to be published,\u00a0<strong>underwent surgery using the Filum System<sup>\u00ae<\/sup>\u00a0method at our centre at the age of 7, in 2015.<\/strong><\/p>\n<p><strong>Before the intervention, her Magnetic Resonance Imaging (MRI)<\/strong>\u00a0scans, dated 25\/03\/2015, showed: Filum Disease and Neuro-Cranio-vertebral Syndrome with descent of the cerebellar tonsils (Arnold-Chiari Syndrome I), idiopathic Syringomyelia and Scoliosis. The scoliogram (full spine x-ray) showed: dextroconvex scoliosis at the dorsal level and levoconvex at the lumbar level, and straightening of the cervical lordosis.<br \/>\nIn her clinical history, already from the first-year postoperative check-up, a reduction of the intramedullary cavity was recorded. This continued to improve further in the following years, up to the present day, when C. visits ICSEB for her 10-year follow-up.<\/p>\n<p>&nbsp;<\/p>\n<div align=\"center\">\n<p><a href=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/05\/siringomielia-mejoria-institut-chiari.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"img-responsive alignnone size-full wp-image-9001\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/05\/siringomielia-mejoria-institut-chiari.jpg\" sizes=\"(max-width: 800px) 100vw, 800px\" srcset=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/05\/siringomielia-mejoria-institut-chiari.jpg 800w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/05\/siringomielia-mejoria-institut-chiari-300x148.jpg 300w, https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/05\/siringomielia-mejoria-institut-chiari-768x378.jpg 768w\" alt=\"\" width=\"800\" height=\"394\" \/><\/a><\/p>\n<p><em>Fig.1 Comparative follow-up of C.: magnetic resonance imaging (25\/03\/2015 \u2013 15\/05\/2023 \u2013 19\/03\/2025)<\/em><\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>In her comparative MRI follow-up, the following can be observed:<\/p>\n<ul>\n<li>In the first\u00a0<strong>preoperative<\/strong>\u00a0image of Fig.1 (25\/03\/2015), red arrows are visible. The upper arrow indicates the beginning of the intramedullary cavity at C1, and the lower arrow points to the dorsal scoliosis, which prevents visualisation of the spinal cord.<\/li>\n<li>In the second image, from her\u00a0<strong>follow-up 8 years after the operation<\/strong>\u00a0(<strong>MRI dated 15\/05\/2023)<\/strong>, there is an improvement in the syringomyelic cavity, along with the disappearance of the dorsal scoliosis.<\/li>\n<li>In the third image, from her\u00a0<strong>10-year follow-up<\/strong>\u00a0after the SFT (<strong>MRI dated 19\/03\/2025<\/strong>), the improvement of the intramedullary cyst continues favourably, with the cavity becoming increasingly filiform.<\/li>\n<\/ul>\n<p>Clinically, the patient showed improvement from\u00a0<strong>the first postoperative year<\/strong>. Some symptoms improved, others remained unchanged, and others no longer appeared. In her neurological examination, some signs showed recovery, while others persisted without change.<\/p>\n<p>Currently, at 17 years of age and at\u00a0<strong>the 10-year postoperative check-up, C. reports that she no longer experiences the majority (90%) of the preoperative symptoms. The specialist highlights the recovery of most neurological signs, along with the notable reduction of the intramedullary cavity and the disappearance of the scoliotic curvature.<\/strong><\/p>\n<p><strong>The Filum System<sup>\u00ae<\/sup>\u00a0aims to stop the deterioration and progression of Filum Disease<\/strong>\u00a0and the included diagnoses\u2014as seen in relation to the descent of the cerebellar tonsils, which in this case remains unchanged.<\/p>\n<p>However, practice,\u00a0<strong>most cases achieve better-than-expected results. We observe improvement and relief many symptoms and signs in the majority patients; and in some cases, even reversibility of the visible lesions in the complementary tests, as can be observed in this case.<\/strong><\/p>\n","protected":false},"featured_media":81346,"template":"","tipos-de-comunicacion":[512],"class_list":["post-81345","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 v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Syringomyelia &amp; scoliosis \u2014 10 year follow-up | ICSEB<\/title>\n<meta name=\"description\" content=\"Ten-year imaging and clinical follow-up of syringomyelia and scoliosis after Filum System\u00ae treatment: main observations and implications.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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