{"id":143902,"date":"2026-01-09T10:03:33","date_gmt":"2026-01-09T09:03:33","guid":{"rendered":"https:\/\/institutchiaribcn.com\/?post_type=comunicacion&p=143902"},"modified":"2026-02-10T10:50:55","modified_gmt":"2026-02-10T09:50:55","slug":"evolution-post-operatoire-favorable-dune-patiente-pediatrique-atteinte-de-scoliose-idiopathique-quatre-ans-apres-lapplication-du-filum-system","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/fr\/evolution-post-operatoire-favorable-dune-patiente-pediatrique-atteinte-de-scoliose-idiopathique-quatre-ans-apres-lapplication-du-filum-system\/","title":{"rendered":"\u00c9volution post-op\u00e9ratoire favorable d\u2019une patiente p\u00e9diatrique atteinte de scoliose idiopathique, quatre ans apr\u00e8s l\u2019application du Filum System\u00ae"},"content":{"rendered":"

Cas n\u00b0 14236<\/strong><\/p>\n

Diagnostic : Syndrome neuro-cr\u00e2nio-vert\u00e9bral. Maladie du Filum. Descente des amygdales c\u00e9r\u00e9belleuses (DAC \u2013 Syndrome d\u2019Arnold-Chiari I). D\u00e9viation de la colonne vert\u00e9brale (scoliose idiopathique).<\/strong><\/p>\n

Date de l\u2019intervention <\/strong>de section du filum terminale (SFT) selon le Filum System\u00ae :<\/strong> juin 2021.<\/p>\n

La jeune patiente originaire d\u2019Allemagne, dont les parents pr\u00e9f\u00e8rent pr\u00e9server l\u2019anonymat, a \u00e9t\u00e9 op\u00e9r\u00e9e dans notre centre d\u2019une section du filum terminale selon la m\u00e9thode Filum System\u00ae \u00e0 l\u2019\u00e2ge de six ans<\/strong>.<\/p>\n

Avant le traitement, elle pr\u00e9sentait un large \u00e9ventail de sympt\u00f4mes, comprenant : c\u00e9phal\u00e9es avec \u00e9pisodes de naus\u00e9es, troubles visuels et vertiges, difficult\u00e9s d\u2019expression et de concentration, troubles du sommeil, \u00e9pisodes d\u2019anxi\u00e9t\u00e9, irritabilit\u00e9, nervosit\u00e9, g\u00eane \u00e0 la d\u00e9glutition, raideur cervicale, troubles sensitifs des mains et des pieds, douleurs fr\u00e9quentes au niveau dorsal et lombaire, douleurs des membres inf\u00e9rieurs, limitation \u00e0 la marche de plus d\u2019une demi-heure en raison des sympt\u00f4mes, ainsi qu\u2019une constipation chronique.<\/p>\n

Apr\u00e8s l\u2019intervention, les parents ont signal\u00e9 la disparition imm\u00e9diate de tous ces sympt\u00f4mes, soulignant \u00e9galement l\u2019am\u00e9lioration objective<\/strong> observ\u00e9e par les th\u00e9rapeutes et dans le milieu scolaire : disparition du manque de force pour lever la t\u00eate, correction de la posture corporelle, augmentation de la force et de l\u2019\u00e9nergie, ainsi qu\u2019une nette am\u00e9lioration de la concentration.<\/p>\n

Ces progr\u00e8s ont permis \u00e0 la fillette de passer d\u2019une \u00e9cole de soutien sp\u00e9cialis\u00e9 \u00e0 une \u00e9cole primaire ordinaire peu de temps apr\u00e8s l\u2019op\u00e9ration, o\u00f9 elle est actuellement, \u00e0 dix ans, la meilleure de sa classe et se pr\u00e9pare \u00e0 int\u00e9grer le Gymnasium \u2013 l\u2019\u00e9tablissement secondaire de niveau avanc\u00e9 en Allemagne.<\/p>\n

Les images de r\u00e9sonance magn\u00e9tique lors du contr\u00f4le postop\u00e9ratoire quatre ans apr\u00e8s l\u2019intervention montrent que l\u2019objectif du traitement a \u00e9t\u00e9 atteint, avec l\u2019arr\u00eat de la progression de la descente des amygdales c\u00e9r\u00e9belleuses (Fig. 1)<\/strong>. De plus, t\u00e9l\u00e9m\u00e9trie du rachis en totalit\u00e9 met en \u00e9vidence la correction de la scoliose apr\u00e8s l\u2019intervention, avec la rectification de la courbure de la colonne vert\u00e9brale (Fig. 2).<\/strong><\/p>\n

\"\"<\/strong><\/p>\n

Fig. 1 Postop\u00e9ratoire du cas 14236<\/strong> : comparaison entre l\u2019IRM cr\u00e2nienne pr\u00e9op\u00e9ratoire de 2021 et celle de contr\u00f4le de 2025, \u00e0 4 ans postop\u00e9ratoires, montrant une descente inchang\u00e9e des amygdales c\u00e9r\u00e9belleuses.<\/em><\/p>\n

\"\"<\/p>\n

Fig. 2 Postop\u00e9ratoire du cas 14236<\/strong> : comparaison entre la t\u00e9l\u00e9m\u00e9trie du rachis pr\u00e9op\u00e9ratoire de 2021 et celui de contr\u00f4le postop\u00e9ratoire de 2025, o\u00f9 l\u2019on observe la rectification de la courbure scoliotique anormale apr\u00e8s l\u2019application du Filum System\u00ae.<\/em><\/p>\n

Le Filum System\u00ae arr\u00eate l\u2019\u00e9volution<\/strong> du syndrome d\u2019Arnold-Chiari I et de la scoliose idiopathique, favorisant la r\u00e9cup\u00e9ration clinique et am\u00e9liorant la qualit\u00e9 de vie des patients<\/strong>.<\/p>\n","protected":false},"featured_media":143835,"template":"","tipos-de-comunicacion":[510],"class_list":["post-143902","comunicacion","type-comunicacion","status-publish","has-post-thumbnail","hentry","tipos-de-comunicacion-nouvelles"],"yoast_head":"\n\u00c9volution favorable apr\u00e8s Filum System | ICSEB<\/title>\n<meta name=\"description\" content=\"\u00c9volution favorable d\u2019une patiente p\u00e9diatrique atteinte de scoliose idiopathique, quatre ans apr\u00e8s l\u2019intervention par Filum System \u00e0 l\u2019ICSEB.\" \/>\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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