{"id":79935,"date":"2009-05-14T00:00:41","date_gmt":"2009-05-13T22:00:41","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/comunicacion\/les-problemes-survenus-dans-l-intervention-de-la-section-du-filum-terminale\/"},"modified":"2026-02-25T11:31:33","modified_gmt":"2026-02-25T10:31:33","slug":"les-problemes-survenus-dans-l-intervention-de-la-section-du-filum-terminale","status":"publish","type":"comunicacion","link":"https:\/\/institutchiaribcn.com\/fr\/les-problemes-survenus-dans-l-intervention-de-la-section-du-filum-terminale\/","title":{"rendered":"Les probl\u00e8mes survenus dans l-intervention de la Section du filum terminale:"},"content":{"rendered":"

Published by ICSEB<\/a> at 14 mai, 2009<\/p>\n

Je suis tr\u00e8s inquiet face aux indications, commentaires et aux interventions qui sont en train d\u2019\u00eatre appliqu\u00e9es aux patients atteints de syringomy\u00e9lie en Italie et en France o\u00f9 l\u2019on a commenc\u00e9 \u00e0 appliquer la section du filum terminale.<\/p>\n

Derni\u00e8rement j\u2019ai re\u00e7u une consultation par mail d\u2019un patient italien atteint d\u2019une syringomy\u00e9lie traumatique \u00e0 laquelle la section du filum terminale n\u2019est pas indiqu\u00e9e ni le drainage de la cavit\u00e9 syringomy\u00e9lique. Je joins ci-dessous son message original:<\/p>\n

\u00ab\u00a0dopo un peggioramento da circa 1 anno e mezzo, il dottore della mia citt\u00e0 vorrebbe farmi altro drenaggio, un\u2019altra eqipe di Firenze.. invece vuole farmi la resezione del filum! x via intradurale..senza per\u00f2 garantirmi nulla sul esito..e cmq un\u2019operazione di certo invasiva..mah! \u00ab\u00a0<\/em><\/p>\n

Et sa traduction au Fran\u00e7ais :<\/p>\n

\u00ab ..Apr\u00e8s une aggravation durant \u00e0 peu pr\u00e8s un an et demi, le docteur de ma ville voulait me faire un autre drainage, et \u00e9quipe de Florence en revanche, voulait me faire la section du filum terminale ! par voie intradurale..sans aucune garantie de r\u00e9sultats\u2026et de toute fa\u00e7on et sans doute \u00e7a allait \u00eatre une intervention invasive.. enfin !\u00bb<\/p>\n

Dans ce cas pr\u00e9cis, l\u2019aggravation est due \u00e0 une hernie discale C3-4 \u00e9vidente, que les sp\u00e9cialistes qu\u2019il a consult\u00e9s consid\u00e8rent sans importance.<\/p>\n

Et il y a aussi l\u2019\u00e9quipe de l\u2019H\u00f4pital Kremlin-Bic\u00eatre qui a r\u00e9alis\u00e9 deux interventions de section du filum terminale sur deux patients atteints de syringomy\u00e9lie, et sans aucun crit\u00e8re chirurgical valide. C\u2019est pr\u00e9cis\u00e9ment les professionnels de cet h\u00f4pital qui m\u2019ont trait\u00e9 de \u00ab Charlatan \u00bb, il y a quelques mois de cela, selon les dires d\u2019un patient op\u00e9r\u00e9 de la section du filum terminale.<\/p>\n

Je suis inquiet de voir l\u2019aspect mercantile de certains professionnels fran\u00e7ais sans aucune exp\u00e9rience dans ces pathologies, qui avant m\u00eame d\u2019op\u00e9rer le premier cas font d\u00e9j\u00e0 des offres \u00e9conomiques \u00e0 des personnes qui se croient l\u00e9gitim\u00e9es \u00e0 diriger des groupes de patients, avec des int\u00e9r\u00eats contraires \u00e0 la bonne praxis m\u00e9dicale.<\/p>\n

Plus triste encore est la nouvelle qui nous arrive d\u2019Italie de la section d\u2019un nerf au niveau intradural lombaire quand on essayait d\u2019effectuer la section du filum terminale.<\/p>\n

La section du filum terminale indiqu\u00e9e pour le traitement de plusieurs maladies neurologiques qui composent le nouveau Syndrome NeuroCran\u00e9oVert\u00e9bral, est efficace quand on proc\u00e8de \u00e0 une s\u00e9lection scrupuleuse du patient devant l\u2019existence de beaucoup de facteurs, que ce soit pour une indication ou de la contre-indication \u00e0 l\u2019intervention. Puis, il est n\u00e9cessaire de faire un contr\u00f4le postop\u00e9ratoire tr\u00e8s sp\u00e9cifique et en collaboration avec le patient pour comprendre les objectifs de l\u2019intervention et les r\u00e9sultats \u00e0 attendre. Parce qu\u2019une intervention r\u00e9ussie sans contr\u00f4le psycho-neurologique pourrait se pr\u00e9senter comme un \u00e9chec vu la complexit\u00e9 du cadre clinique, sans oublier les insultes qui s\u2019y ajoutent et les attaques que prof\u00e8rent certains professionnels mal inform\u00e9s et malveillants.<\/p>\n

Les indications et les contre-indications devant ce syndrome NeuroCraneoVertebral qui inclut la syringomy\u00e9lie sont annonc\u00e9es dans mes diff\u00e9rentes publications, ainsi que leurs fondements dans la compr\u00e9hension de tout ce qui est dit depuis la th\u00e8se doctorale jusqu\u2019\u00e0 la derni\u00e8re publication (voir bibliographie sur la Web de l\u2019INB et de l\u2019ICSEB).<\/p>\n

Nous sommes en train de mettre \u00e0 jour tous ces crit\u00e8res parce que de nouvelles pathologies en rapport avec de nouveaux signes et sympt\u00f4mes ont \u00e9t\u00e9 d\u00e9couvertes.<\/p>\n

Tout cela sera prouv\u00e9 par des \u00e9tudes de recherche qui seront publi\u00e9es sous forme de th\u00e8se doctorale et d\u2019autres publications chaperonn\u00e9es par la fondation\u00ab Chiari & Scoliosis & Siringomielia Foundation \u00bb.<\/p>\n

Dr. Royo Salvador<\/p>\n","protected":false},"featured_media":0,"template":"","tipos-de-comunicacion":[510],"class_list":["post-79935","comunicacion","type-comunicacion","status-publish","hentry","tipos-de-comunicacion-nouvelles"],"yoast_head":"\nProbl\u00e8mes de la section du Filum Terminale | ICSEB<\/title>\n<meta name=\"description\" content=\"Complications et mauvaises indications de la section du filum terminale, soulignant l\u2019importance de crit\u00e8res chirurgicaux rigoureux.\" \/>\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\/fr\/les-problemes-survenus-dans-l-intervention-de-la-section-du-filum-terminale\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Probl\u00e8mes de la section du Filum Terminale | ICSEB\" \/>\n<meta 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