{"id":117853,"date":"2026-03-19T00:00:53","date_gmt":"2026-03-18T23:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4%e3%81%8a%e3%82%88%e3%81%b3%e9%96%a2%e9%80%a3%e7%96%be%e6%82%a3%e3%81%ae%e5%ae%9a\/"},"modified":"2026-04-01T13:21:08","modified_gmt":"2026-04-01T11:21:08","slug":"%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/","title":{"rendered":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u304a\u3088\u3073\u95a2\u9023\u75be\u60a3\u306e\u5b9a\u7fa9"},"content":{"rendered":"<p><strong>\u6700\u7d42\u66f4\u65b0\u65e5: 2026\/03\/19, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/jp\/%e8%87%a8%e5%ba%8a%e5%8c%bb%e3%83%bb%e7%a0%94%e7%a9%b6%e5%8c%bb\/\" target=\"_blank\" rel=\"noopener\"><strong>\u30df\u30b2\u30eb\u30fb\u30ed\u30e8\u533b\u5e2b<\/strong><\/a>, <strong>\u767b\u9332\u756a\u53f7: 10389.<\/strong> <strong>\u8133\u795e\u7d4c\u5916\u79d1\u533b\u3001\u795e\u7d4c\u5185\u79d1\u533b<\/strong><\/p>\n<div class=\"jumbotron\">\n<h2>\u7b46\u8005\u304b\u3089\u306e\u30b3\u30e1\u30f3\u30c8<\/h2>\n<p>\u3053\u3053\u306b\u63b2\u8f09\u3057\u3066\u3044\u308b\u5185\u5bb9\u306f\u3001\u8fd1\u65e5\u767a\u8868\u3055\u308c\u308b\u7d42\u7cf8\u5207\u65ad\u624b\u8853\u306e\u6cbb\u7642\u8a08\u753b\u3092\u307e\u3068\u3081\u305f<strong>\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<\/strong><strong>\u00ae<\/strong><strong>\u30b5\u30fc\u30b8\u30a7\u30ea\u30fc<\/strong>(<em>Filum System\u00ae Surgery<\/em>)\u306b\u95a2\u3059\u308b\u66f8\u7c4d\u306e\u4e00\u90e8\u3092\u629c\u7c8b\u3057\u305f\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>\u7d42\u7cf8\u75c5\u306f\u3001\u75c5\u6c17\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u767a\u75c7\u90e8\u4f4d\u306e\u985e\u4f3c\u6027\u304b\u3089\u3088\u304f\u4ed6\u306e\u75c5\u6c17\u3068\u9593\u9055\u3048\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u4e00\u822c\u306e\u4eba\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u795e\u7d4c\u79d1\u5b66\u306b\u8a73\u3057\u3044\u533b\u7642\u5f93\u4e8b\u8005\u306e\u9593\u3067\u3082\u8d77\u3053\u3063\u3066\u3044\u308b\u3053\u3068\u3067\u3059\u3002\u305d\u3053\u3067\u3001\u3053\u3053\u3067\u306f<strong>\u7d42\u7cf8\u75c5<\/strong>\u3001<strong>\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4<\/strong>\u3001<strong>\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<\/strong>(FILUM SYSTEM<sup>\u00ae<\/sup>)\u3068\u3044\u3046\u65b0\u3057\u3044\u30b3\u30f3\u30bb\u30d7\u30c8\u3092\u8aac\u660e\u3059\u308b\u3068\u3068\u3082\u306b\u3001\u985e\u4f3c\u3059\u308b\u75c5\u6c17(\u305d\u306e\u4e2d\u306b\u306f\u7d42\u7cf8\u75c5\u306b\u5c5e\u3059\u75c5\u6c17\u3082\u3042\u308b)\u3092\u6319\u3052\u3001\u8a73\u3057\u304f\u89e3\u8aac\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n<p>\u3053\u3053\u306b\u63b2\u8f09\u3055\u308c\u3066\u3044\u308b\u5185\u5bb9\u306f\u3001\u3059\u3079\u3066\u30d0\u30eb\u30bb\u30ed\u30ca\u81ea\u6cbb\u5927\u5b66\u3067\u884c\u308f\u308c\u305f\u7814\u7a76\u3092\u57fa\u306b\u3057\u3001\u535a\u58eb\u8ad6\u6587\u3084\u79d1\u5b66\u96d1\u8a8c\u306a\u3069\u3067\u516c\u306e\u5834\u306b\u767a\u8868\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3059\u3002\u57f7\u7b46\u306f\u5b64\u72ec\u3067\u9759\u5bc2\u306a\u4f5c\u696d\u3067\u3059\u304c\u3001\u79d1\u5b66\u8005\u305f\u308b\u3082\u306e\u7d76\u5bfe\u306b\u653e\u68c4\u3057\u3066\u306f\u306a\u3089\u306a\u3044\u3068\u8003\u3048\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<p>\u6700\u5f8c\u306b\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u5f53\u5185\u5bb9\u304c\u65b0\u3057\u3044\u75c5\u6c17\u306e\u30b3\u30f3\u30bb\u30d7\u30c8\u3092\u7406\u89e3\u3059\u308b\u4e0a\u3067\u5c11\u3057\u3067\u3082\u304a\u5f79\u306b\u7acb\u3066\u308b\u3053\u3068\u3092\u9858\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<p>\u8133\u795e\u7d4c\u5916\u79d1\u533b\u30fb\u795e\u7d4c\u5185\u79d1\u533b<\/p>\n<p><strong>\u30df\u30b2\u30eb-B\u30fb\u30ed\u30e8-\u30b5\u30eb\u30d0\u30c9\u30fc\u30eb<\/strong><\/p>\n<\/div>\n<div align=\"center\"><iframe class=\"embed-responsive-item\" style=\"width: 100%; height: 500px; border: none;\" src=\"https:\/\/www.youtube.com\/embed\/VjWCynI3WQU\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<p>\u75c5\u6c17\u306e\u5b9a\u7fa9\u3001\u7528\u8a9e\u3001\u6982\u8981\u306a\u3069<\/p>\n<p>\u3053\u3053\u3067\u7279\u306b\u91cd\u8981\u306a\u306e\u306f\u3001\u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4\/\u810a\u9ac4\u7d42\u7cf8\u75c7\u5019\u7fa4\/\u7dca\u5f35\u6027\u810a\u9ac4\u7d42\u7cf8\u3068\u6df7\u540c\u3055\u308c\u3084\u3059\u3044\u300c\u7d42\u7cf8\u75c5\u300d\u3068\u300c\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u300d\u306e\u5b9a\u7fa9\u3068\u547d\u540d\u304a\u3088\u3073\u8a18\u8ff0\u65e5\u3067\u3059\u3002\u307e\u305f\u7d42\u7cf8\u75c5\u306f\u3001\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4\u3084\u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e\u3068\u3044\u3063\u305f\u75c5\u6c17\u3068\u9593\u9055\u3048\u3089\u308c\u308b\u3053\u3068\u3082\u591a\u3005\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u305d\u306e\u3088\u3046\u306a\u6df7\u540c\u3055\u308c\u3084\u3059\u3044\u75c5\u6c17\u306e\u5b9a\u7fa9\u3068\u30b3\u30f3\u30bb\u30d7\u30c8\u3001\u305d\u3057\u3066\u7d42\u7cf8\u75c5\u306b\u95a2\u9023\u3057\u305f\u75c5\u6c17\u3092\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u307e\u3068\u3081\u307e\u3057\u305f\u3002<\/p>\n<div align=\"center\"><img fetchpriority=\"high\" decoding=\"async\" class=\"img-thumbnail wp-image-1512 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/espina_bifida_JP.png\" alt=\"espina_bifida\" width=\"530\" height=\"500\" \/><\/div>\n<p style=\"padding-left: 30px;\">1. \u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4(Tethered cord syndrome)<\/p>\n<p style=\"padding-left: 30px;\">2. \u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e(Spina bifida occulta)<\/p>\n<p style=\"padding-left: 30px;\">3.\u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4(The cord-traction syndrome)\/\u810a\u9ac4\u7d42\u7cf8\u75c7\u5019\u7fa4(The filum terminale syndrome)\/\u7dca\u5f35\u6027\u810a\u9ac4\u7d42\u7cf8(Tight filum terminale syndrome)<\/p>\n<p style=\"padding-left: 30px;\">4. \u810a\u67f1\u5074\u5f2f\u75c7(Scoliosis)<\/p>\n<p style=\"padding-left: 30px;\">5. \u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4(Arnold Chiari I Syndrome)<\/p>\n<p style=\"padding-left: 30px;\">6. \u810a\u9ac4\u7a7a\u6d1e\u75c7(Syringomyelia)<\/p>\n<p style=\"padding-left: 30px;\">7. \u305d\u306e\u4ed6\u306e\u95a2\u9023\u75be\u60a3:\u6241\u5e73\u982d\u84cb\u5e95(Platybasia)\u3001\u982d\u84cb\u5e95\u9665\u5165\u75c7(Basilar Impression)\u3001\u6b6f\u7a81\u8d77\u5f8c\u5c48(Retroflexed Odontoid)\u3001\u8133\u5e79\u306e\u3088\u3058\u308c(Angulation of the brain stem)<\/p>\n<p style=\"padding-left: 30px;\">8. \u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4(Neuro-Cranio-Vertebral Syndrome)<\/p>\n<p style=\"padding-left: 30px;\">9. \u7d42\u7cf8\u75c5(Filum Disease)<\/p>\n<p style=\"padding-left: 30px;\">10. \u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0(Filum System<sup>\u00ae<\/sup>)<\/p>\n<hr \/>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 2em; margin-top: 1em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">1. \u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4(Tethered cord syndrome)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4\u306f\u3001\u4e8c\u5206\u810a\u690e\u3084\u810a\u9ac4\u9ac4\u819c\u7624\u3068\u3044\u3063\u305f\u795e\u7d4c\u7cfb\u306e\u5947\u5f62\u306b\u95a2\u9023\u3057\u3001\u4e3b\u306b\u8170\u306e\u90e8\u5206(\u5916\u5074)\u306b\u307f\u3089\u308c\u307e\u3059\u3002\u305d\u308c\u306b\u3088\u3063\u3066\u810a\u9ac4\u304c\u727d\u5f15\u3055\u308c\u3001\u982d\u84cb\u3084\u810a\u690e\u306e\u5168\u795e\u7d4c\u7cfb\u306b\u640d\u50b7\u3092\u4e0e\u3048\u3001\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u3084\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u3092\u8d77\u3053\u3057\u307e\u3059\u3002<\/p>\n<div align=\"center\"><img decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1511 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/espina_bifida_02.jpg\" alt=\"espina_bifida_02\" width=\"320\" height=\"179\" \/><\/div>\n<p style=\"text-align: center;\"><em>\u56f3<\/em><em>1\u3000\u810a\u9ac4\u9ac4\u819c\u7624\u3092\u60a3\u3063\u305f\u80ce\u5150\u3002\u810a\u9ac4(\u9ec4\u8272)\u306e\u727d\u5f15\u306b\u3088\u3063\u3066\u8133\u304c\u5f15\u3063\u5f35\u3089\u308c\u3001\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u304c\u8d77\u3063\u3066\u3044\u307e\u3059\u3002<\/em><\/p>\n<p>\u8a18\u8ff0\uff1aLichtenstein B.W. (1940) Spinal dysraphism. Spina Bifida and myelodysplasia, <em>Arch Neurol Psychiatry<\/em>, Vol. 44, pp.792-809.<\/p>\n<p>\u547d\u540d\uff1a1996\u5e74\u306b<em>American Association of Neurological Surgeons Publications Commitee<\/em>\u304b\u3089\u51fa\u7248\u3055\u308c\u305fShokei Yamada\u306e\u300e\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4(Tethered cord Syndrome)\u300f\u3067\u75c5\u540d\u3068\u75c5\u6c17\u306e\u5b9a\u7fa9\u304c\u518d\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<div align=\"center\"><img decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1510 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/Tethered_cord_Syndrome.jpg\" alt=\"Tethered_cord_Syndrome\" width=\"308\" height=\"287\" \/><\/div>\n<p style=\"text-align: center;\"><em>\u56f32<\/em><em>\u3000<\/em><em>Shokei Yamada(1996)\u8457\u300e\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4(<\/em><em>Tethered cord Syndrome)<\/em><em>\u300f<\/em><em>\u306e\u7b2c1\u7ae0\u306e\u4e00\u90e8\u629c\u7c8b\u3002\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4\u306e\u540d\u79f0\u306b\u5bfe\u3059\u308b<\/em><em>\u8b70\u8ad6\u304c\u3042\u3063\u305f\u3068\u8a00\u53ca\u3057\u3066\u3044\u307e\u3059\u3002<\/em><\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">2. \u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e(Spina bifida occulta)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e\u306f\u3001\u4e8c\u5206\u810a\u690e\u3084\u810a\u9ac4\u9ac4\u819c\u7624\u3068\u3044\u3063\u305f\u795e\u7d4c\u7cfb\u306e\u5947\u5f62\u306b\u95a2\u9023\u3057\u3001\u4e3b\u306b\u8170\u306e\u90e8\u5206\u306b\u307f\u3089\u308c\u3001\u5916\u90e8\u304b\u3089\u306f\u78ba\u8a8d\u3067\u304d\u307e\u305b\u3093\u3002\u3053\u308c\u306b\u3088\u308a\u810a\u9ac4\u304c\u727d\u5f15\u3055\u308c\u3001\u7279\u306b\u810a\u9ac4\u3068\u810a\u690e\u306e\u640d\u50b7\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u75c5\u6c17\u3092\u7279\u5b9a\u3001\u8a3a\u65ad\u3059\u308b\u306b\u306fMRI\u691c\u67fb\u3084CT\u30b9\u30ad\u30e3\u30f3\u306a\u3069\u3067\u8abf\u3079\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u3084\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3092\u4f75\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u8a18\u8ff0\uff1a1976\u5e74\u306b\u30c8\u30ed\u30f3\u30c8\u306e\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306eHoffman H.J.(1932-2004)\u304c\u3001\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4\u3068\u540c\u69d8\u306e\u5146\u5019\u3068\u75c7\u72b6\u304c\u898b\u3089\u308c\u308b\u304c\u3001\u5916\u90e8\u304b\u3089\u78ba\u8a8d\u3067\u304d\u306a\u3044\u4e8c\u5206\u810a\u690e\u304c\u3042\u308b\u3068\u3057\u3001\u305d\u308c\u3092\u201c\u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e\u201d\u3068\u5b9a\u7fa9\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>Hoffman\u306f\u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e\u306e\u727d\u5f15\u306b\u3088\u3063\u3066\u810a\u9ac4\u4fc2\u7559\u304c\u898b\u3089\u308c\u308b\u5150\u7ae5\u60a3\u800531\u4f8b\u3092\u63d0\u793a\u3001\u810a\u9ac4\u306e\u727d\u5f15\u3092\u53d6\u308a\u9664\u304f\u3053\u3068\u3067\u795e\u7d4c\u5b66\u7684\u6b20\u640d\u306e\u6539\u5584\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002\u305d\u3057\u3066\u3001\u4ee5\u4e0b\u306e\u6587\u732e\u3067\u65b0\u3057\u3044\u75c5\u6c17\u306e\u6982\u5ff5\u3092\u767a\u8868\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>Hoffman HJ, Hendrick EB and Humphreys RP. (1976) The Tethered Spinal Cord: its protean manifestations, diagnosis and surgical correction, <em>Childs Brain<\/em>, 2(3) pp.145-155.<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1509 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/caso_medula_anclada_oculta.jpg\" alt=\"caso_medula_anclada_oculta\" width=\"127\" height=\"181\" \/><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1508 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/caso_medula_anclada_oculta_02.jpg\" alt=\"caso_medula_anclada_oculta_02\" width=\"129\" height=\"181\" \/><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1507 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/caso_medula_anclada_oculta_03.jpg\" alt=\"caso_medula_anclada_oculta_03\" width=\"108\" height=\"179\" \/><\/div>\n<p style=\"text-align: center;\"><em>\u56f3<em>3\u3000\u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e\u306e\u75c7\u4f8b\u3002\u5de6\uff1a\u8170\u4ed9\u90e8\u306eX<\/em><em>\u7dda\u753b\u50cf<\/em><em>(\u7b2c4\u8170\u690e\u304b\u3089<\/em><em>\u4ed9\u9aa8\u88c2\u5b54<\/em><em>\u9593\u306b\u4e8c\u5206\u810a\u690e\u304c\u898b\u3089\u308c\u307e\u3059<\/em><em>)\u3001\u4e2d\u592e\u30fb\u53f3\uff1a\u8170\u4ed9\u90e8\u306e<\/em><em>\u9ac4\u819c\u7624\u306e\u624b\u8853\u6642\u306e\u69d8\u5b50<\/em><em>(\u30a4\u30e9\u30b9\u30c8\u30fb\u5199\u771f)<\/em>.<\/em><\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding-top: 2em; margin-top: 14em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">3. \u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4(The cord-traction syndrome)\/\u810a\u9ac4\u7d42\u7cf8\u75c7\u5019\u7fa4(The filum terminale syndrome)\/\u7dca\u5f35\u6027\u810a\u9ac4\u7d42\u7cf8(Tight filum terminale syndrome)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u795e\u7d4c\u7cfb\u3001\u7279\u306b\u810a\u9ac4\u306e\u4e0b\u90e8\u306b\u795e\u7d4c\u5b66\u7684\u75c7\u72b6\u3084\u5146\u5019\u306b\u7570\u5e38\u304c\u307f\u3089\u308c\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u3084\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u3092\u4f75\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u7dca\u5f35\u6027\u7d42\u7cf8\u304c\u539f\u56e0\u3067\u8d77\u3053\u3063\u3066\u3044\u308b\u3082\u306e\u3067\u3042\u308a\u3001\u795e\u7d4c\u7cfb\u3084\u7d42\u7cf8\u306b\u5947\u5f62\u306f\u307f\u3089\u308c\u307e\u305b\u3093\u3002<\/p>\n<p>\u8a18\u8ff0\uff1a\u30c8\u30ed\u30f3\u30c8\u306e\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306eMcKenzie\u304c\u521d\u3081\u3066\u9ebb\u75fa\u306e\u51fa\u73fe\u3068\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u305d\u3057\u3066\u7dca\u5f35\u6027\u7d42\u7cf8\u3092\u95a2\u9023\u3065\u3051\u3001\u4ee5\u4e0b\u306b\u767a\u8868\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>McKenzie KG and Deward FP. (1949) Scoliosis with paraplegia, <em>J Bone Joint Surg (Br)<\/em> Vol.31, pp.162-174.<\/p>\n<p>\u307e\u305f\u3001\u30a2\u30e1\u30ea\u30ab\u4eba\u306e\u6574\u5f62\u5916\u79d1\u533bGarceau\u306f1953\u5e74\u306b\u201c\u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4\u201d\u3068\u547d\u540d\u3057\u3001\u810a\u9ac4\u4fc2\u7559\u75c7\u5019\u7fa4\u3068\u306e\u533a\u5225\u3092\u767a\u8868\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>Garceau GJ(1953) The filum terminale syndrome. (The cord-traction syndrome). <em>J Bone Joint Surg (Am)<\/em> 35, pp.711-716.<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1506 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/Garceau_traccion_medular.jpg\" alt=\"Garceau_traccion_medular\" width=\"222\" height=\"429\" \/><\/div>\n<p style=\"text-align: center;\"><em>\u56f3<\/em><em>4<\/em><em>\u3000<\/em><em>Garceau\u306e\u6587\u732e\u306e\u629c\u7c8b\u3000\u201c\u7652\u5408\u4e0d\u5168\u306b\u95a2\u9023\u3059\u308b\u810a\u9ac4\u727d\u5f15\u306e\u5146\u5019\u306f\u3001\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306e\u9593\u3067\u305a\u3044\u3076\u3093\u524d\u304b\u3089\u3088\u304f\u77e5\u3089\u308c\u3066\u304a\u308a\u3001\u8133\u795e\u7d4c\u5916\u79d1\u5206\u91ce\u306b\u512a\u308c\u305f\u6587\u732e\u304c\u6570\u591a\u304f\u5b58\u5728\u3057\u3066\u3044\u307e\u3059\u3002\u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4\u306f\u3001\u5358\u306b\u6f5c\u5728\u6027\u4e8c\u5206\u810a\u690e\u3001\u9ac4\u819c\u7624\u3001\u810a\u9ac4\u9ac4\u819c\u7624\u3001\u810a\u9ac4\u6b63\u4e2d\u96e2\u958b\u75c7\u3001\u5148\u5929\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u30af\u30ea\u30c3\u30da\u30eb\u30fb\u30d5\u30a1\u30a4\u30eb\u75c7\u5019\u7fa4\u3001\u8133\u7624\u3001\u7dca\u5f35\u6027\u7dda\u7dad\u5e2f\u3001\u9aa8\u6027\u7d44\u7e54\u3068\u95a2\u9023\u4ed8\u3051\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u75c5\u614b\u306f\u5148\u5929\u7684\u5947\u5f62\u3001\u7279\u306b\u4e0b\u534a\u8eab\u306e\u5947\u5f62\u306b\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u3001\u901a\u5e38\u51fa\u751f\u6642\u306b\u306f\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u795e\u7d4c\u5b66\u7684\u7570\u5e38\u306f\u3001\u9032\u884c\u6027\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u95a2\u9023\u4ed8\u3051\u3089\u308c\u305f\u75c5\u5909\u306f\u3001\u3053\u3053\u306b\u63d0\u793a\u3059\u308b<\/em><em>3<\/em><em>\u3064\u306e\u75c7\u4f8b\u305d\u308c\u305e\u308c\u3067\u7570\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/em><em>1<\/em><em>\u4f8b\u76ee\u306e\u60a3\u8005\u3067\u306f\u3001\u7d42\u7cf8\u304c\u810a\u690e\u306e\u9060\u4f4d\u79fb\u884c\u3092\u59a8\u3052\u3066\u3044\u305f\u305f\u3081\u3001\u810a\u9ac4\u5186\u9310\u306f\u80ce\u4f4d\u306b\u7559\u307e\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u6210\u9577\u671f\u306b\u306f\u9ebb\u75fa\u304c\u51fa\u73fe\u3057\u307e\u3057\u305f\u3002\u4ed6\u306e<\/em><em>2<\/em><em>\u4f8b\u306b\u95a2\u3057\u3066\u306f\u3001\u30ec\u30d9\u30eb\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u201d<\/em><\/p>\n<p>1949\u5e74\u306bMcKenzie\u306b\u3088\u3063\u3066\u521d\u3081\u3066\u201c\u727d\u5f15\u75c7\u5019\u7fa4\u201d\u3068\u8a18\u8ff0\u3055\u308c\u30011953\u5e74\u306bGarceau\u306b\u3088\u3063\u3066\u201c\u7dca\u5f35\u6027\u7d42\u7cf8\u75c7\u5019\u7fa4(\u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4)\u201d\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u4ee5\u964d\u3001\u810a\u9ac4\u727d\u5f15\u75c7\u5019\u7fa4\u306b\u95a2\u3057\u3066\u69d8\u3005\u306a\u7814\u7a76\u306a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u3053\u3067\u3044\u304f\u3064\u304b\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n<ol>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Subtle imaging findings in a case of tight filum terminale syndrome. Yeung JT, Lee CM, Fong JC. Hong Kong Med J. 2012 Jun;18(3):258-9.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Outcome, reoperation, and complications in 99 consecutive children operated for tight or fatty filum. Ostling LR, Bierbrauer KS, Kuntz C 4th. World Neurosurg. 2012 Jan;77(1):187-91. doi: 10.1016\/j.wneu.2011.05.017. Epub 2011 Nov 19.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Improved symptoms and lifestyle more than 20 years after untethering surgery for primary tethered cord syndrome. Fukui J, Ohotsuka K, Asagai Y. Neurourol Urodyn. 2011 Sep;30(7):1333-7. PubMed PMID: 21626535.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Introductory comment: Childhood tight filum syndrome. Van Calenbergh F. Eur J Paediatr Neurol. 2012 Mar;16(2):101-2. doi: 10.1016\/j.ejpn.2011.07.017. Epub 2011 Aug 31.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Clinical characteristics and surgical outcome in 25 cases of childhood tight filum syndrome. Cornips EM, Vereijken IM, Beuls EA, Weber JW, Soudant DL, van Rhijn LW, Callewaert PR, Vles JS. Eur J Paediatr Neurol. 2012 Mar;16(2):103-17. doi: 10.1016\/j.ejpn.2011.07.002. Epub 2011 Aug 11.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">[Congenital anomalies in the central nervous system (6) occult spinal dysraphism (other than spinal lipoma): congenital dermal sinus, tight filum terminale, neurenteric cyst, split cord malformation, and caudal regression syndrome]. Shigeta H. No Shinkei Geka. 2011 May;39(5):513-27.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Preoperative predictors for improvement after surgical untethering in occult tight filum terminale syndrome. Fabiano AJ, Khan MF, Rozzelle CJ, Li V. Pediatr Neurosurg. 2009;45(4):256-61. doi: 10.1159\/000228983. Epub 2009 Jul 17.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Association of Chiari malformation type I and tethered cord syndrome: preliminary results of sectioning filum terminale. Milhorat TH, Bolognese PA, Nishikawa M, Francomano CA, McDonnell NB, Roonprapunt C, Kula RW. Surg Neurol. 2009 Jul;72(1):20-35. doi: 10.1016\/j.surneu.2009.03.008. Erratum in: Surg Neurol. 2009 Nov;72(5):556.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Tight filum terminale syndrome in children: analysis based on positioning of the conus and absence or presence of lumbosacral lipoma. Bao N, Chen ZH, Gu S, Chen QM, Jin HM, Shi CR. Childs Nerv Syst. 2007 Oct;23(10):1129-34. Epub 2007 Jun 6.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">A novel minimally invasive technique for spinal cord untethering. Tredway TL, Musleh W, Christie SD, Khavkin Y, Fessler RG, Curry DJ. Neurosurgery. 2007 Feb;60(2 Suppl 1):ONS70-4; discussion ONS74.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Miller-Dieker syndrome associated with tight filum terminale. Chen SJ, Peng SS, Kuo MF, Lee WT, Liang JS. Pediatr Neurol. 2006 Mar;34(3):228-30.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Occult tight filum terminale syndrome: results of surgical untethering. Albright AL. Pediatr Neurosurg. 2005 Jan-Feb;41(1):58; author reply 59-60.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Occult tight filum terminale syndrome: results of surgical untethering. Wehby MC, O&#8217;Hollaren PS, Abtin K, Hume JL, Richards BJ. Pediatr Neurosurg. 2004 Mar-Apr;40(2):51-7; discussion 58.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Management of tight filum terminale. Komagata M, Endo K, Nishiyama M, Ikegami H, Imakiire A. Minim Invasive Neurosurg. 2004 Feb;47(1):49-53.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Patients with urinary incontinence often benefit from surgical detethering of tight filum terminale. Sel\u00e7uki M, Unl\u00fc A, U\u011fur HC, Soyg\u00fcr T, Arikan N, Sel\u00e7uki D. Childs Nerv Syst. 2000 Mar;16(3):150-4; discussion 155.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Management of tight filum terminale syndrome with special emphasis on normal level conus medullaris (NLCM). Sel\u00e7uki M, Co\u015fkun K. Surg Neurol. 1998 Oct;50(4):318-22; discussion 322.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Urodynamic evaluation of tethered cord syndrome including tight filum terminale: prolonged follow-up observation after intraspinal operation. Fukui J, Kakizaki T. Urology. 1980 Nov;16(5):539-52.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">The so-called tight filum terminale syndrome. UIHLEIN A. Minn Med. 1959 Apr;42(4):394-8.<\/li>\n<\/ol>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">4. \u810a\u67f1\u5074\u5f2f\u75c7(Scoliosis)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u810a\u67f1\u5074\u5f2f\u75c7\u306f\u80cc\u9aa8\u304c\u5074\u65b9\u306b\u5f2f\u66f2\u3059\u308b\u75c5\u6c17\u3067\u3001\u5168\u810a\u67f1X\u7dda\u691c\u67fb(\u6b63\u9762\u30fb\u5074\u9762)\u3068\u547c\u3070\u308c\u308b\u691c\u67fb\u3067\u7279\u5b9a\u3001\u7d4c\u904e\u89b3\u5bdf\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n<p>\u810a\u67f1\u5074\u5f2f\u75c7\u3092\u75c5\u56e0\u5b66\u7684\u306b\u5206\u3051\u308b\u3068\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n<h3 style=\"padding-left: 30px; text-align: justify;\">4.1. <strong> \u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7<\/strong><\/h3>\n<div style=\"padding-left: 30px;\" align=\"center\">\n<p>\u5b9a\u7fa9\uff1a\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u306f\u3001\u80cc\u9aa8\u304c\u5074\u65b9\u306b\u5f2f\u66f2\u3059\u308b\u539f\u56e0\u4e0d\u660e\u306e\u75c5\u6c17\u3067\u3059\u3002\u7537\u6027\u3088\u308a\u3082\u5973\u6027\u306e\u65b9\u304c\u7f79\u60a3\u7387\u306f\u9ad8\u304f\u3001\u6210\u9577\u671f\u306b\u591a\u304f\u307f\u3089\u308c\u307e\u3059(Hip\u00f3crates sIV a.c.)\u3002<\/p>\n<p>\u8a18\u8ff0\uff1a\u810a\u67f1\u5074\u5f2f\u75c7\u306b\u3064\u3044\u3066\u306e\u8a18\u8ff0\u306f\u3001\u30d2\u30dd\u30af\u30e9\u30c6\u30b9\u306e\u201c\u6574\u5fa9\u8853(Instruments of Reduction)\u201d\u3067\u521d\u3081\u3066\u7d39\u4ecb\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u547d\u540d\uff1a\u30ac\u30ec\u30ce\u30b9(129-199)\u306b\u3088\u3063\u3066\u810a\u67f1\u5074\u5f2f\u75c7\u3068\u547d\u540d\u3055\u308c\u305f\u307b\u304b\u3001\u810a\u67f1\u5f8c\u5f2f\u75c7\u3001\u810a\u67f1\u524d\u5f2f\u75c7\u306e\u7528\u8a9e\u3082\u751f\u307f\u51fa\u3055\u308c\u307e\u3057\u305f\u3002\u30ac\u30ec\u30ce\u30b9\u306e\u201c\u95a2\u7bc0\u306b\u3064\u3044\u3066\u201d\u306e\u4e00\u7bc0\u306b\u3001\u30d2\u30dd\u30af\u30e9\u30c6\u30b9\u304c\u69d8\u3005\u306a\u810a\u690e\u306e\u8131\u81fc\u306b\u3064\u3044\u3066\u8a00\u53ca\u3057\u3066\u3044\u305f\u3068\u306e\u8a18\u8ff0\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop alignnone wp-image-1505 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/escoliosis_idiopatica.jpg\" alt=\"escoliosis_idiopatica\" width=\"256\" height=\"253\" \/><\/div>\n<\/div>\n<p style=\"text-align: center;\"><em>\u56f3<\/em><em>5<\/em><em>\u3000\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u60a3\u8005\u306e<\/em><em>MRI\u753b\u50cf(\u51a0\u72b6\u9762)\u3002\u810a\u9ac4\u304c\u810a\u67f1\u7ba1\u306b\u5f53\u305f\u3063\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u810a\u9ac4\u306b\u5f37\u3044\u727d\u5f15\u304c\u304b\u304b\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/em><\/p>\n<p>\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u306e\u898b\u89e3:<\/p>\n<ol start=\"1\">\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">\u5f93\u6765\u306e\u898b\u89e3\uff1a\u508d\u810a\u690e\u7b4b\u306e\u4e0d\u5747\u8861\u3001\u976d\u5e2f\u306e\u5909\u6027\u3001\u60aa\u3044\u59ff\u52e2\u3001\u91cd\u529b\u3084\u7b4b\u52d5\u4f5c\u306b\u3088\u308b\u810a\u9ac4\u306e\u53cd\u5fdc\u3001\u5148\u5929\u6027\u4ee3\u8b1d\u7570\u5e38\u3001\u795e\u7d4c\u5b66\u7684\u7570\u5e38\u306b\u3088\u3063\u3066\u80cc\u9aa8\u304c\u66f2\u304c\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae\u306b\u3088\u308b\u898b\u89e3\uff1a\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u306f\u3001\u7dca\u5f35\u6027\u7d42\u7cf8(MRI\u306a\u3069\u306e\u753b\u50cf\u3067\u306f\u660e\u3089\u304b\u306b\u306a\u3089\u306a\u3044)\u304c\u5f15\u304d\u8d77\u3053\u3059\u810a\u9ac4\u306e\u5f15\u3063\u5f35\u308a=\u727d\u5f15\u304b\u3089\u306e\u56de\u907f\u3001\u307e\u305f\u306f\u88dc\u511f\u306e\u7d50\u679c\u3001\u80cc\u9aa8\u304c\u5074\u65b9\u306b\u5f2f\u66f2\u3057\u3066\u3044\u307e\u3059\u3002\u7279\u767a\u6027\u306e\u810a\u67f1\u524d\u5f2f\u75c7\u3001\u810a\u67f1\u5f8c\u5f2f\u75c7\u3001\u810a\u690e\u306e\u751f\u7406\u7684\u5f2f\u66f2\u306e\u6d88\u5931\u306a\u3069\u3082\u539f\u56e0\u306f\u540c\u3058\u3067\u3059\u3002<\/li>\n<\/ol>\n<h3 style=\"padding-left: 30px;\"><\/h3>\n<h3 style=\"padding-left: 30px;\">4.2. <strong>\u4e8c\u6b21\u6027\u810a\u67f1\u5074\u5f2f\u75c7<\/strong><\/h3>\n<p style=\"text-align: justify; padding-left: 30px;\">\u4e8c\u6b21\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u306f\u816b\u760d\u3001\u5916\u50b7\u6027\u3001\u611f\u67d3\u6027\u306a\u3069\u304c\u539f\u56e0\u3067\u3001\u80cc\u9aa8\u304c\u5074\u65b9\u306b\u5f2f\u66f2\u3059\u308b\u75c5\u6c17\u3067\u3059\u3002<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1504 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/Hamilton_y_Schmidt.jpg\" alt=\"Hamilton_y_Schmidt\" width=\"79\" height=\"193\" \/><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1503 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/descenso_amigdalar_02.jpg\" alt=\"descenso_amigdalar_02\" width=\"263\" height=\"62\" \/><\/div>\n<p style=\"text-align: center;\"><em>\u56f3<\/em><em>6<\/em><em>\u3000\u810a\u67f1\u3068\u810a\u9ac4\u306e\u4f4d\u7f6e\u3092\u793a\u3057\u305f\u56f3\u3002\u810a\u9ac4\u304c\u810a\u67f1\u304b\u3089\u7a81\u51fa\u3057\u3066\u3044\u308b\u7a00\u306a\u4f8b<\/em><em>(<\/em><em>\u60a3\u8005\u306f\u5065\u5728<\/em><em>)<\/em><em>\u3067\u3001<\/em><em>Hamilton<\/em><em>\u3068<\/em><em>Schmidt<\/em><em>\u304c\u63d0\u793a\u3057\u305f\u3068<\/em><em>Roth\u304c\u8ad6\u6587\u5185\u3067<\/em><em>\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002<\/em><\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">5. \u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4(Arnold Chiari I Syndrome)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u306f\u3001\u5c0f\u8133\u306e\u4e0b\u306e\u90e8\u5206\u306e\u5c0f\u8133\u6241\u6843\u304c\u5927\u5f8c\u982d\u5b54\u304b\u3089\u810a\u67f1\u7ba1\u3078\u4e0b\u5782\u3059\u308b\u75c5\u6c17\u3067\u3001\u3042\u308b\u6587\u732e\u306b\u3088\u308c\u3070\u4e0b\u5782\u304c3mm\u4ee5\u4e0a\u30845mm\u4ee5\u4e0a\u3067\u306a\u3051\u308c\u3070\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u3068\u8a8d\u3081\u306a\u3044\u3082\u306e\u3001\u307e\u305f\u306f\u4e0b\u5782\u304c0mm\u3067\u3082\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u3068\u8a3a\u65ad\u3059\u308b\u3082\u306e\u3084\u3001\u5c0f\u8133\u6241\u6843\u3078\u306e\u5f71\u97ff\u304c\u307f\u3089\u308c\u3001\u306a\u304a\u304b\u3064\u75c7\u72b6\u304c\u51fa\u3066\u3044\u308b\u5834\u5408\u306b\u8a3a\u65ad\u3055\u308c\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u8a18\u8ff0\uff1a1883\u5e74\u306b\u30b9\u30b3\u30c3\u30c8\u30e9\u30f3\u30c9\u306e\u30d1\u30fc\u30b9\u30b7\u30e3\u30fc\u51fa\u8eab\u306e\u89e3\u5256\u5b66\u8005\u3001\u5916\u79d1\u533b\u306eJohn Cleland (1835-1925)\u304c\u3001\u6c34\u982d\u75c7\u3001\u8133\u7624\u3001\u4e8c\u5206\u810a\u690e\u3001\u810a\u9ac4\u88c2\u3092\u60a3\u3046\u5150\u7ae5\u60a3\u8005\u304b\u3089\u5c0f\u8133\u866b\u90e8\u3068\u5c0f\u8133\u6241\u6843\u3001\u7b2c4\u8133\u5ba4\u306e\u4f38\u9577\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u5f8c\u30011891\u5e74\u30681896\u5e74\u306b\u30cf\u30f3\u30b9\u30fb\u30ad\u30a2\u30ea(Hans Chiari)\u304c\u65b0\u3057\u3044\u75c7\u4f8b\u3068\u305d\u306e\u5206\u985e\u3092\u767a\u8868\u30011894\u5e74\u306bJulius Arnold\u304c\u666e\u53ca\u306b\u8ca2\u732e\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>\u547d\u540d\uff1aSchwalbe\u3068Gredig\u304c1907\u5e74\u306b\u201c\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u5947\u5f62\u201d\u3068\u547d\u540d\u3057\u307e\u3057\u305f\u304c\u30011992\u5e74\u306b\u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)\u304c\u5b9a\u3081\u305f\u75c5\u6c17\u306e\u540d\u79f0\u3068\u5206\u985e\u8868(\u75be\u75c5\u53ca\u3073\u95a2\u9023\u4fdd\u5065\u554f\u984c\u306e\u56fd\u969b\u7d71\u8a08\u5206\u985e\u7b2c10\u7248)\u306b\u3088\u308c\u3070\u3001\u73fe\u5728\u306e\u6b63\u5f0f\u540d\u79f0\u306f\u3001\u201c\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u201d\u3001\u307e\u305f\u306f\u201c\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c5\u201d\u3068\u5b9a\u3081\u3089\u308c\u3066\u3044\u307e\u3059(Q07.0, CIE-10)\u3002\u4e00\u65b9\u3001\u73fe\u5728\u3067\u3082\u7b46\u8005\u306b\u3088\u3063\u3066\u306f\u201c<strong>\u30ad\u30a2\u30ea\u5947\u5f62<\/strong>\u201d\u3084\u201c<strong>\u30ad\u30a2\u30ea<\/strong>\u201d\u3001\u201c<strong>\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4<\/strong>\u201d\u3068\u306e\u8868\u8a18\u304c\u898b\u3089\u308c\u307e\u3059\u304c\u3001\u305d\u308c\u306f\u6b63\u5f0f\u540d\u79f0\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u201c\u30a2\u30fc\u30ce\u30eb\u30c9\u201d\u3092\u7701\u7565\u3059\u308b\u3053\u3068\u3067\u3001\u201c\u30ad\u30a2\u30ea\u30fb\u30d5\u30ed\u30f3\u30e1\u30eb(Chiari-Frommel)\u75c7\u5019\u7fa4\u201d\u3084\u201c\u30d0\u30c3\u30c8\u30fb\u30ad\u30a2\u30ea(Budd-Chiari)\u75c7\u5019\u7fa4\u201d\u3001\u307e\u305f\u201c\u30ad\u30a2\u30ea\u9aa8\u76e4\u9aa8\u5207\u308a\u8853\u201d\u3068\u6df7\u4e71\u3057\u3066\u3057\u307e\u3046\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u907f\u3051\u308b\u3079\u304d\u3067\u3059\u3002<\/p>\n<p>\u7f79\u60a3\u7387\uff1a1000\u4eba\u306b1\u4eba\u306e\u5272\u5408\u3067\u767a\u75c7\u3059\u308b\u3068\u3044\u3046\u8457\u8005\u3082\u3044\u308c\u3070\u3001\u4eba\u53e3\u306e1%\u4ee5\u4e0b\u3060\u3068\u8a00\u53ca\u3059\u308b\u8457\u8005\u3082\u3044\u307e\u3059\u3002\u3069\u3061\u3089\u306b\u3057\u3066\u3082\u3001\u5c0f\u8133\u6241\u6843\u306e\u4e0b\u5782\u304c3mm\u307e\u305f\u306f5mm\u4ee5\u4e0a\u306b\u8a2d\u5b9a\u3055\u308c\u305f\u5834\u5408\u306e\u6570\u5024\u3067\u3059\u3002<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop aligncenter wp-image-1502 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/descenso_amigdalar.jpg\" alt=\"descenso_amigdalar\" width=\"203\" height=\"236\" \/><\/p>\n<p style=\"text-align: center;\"><em>\u56f3<\/em><em>7<\/em><em>\u3000\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea<\/em><em>I\u578b\u75c7\u5019\u7fa4\u306b\u304a\u3051\u308b\u5c0f\u8133\u6241\u6843\u306e\u4e0b\u5782\u3092\u8868\u3057\u305f\u56f3\u3002\u5c0f\u8133\u304c\u810a\u67f1\u7ba1\u5185\u306b\u843d\u3061\u8fbc\u3080\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u5c0f\u8133\u306e\u4e0a\u90e8\u306b\u30b9\u30da\u30fc\u30b9\u304c\u3067\u304d\u3066\u3044\u307e\u3059\u3002<\/em><\/p>\n<p>\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u306e\u5206\u985e\u3067\u306f\u3001\u5f93\u6765\u306e4\u3064\u306b\u52a0\u3048\u3001\u8fd1\u5e74\u65b0\u3057\u3044\u5206\u985e2\u3064\u304c\u52a0\u3048\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p><strong>I\u578b\uff1a\u4ed6\u306e<\/strong><strong>\u795e\u7d4c\u7cfb<\/strong><strong>\u5947\u5f62\u304c\u898b\u3089\u308c\u306a\u3044<\/strong><strong>\u5c0f\u8133\u6241\u6843\u4e0b\u5782<\/strong><\/p>\n<p><strong>II<\/strong><strong>\u578b\uff1a\u810a\u9ac4\u3092<\/strong><strong>\u810a\u67f1\u7ba1\u306b\u56fa\u5b9a\u3055\u305b\u308b\u795e\u7d4c\u7cfb\u5947\u5f62\u304c\u898b\u3089\u308c\u308b\u5c0f\u8133\u6241\u6843\u4e0b\u5782<\/strong><\/p>\n<p><strong>III<\/strong><strong>\u578b\uff1a<\/strong><strong>\u8133\u7624\u3068\u3044\u3063\u305f\u8133\u306e\u7570\u5e38\u304c\u898b\u3089\u308c\u308b\u5c0f\u8133\u6241\u6843\u4e0b\u5782<\/strong><\/p>\n<p><strong>IV<\/strong><strong>\u578b\uff1a\u5c0f\u8133\u30c6\u30f3\u30c8\u5f62\u6210\u4e0d\u5168\u306a\u3069\u306e\u5c0f\u8133\u5f62\u6210\u4e0d\u5168\u304c\u898b\u3089\u308c\u308b\u5c0f\u8133\u6241\u6843\u4e0b\u5782<\/strong><\/p>\n<p>\u8fd1\u5e74\u52a0\u3048\u3089\u308c\u305f\u5206\u985e\uff1a<\/p>\n<p><strong>0<\/strong><strong>\u578b\uff1a<\/strong><strong>\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u306f\u898b\u3089\u308c\u306a\u3044\u304c\u3001\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea<\/strong><strong>I<\/strong><strong>\u578b<\/strong><strong>\u75c7\u5019\u7fa4\u7279\u6709\u306e\u75c7\u72b6\u304c\u898b\u3089\u308c\u308b\u3082\u306e<\/strong><\/p>\n<p><strong>1,5<\/strong><strong>\u578b<\/strong><strong>\uff1a\u8133\u5e79\u306e\u5927\u5f8c\u982d\u5b54\u5185\u3078\u306e\u7a81\u51fa\u3092\u4f34\u3046\u5c0f\u8133\u6241\u6843\u4e0b\u5782<\/strong><\/p>\n<p><strong>\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u306e\u75c5\u56e0\u5b66<\/strong><\/p>\n<p>\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u306f\u3001\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u306b\u95a2\u9023\u3059\u308b\u3042\u308b\u5947\u5f62\u304c\u810a\u9ac4\u3092\u5f15\u3063\u5f35\u308b\u3053\u3068\u3067\u810a\u9ac4\u306b\u727d\u5f15\u304c\u304b\u304b\u308a\u3001\u5c0f\u8133\u6241\u6843\u304c\u4e0b\u5782\u3057\u307e\u3059\u3002\u4e00\u65b9\u3001\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u306eI\u578b\u3067\u898b\u3089\u308c\u308b\u5f62\u614b\u5b66\u7684\u5909\u5316\u306f\u3001\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u306e\u307f\u3067\u3059\u3002\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u306e\u898b\u89e3\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n<p>1.\u5f93\u6765\u306e\u898b\u89e3\uff1a<\/p>\n<p>a.\u6d41\u4f53\u529b\u5b66\uff1a\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u306f\u9ac4\u6db2\u5faa\u74b0\u7570\u5e38\u304c\u539f\u56e0\u3067\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>b.\u5947\u5f62\u306b\u3088\u308b\u3082\u306e\uff1a\u5f8c\u982d\u84cb\u7aa9\u306e\u5bb9\u7a4d\u304c\u666e\u901a\u306e\u4eba\u3088\u308a\u5c0f\u3055\u3044\u3053\u3068\u3067\u3001\u5c0f\u8133\u304c\u810a\u67f1\u7ba1\u5185\u306b\u843d\u3061\u8fbc\u307f\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>2.\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae\u306b\u3088\u308b\u898b\u89e3\uff1a\u7dca\u5f35\u6027\u7d42\u7cf8(MRI\u306a\u3069\u306e\u753b\u50cf\u3067\u306f\u660e\u3089\u304b\u306b\u306a\u3089\u306a\u3044)\u304c\u5f15\u304d\u8d77\u3053\u3059\u810a\u9ac4\u306e\u5f15\u3063\u5f35\u308a=\u727d\u5f15\u306b\u3088\u3063\u3066\u3001\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u306b\u304a\u3044\u3066\u75c7\u72b6\u306f\u69d8\u3005\u3067\u3001\u305d\u306e\u6570\u306f100\u7a2e\u985e\u4ee5\u4e0a\u306b\u3082\u306e\u307c\u308a\u307e\u3059\u3002\u3053\u3053\u3067\u306f\u7279\u306b\u983b\u7e41\u306b\u78ba\u8a8d\u3055\u308c\u308b\u75c7\u72b6\u3092\u591a\u3044\u9806\u306b\u5217\u6319\u3057\u307e\u3059\u3002<\/p>\n<p>\u982d\u75db\u3001\u9838\u75db\u3001\u624b\u8db3\u306e\u9ebb\u75fa\u3001\u8996\u899a\u969c\u5bb3\u3001\u624b\u8db3\u306e\u75bc\u75db\u3001\u611f\u899a\u7570\u5e38\u3001\u3081\u307e\u3044\u3001 \u56a5\u4e0b\u969c\u5bb3\u3001\u8170\u75db\u3001\u8a18\u61b6\u969c\u5bb3\u3001\u6b69\u884c\u969c\u5bb3\u3001\u80f8\u75db\u3001\u5e73\u8861\u611f\u899a\u969c\u5bb3\u3001\u75db\u899a\u7570\u5e38\u3001\u8a00\u8a9e\u969c\u5bb3\u3001\u62ec\u7d04\u7b4b\u969c\u5bb3\u3001\u4e0d\u7720\u75c7\u3001\u5614\u5410\u3001\u5931\u795e\u3001\u9707\u3048.<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop aligncenter wp-image-1501 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/Chiari_I_malformation.jpg\" alt=\"Chiari_I_malformation\" width=\"423\" height=\"198\" \/><\/div>\n<p style=\"text-align: center;\"><em><em>\u56f38\u30008\u30f6\u6708\u6642\u306820\u30f6\u6708\u6642\u306e\u60a3\u8005\u306eMRI\u753b\u50cf\u3002\u5c0f\u8133\u6241\u6843\u4e0b\u5782\u304c\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002\u51fa\u5178\uff1aHuang P.&#8221;Acquired&#8221;Chiari I malformation. J.Neurosurg. (1994).<\/em><\/em><\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">6. \u810a\u9ac4\u7a7a\u6d1e\u75c7(Syringomyelia)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306f\u810a\u9ac4\u5185\u306b\u7a7a\u6d1e\u304c\u3067\u304d\u308b\u75c5\u6c17\u3067\u3001\u75c7\u72b6\u306f\u810a\u9ac4\u640d\u50b7\u306b\u3088\u308b\u3082\u306e\u304c\u4e3b\u3067\u3001\u7279\u306b\u6e29\u5ea6\u306b\u5bfe\u3057\u3066\u306e\u611f\u899a\u7570\u5e38\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<p>\u8a18\u8ff0\uff1a\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306b\u3064\u3044\u3066\u306e\u8a18\u8ff0\u306f\u30011546\u5e74\u306e\u30a8\u30c6\u30a3\u30a8\u30f3\u30cc(Estienne)\u306b\u3088\u308b\u201cLa dissection des parties du corps humain diuisee en trois liures(\u30b7\u30e3\u30eb\u30eb\u30fb\u30a8\u30c6\u30a3\u30a8\u30f3\u30cc\u306e\u4eba\u4f53\u89e3\u5256\u6240\u6ce8\u91c8\u66f8)\u201d\u3067\u521d\u3081\u3066\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u547d\u540d\uff1a1824\u5e74\u306b\u30d1\u30ea\u306b\u3066\u89e3\u5256\u5b66\u8005\u306eCharles Prosper Ollivier d\u2019Angers (1796\u20131845)\u304c&#8221;Trait\u00e9 de la moelle epini\u00e8re et ses maladies&#8221;\u5185\u3067\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3068\u547d\u540d\u3057\u307e\u3057\u305f\u3002<\/p>\n<p>\u7f79\u60a3\u7387\uff1a\u4eba\u53e3100\u4e07\u4eba\u306b\u5bfe\u3057\u3001\u60a3\u800584\u540d\u3002<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop aligncenter wp-image-1500 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/isquemia_traccion_filum_terminale.jpg\" alt=\"isquemia_traccion_filum_terminale\" width=\"205\" height=\"192\" \/><\/div>\n<p style=\"text-align: center;\"><em>\u56f3<\/em><em>9<\/em><em>\u3000\u7d42\u7cf8\u306e\u727d\u5f15\u3067\u810a\u9ac4\u304c\u865a\u8840\u72b6\u614b\u306b\u306a\u308a\u3001\u58ca\u6b7b\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u56f3\u3002\u810a\u9ac4\u5185\u306b\u9593\u8cea\u6db2\u304c\u73fe\u308c\u3001\u7a7a\u6d1e\u304c\u5f62\u6210\u3055\u308c\u307e\u3059\u3002<\/em><\/p>\n<p>\u75c5\u56e0\u5b66\u306b\u3088\u308b\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306e\u5206\u985e<\/p>\n<p style=\"padding-left: 30px; text-align: justify;\"><strong>A.\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7<\/strong><strong>(<\/strong><strong>\u307e\u305f\u306f\u4e00\u6b21\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7<\/strong><strong>)<\/strong><strong>\uff1a<\/strong>\u810a\u9ac4\u5185\u306b\u7a7a\u6d1e\u304c\u3067\u304d\u308b\u539f\u56e0\u4e0d\u660e\u306e\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3002<\/p>\n<p>\u4ee5\u4e0b\u304c\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3067\u983b\u7e41\u306b\u78ba\u8a8d\u3055\u308c\u308b\u75c7\u72b6\u3067\u3059\u3002\u591a\u3044\u9806\u306b\u5217\u6319\u3057\u307e\u3059\u3002<\/p>\n<p>\u624b\u8db3\u306e\u75bc\u75db\u3001\u9838\u75db\u3001\u6e29\u899a\u7570\u5e38\u3001\u75db\u899a\u7570\u5e38\u3001\u8170\u75db\u3001\u80f8\u75db\u3001\u982d\u75db\u3001\u6b69\u884c\u969c\u5bb3\u3001\u9ebb\u75fa\u3001\u62ec\u7d04\u7b4b\u969c\u5bb3<\/p>\n<p>\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306e\u898b\u89e3<\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">\u6d41\u4f53\u529b\u5b66\uff1a\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306e\u7a7a\u6d1e\u306f\u3001\u9ac4\u6db2\u5faa\u74b0\u969c\u5bb3\u304c\u539f\u56e0\u3067\u8d77\u3053\u308a\u307e\u3059\u3002<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">\u5947\u5f62\u306b\u3088\u308b\u3082\u306e\uff1a\u5f8c\u982d\u84cb\u7aa9\u306e\u5bb9\u7a4d\u304c\u666e\u901a\u306e\u4eba\u3088\u308a\u5c0f\u3055\u3044\u3053\u3068\u3067\u3001\u5c0f\u8133\u304c\u810a\u67f1\u7ba1\u5185\u306b\u843d\u3061\u8fbc\u307f\u3001\u9ac4\u6db2\u5faa\u74b0\u7570\u5e38\u3092\u8d77\u3053\u3057\u3001\u810a\u9ac4\u5185\u306b\u810a\u9ac4\u304c\u6d41\u308c\u3066\u7a7a\u6d1e\u304c\u5f62\u6210\u3055\u308c\u307e\u3059\u3002<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae\u306b\u3088\u308b\u898b\u89e3\uff1a\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306e\u7a7a\u6d1e\u306f\u3001\u7dca\u5f35\u6027\u7d42\u7cf8(MRI\u306a\u3069\u306e\u753b\u50cf\u3067\u306f\u660e\u3089\u304b\u306b\u306a\u3089\u306a\u3044)\u304c\u5f15\u304d\u8d77\u3053\u3059\u810a\u9ac4\u306e\u5f15\u3063\u5f35\u308a=\u727d\u5f15\u306b\u3088\u3063\u3066\u810a\u9ac4\u5185\u304c\u865a\u8840\u72b6\u614b\u306b\u306a\u308a\u3001\u795e\u7d4c\u7d44\u7e54\u306e\u58ca\u6b7b\u3092\u3082\u305f\u3089\u3057\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u810a\u9ac4\u5185\u306b\u9593\u8cea\u6db2\u304c\u73fe\u308c\u3001\u7a7a\u6d1e\u304c\u5f62\u6210\u3055\u308c\u307e\u3059\u3002\u7a7a\u6d1e\u304c\u60aa\u5316\u3059\u308b\u3068\u3001\u7a7a\u6d1e\u5468\u8fba\u306e\u7a7a\u9593\u3084\u4e0a\u8863\u7ba1\u306b\u9ac4\u6db2\u304c\u6f0f\u308c\u3001\u7a7a\u6d1e\u5185\u306e\u9593\u8cea\u6db2\u304c\u9ac4\u6db2\u306b\u5165\u308c\u66ff\u308f\u308a\u307e\u3059\u3002<\/li>\n<\/ol>\n<p style=\"padding-left: 30px; text-align: justify;\"><strong>B. <\/strong><strong>\u4e8c\u6b21\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7<\/strong><\/p>\n<p>\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae\u306b\u3088\u308b\u898b\u89e3\uff1a\u4e8c\u6b21\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306f\u3001\u816b\u760d\u3001\u5916\u50b7\u3001\u611f\u67d3\u306a\u3069\u306b\u3088\u3063\u3066\u810a\u9ac4\u5185\u306b\u9593\u8cea\u6db2\u306e\u3064\u307e\u3063\u305f\u7a7a\u6d1e\u304c\u73fe\u308c\u307e\u3059\u3002\u3053\u306e\u7a7a\u6d1e\u306f\u304a\u305d\u3089\u304f\u816b\u760d\u3001\u5916\u50b7\u3001\u611f\u67d3\u306a\u3069\u306e\u9ad8\u4fb5\u8972\u306e\u5f71\u97ff\u306b\u3088\u308b\u3082\u306e\u3001\u3042\u308b\u3044\u306f\u5727\u8feb\u3084\u727d\u5f15\u3001\u3082\u3057\u304f\u306f\u305d\u306e3\u3064\u306e\u3044\u305a\u308c\u304b\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u810a\u9ac4\u5b9f\u8cea\u306e\u58ca\u6b7b\u304c\u8d77\u3053\u308a\u3001\u5f62\u6210\u3055\u308c\u305f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">7.\u305d\u306e\u4ed6\u306e\u95a2\u9023\u75be\u60a3<\/h2>\n<\/div>\n<p>* <strong>\u6241\u5e73\u982d\u84cb\u5e95<\/strong><strong>(<strong>Platybasia<\/strong><\/strong><strong>)<\/strong><strong>\uff1a<\/strong>\u6241\u5e73\u982d\u84cb\u5e95\u306f\u3001\u982d\u5e95\u89d2\u307e\u305f\u306fBoogaard\u89d2\u304c\u958b\u304d\u3001\u982d\u84cb\u5e95\u304c\u5e73\u5766\u306b\u306a\u308b\u9aa8\u306e\u7570\u5e38\u306e\u3053\u3068\u3092\u6307\u3057\u307e\u3059\u3002\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<sup>\u00ae<\/sup>\u306b\u3088\u308b\u3068\u3001\u3053\u306e\u9aa8\u306e\u5909\u5f62\u306f\u9aa8\u306e\u672a\u6210\u719f\u307e\u305f\u306f\u9aa8\u7d44\u7e54\u306e\u7834\u58ca\u306b\u3088\u308b\u5c55\u6027\u9aa8\u3068\u3001\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u810a\u9ac4\u727d\u5f15\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u305f\u529b\u304c\u540c\u6642\u306b\u5b58\u5728\u3057\u305f\u6642\u306b\u8d77\u3053\u308a\u307e\u3059\u3002<\/p>\n<p>* <strong>\u982d\u84cb\u5e95\u9665\u5165\u75c7<\/strong><strong>(<strong>Basilar Impression<\/strong><\/strong><strong>)<\/strong><strong>\uff1a<\/strong>\u982d\u84cb\u5e95\u9665\u5165\u75c7\u306f\u3001\u9838\u690e\u306e\u9aa8\u304c\u5927\u5f8c\u982d\u5b54\u5185\u306b\u7a81\u51fa\u3057\u3001\u305d\u306e\u5f8c\u7e01\u304c\u982d\u84cb\u5e95\u306b\u9665\u5165\u3059\u308b\u3053\u3068\u3067\u8d77\u3053\u308a\u3001\u982d\u84cb\u5e95\u3092\u901a\u5e38\u3068\u306f\u9006\u306e\u30c9\u30fc\u30e0\u578b\u306b\u5909\u5f62\u3055\u305b\u307e\u3059\u3002\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<sup>\u00ae<\/sup>\u306b\u3088\u308b\u3068\u3001\u6241\u5e73\u982d\u84cb\u5e95\u3068\u540c\u69d8\u3053\u306e\u9aa8\u306e\u5909\u5f62\u306f\u3001\u9aa8\u306e\u672a\u6210\u719f\u307e\u305f\u306f\u9aa8\u7d44\u7e54\u306e\u7834\u58ca\u306b\u3088\u308b\u5c55\u6027\u9aa8\u3068\u3001\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u810a\u9ac4\u727d\u5f15\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u305f\u529b\u304c\u540c\u6642\u306b\u5b58\u5728\u3057\u305f\u6642\u306b\u8d77\u3053\u308a\u307e\u3059\u3002<\/p>\n<p>* <strong>\u6b6f\u7a81\u8d77\u5f8c\u5c48<\/strong><strong>(<strong>Retroflexed Odontoid<\/strong><\/strong><strong>)<\/strong><strong>\uff1a<\/strong>\u6b6f\u7a81\u8d77\u5f8c\u5c48\u306f\u9838\u690e\u4e0a\u90e8\u306b\u3042\u308b\u6b6f\u7a81\u8d77\u306e\u5947\u5f62\u3067\u3001\u6b6f\u7a81\u8d77\u306e\u5f8c\u5c48\u306b\u3088\u3063\u3066\u5468\u8fba\u306e\u795e\u7d4c\u7d44\u7e54\u304c\u5909\u4f4d\u3001\u5727\u7e2e\u3055\u308c\u307e\u3059\u3002\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<sup>\u00ae<\/sup>\u306b\u3088\u308b\u3068\u3001\u6b6f\u7a81\u8d77\u5f8c\u5c48\u306f\u810a\u9ac4\u727d\u5f15\u306b\u3088\u3063\u3066\u3082\u305f\u3089\u3055\u308c\u305f\u5f37\u3044\u56de\u907f\u306e\u529b\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3001\u95a2\u7bc0\u3001\u7b4b\u8089\u976d\u5e2f\u7d50\u5408\u90e8\u3001\u810a\u67f1\u306e\u8fd1\u4f4d\u7aef\u90e8\u3092\u5909\u5f62\u3055\u305b\u307e\u3059\u3002<\/p>\n<p>* <strong>\u8133\u5e79\u306e\u3088\u3058\u308c<\/strong><strong>(<strong>Angulation of the brain stem<\/strong><\/strong><strong>)<\/strong><strong>\uff1a<\/strong>\u8133\u5e79\u306e\u3088\u3058\u308c\u306f\u6a4b\u3068\u810a\u9ac4\u9593\u304c\u524d\u306b\u5909\u4f4d\u3059\u308b\u3053\u3068\u3067\u8d77\u3053\u308a\u3001\u7279\u306b\u91cd\u75c7\u60a3\u8005\u306e\u4f8b\u3067\u306f\u6241\u5e73\u982d\u84cb\u5e95\u3001\u982d\u84cb\u5e95\u9665\u5165\u75c7\u3001\u6b6f\u7a81\u8d77\u5f8c\u5c48\u306a\u3069\u3092\u4f34\u3044\u307e\u3059\u3002\u5f53\u7814\u7a76\u6240\u306e\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<sup>\u00ae<\/sup>\u306b\u3088\u308b\u3068\u3001\u8133\u5e79\u306e\u3088\u3058\u308c\u306f\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u810a\u9ac4\u727d\u5f15\u306b\u3088\u3063\u3066\u5f62\u6210\u3055\u308c\u305f\u5909\u5f62\u3068\u3001\u5f8c\u982d\u7aa9\u5185\u5bb9\u306e\u9aa8\u306e\u5909\u5f62\u306b\u9806\u5fdc\u3059\u308b\u305f\u3081\u306b\u8d77\u3053\u3063\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>*<strong>\u810a\u9ac4\u727d\u5f15\u304c\u539f\u56e0\u306e\u4ed6\u306e\u75c5\u6c17\uff1a<\/strong>\u591c\u5c3f\u75c7\u3001\u690e\u9593\u677f\u7a81\u51fa\u3001\u690e\u9593\u95a2\u7bc0\u75c7\u3001\u68d8\u7a81\u8d77\u63a5\u89e6\u75c7\u3001\u8907\u6570\u306e\u690e\u9593\u677f\u75c7\u3001\u8133\u8840\u7ba1\u969c\u5bb3\u3001\u795e\u7d4c\u5fc3\u7406\u5b66\u7684\u5909\u5316\u3001\u30db\u30eb\u30e2\u30f3\u7570\u5e38\u306a\u3069<\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">8.\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4(Neuro-Cranio-Vertebral Syndrome)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306f\u3001\u7570\u5e38\u7d42\u7cf8\u306e\u727d\u5f15(\u5916\u898b\u4e0a\u306f\u7570\u5e38\u306a\u3057)\u306b\u3088\u3063\u3066\u8133\u3001\u8133\u5e79\u3001\u810a\u9ac4\u3001\u982d\u84cb\u3001\u810a\u67f1\u3092\u542b\u3080\u5168\u795e\u7d4c\u7cfb\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u75c7\u72b6\u3084\u5146\u5019\u3092\u307e\u3068\u3081\u305f\u3082\u306e\u3067\u3059\u3002\u810a\u9ac4\u727d\u5f15\u3092\u5f15\u304d\u8d77\u3053\u3059\u306e\u306f\u3001\u7570\u5e38\u7d42\u7cf8(\u7d42\u7cf8\u75c5)\u3068\u3044\u3046\u5148\u5929\u6027\u306e\u3082\u306e\u3001\u307e\u305f\u306f\u816b\u760d\u3084\u640d\u50b7\u306a\u3069\u306b\u3088\u3063\u3066\u810a\u67f1\u7ba1\u3084\u810a\u67f1\u7ba1-\u810a\u9ac4\u7d42\u7cf8\u9593\u3092\u5909\u5f62\u3055\u305b\u308b\u5f8c\u5929\u6027\u306e\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u8a18\u8ff0\uff1a\u521d\u3081\u3066\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306b\u3064\u3044\u3066\u8a00\u53ca\u3057\u305f\u306e\u306f\u3001\u30df\u30b2\u30eb-\u30d0\u30a6\u30c6\u30a3\u30b9\u30bf\u30fb\u30ed\u30e8-\u30b5\u30eb\u30d0\u30c9\u30fc\u30eb(Miguel Bautista Royo Salvador)\u6c0f\u3067\u3001\u4ee5\u4e0b\u306b\u8a18\u8ff0\u3002<\/p>\n<p>Royo Salvador M.B.(1996) Siringomielia, escoliosis y malformaci\u00f3n de Arnold-Chiari idiop\u00e1ticas. Etiolog\u00eda com\u00fan, <em>Rev Neurol<\/em>, Vol. 24, pp. 937-959.<\/p>\n<p>Royo Salvador M.B. (1996) Impresi\u00f3n basilar, platibasia, retroceso odontoideo, kinking del tronco cerebral, etiolog\u00eda com\u00fan con la siringomielia, escoliosis y malformaci\u00f3n de Arnold-Chiari idiop\u00e1ticas, <em>Rev Neurol<\/em>, Vol. 24, pp.1241-1250<\/p>\n<p>\u547d\u540d\uff1a\u30df\u30b2\u30eb-\u30d0\u30a6\u30c6\u30a3\u30b9\u30bf\u30fb\u30ed\u30e8-\u30b5\u30eb\u30d0\u30c9\u30fc\u30eb(Miguel Bautista Royo Salvador)\u6c0f\u306b\u3088\u3063\u3066\u547d\u540d\u3001\u4ee5\u4e0b\u306e\u5b66\u4f1a\u3001\u8b1b\u6f14\u4f1a\u3067\u767a\u8868\u3002<\/p>\n<p>2009\u5e743\u67086\u65e5\u30fb7\u65e5\u3000\u30b9\u30da\u30a4\u30f3(\u30de\u30c9\u30ea\u30c3\u30c9)\uff1a\u201cS\u00edndrome Neuro-Cr\u00e1neo-Vertebral, Escoliosis, Chiari, Siringomielia. Secci\u00f3n del filum terminale\u201d. XIX Jornadas de Fisioterapia de la ONCE. El Sistema craneosacro como unidad biodin\u00e1mica.<\/p>\n<p>2011\u5e7410\u670814\u65e5\u3000\u30a4\u30bf\u30ea\u30a2(\u30b7\u30c1\u30ea\u30a2\u5cf6)\uff1a\u201cS\u00edndrome Neuro-Craneo-Vertebral\u201d. IV Riunione \u201cChiari &amp; Scoliosis &amp; Syringomyelia Foundation\u201d.<\/p>\n<p>2011\u5e7411\u670812\u65e5\u3000\u30a4\u30bf\u30ea\u30a2(\u30c8\u30ea\u30a8\u30b9\u30c6)\uff1a\u201cS\u00edndrome Neuro-Craneo-Vertebrale cronica, acuta, subclinica. Resultati di 400 casi operati di SEZIONE DEL FILUM TERMINALE\u201d. V Riunione \u201cChiari &amp; Scoliosis &amp; Syringomyelia Foundation\u201d.<\/p>\n<p>2012\u5e743\u670817\u65e5\u3000\u30a4\u30bf\u30ea\u30a2(\u30aa\u30ea\u30b9\u30bf\u30fc\u30ce)\uff1a\u201cS\u00edndrome Neuro-Craneo-Vertebrale. Resultati di casi operati di SEZIONE DEL FILUM TERMINALE\u201d. VI Riunione \u201cChiari &amp; Scoliosis &amp; Syringomyelia Foundation\u201d.<\/p>\n<p>2012\u5e745\u67088\u65e5\u3000\u30b9\u30da\u30a4\u30f3(\u30d0\u30eb\u30bb\u30ed\u30ca)\uff1a\u201cEl nuevo S\u00edndrome Neuro-Cr\u00e1neo-Vertebral. La enfermedad m\u00e1s frecuente\u201d. Ciclo de Charlas divulgativas CIMA (Centro Internacional Medicina Avanzada).<\/p>\n<p>\u75c7\u72b6\uff1a\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306f\u3001\u73fe\u5728\u307e\u3067\u7279\u767a\u6027\u3068\u3057\u3066\u77e5\u3089\u308c\u3066\u3044\u305f\u4e00\u3064\u307e\u305f\u306f\u8907\u6570\u306e\u75c5\u6c17\u3068\u3044\u3046\u5f62\u3067\u73fe\u308c\u307e\u3059\u3002\u4ee5\u4e0b\u304c\u305d\u306e\u75c5\u6c17\u3067\u3059\u3002\u73fe\u5728\u307e\u3067\u307b\u3068\u3093\u3069\u95a2\u9023\u4ed8\u3051\u3089\u308c\u305a\u3001\u533b\u5b66\u306e\u6b74\u53f2\u4e0a\u3067\u3082\u305d\u308c\u305e\u308c\u7570\u306a\u308b\u6642\u671f\u306b\u8a18\u8ff0\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u3001\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u982d\u84cb\u5e95\u9665\u5165\u75c7\u3001\u6b6f\u7a81\u8d77\u5f8c\u5c48\u3001\u8133\u5e79\u306e\u306d\u3058\u308c\u3001\u6241\u5e73\u982d\u84cb\u5e95\u3001\u810a\u690e\u306e\u4e0d\u6574\u5217(\u810a\u67f1\u5f8c\u5f2f\u75c7\u3001\u56de\u8ee2\u6027\u5074\u5f2f\u3001\u810a\u67f1\u524d\u5f2f\u75c7\u3001\u810a\u690e\u6574\u5217\u306e\u6d88\u5931)\u3001\u795e\u7d4c\u5fc3\u7406\u5b66\u7684\u7570\u5e38\u3001\u8133\u5c0f\u8840\u7ba1\u75c5\u3001\u690e\u9593\u677f\u75c7\u3001\u690e\u9593\u95a2\u7bc0\u75c7\u3001\u591c\u5c3f\u75c7<\/p>\n<p>\u7f79\u60a3\u7387\uff1a\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u3001\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u810a\u67f1\u5f8c\u5f2f\u75c7\u3001\u56de\u8ee2\u6027\u5074\u5f2f\u3001\u305d\u306e\u4ed6\u306e\u95a2\u9023\u3057\u305f\u75c5\u6c17\u306e\u65b0\u57fa\u6e96\u306b\u5f93\u3046\u3068\u3001\u7f79\u60a3\u7387\u306f\u4e16\u754c\u4eba\u53e3\u306e20%\u4ee5\u4e0a\u306b\u9054\u3059\u308b\u3068\u898b\u8fbc\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" class=\"img-thumbnail imgtop aligncenter wp-image-1499 size-full\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2015\/05\/expresion_sintomatica.jpg\" alt=\"expresion_sintomatica\" width=\"234\" height=\"237\" \/><\/div>\n<p style=\"text-align: center;\"><em><em>\u56f3<em>10<\/em><em>\u3000\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u3067\u306f\u3001\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea<\/em><em>I\u578b<\/em><em>\u75c7\u5019\u7fa4\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306e<\/em><em>3<\/em><em>\u3064\u306e\u75c5\u6c17\u306e\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002<\/em><\/em><\/em><\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">9. \u7d42\u7cf8\u75c5(Filum Disease)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u7d42\u7cf8\u75c5\u306f\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u5f62\u614b\u304b\u3089\u6210\u308a\u3001\u5148\u5929\u7684\u306a\u7d42\u7cf8\u306e\u7570\u5e38\u306b\u3088\u308a(\u5916\u898b\u4e0a\u306f\u7570\u5e38\u306a\u3057)\u3001\u810a\u9ac4\u3068\u795e\u7d4c\u7cfb\u304c\u5f15\u3063\u5f35\u3089\u308c\u308b\u3053\u3068\u3067\u767a\u75c7\u3057\u307e\u3059\u3002<\/p>\n<p>\u547d\u540d\u65e5\uff1a2013\u5e742\u670816\u65e5\u3000\u30d0\u30fc\u30ea(\u30a4\u30bf\u30ea\u30a2)\u3067\u884c\u308f\u308c\u305f\u7b2c7\u56de\u56fd\u969b\u533b\u5e2b\u60a3\u8005\u96c6\u4f1a\u3067\u767a\u8868<\/p>\n<p>\u201cFilum System<sup>\u00ae<\/sup>\u201d. Resultati in Sindrome d\u00b4Arnold Chiari, Siringomielia e Scoliosi idiopatiche(\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<sup>\u00ae<\/sup>\u306e\u6210\u679c\uff1a\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u3001\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7)\u201d<\/p>\n<p>\u7f79\u60a3\u7387\uff1a\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u3001\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u810a\u67f1\u5f8c\u5f2f\u75c7\u3001\u810a\u67f1\u524d\u5f2f\u75c7\u3001\u56de\u8ee2\u6027\u5074\u5f2f\u3001\u305d\u306e\u4ed6\u306e\u95a2\u9023\u75be\u60a3\u306e\u65b0\u57fa\u6e96\u306b\u5f93\u3046\u3068\u3001\u7f79\u60a3\u7387\u306f\u4e16\u754c\u4eba\u53e3\u306e\u7d0420%\u4ee5\u4e0a\u306b\u9054\u3059\u308b\u3068\u898b\u8fbc\u307e\u308c\u307e\u3059\u3002<\/p>\n<div style=\"background: #642851; height: auto; padding-left: 20px; padding: 1em; margin-top: 2em;\">\n<h2 style=\"color: #fff; font-size: 2em;\">10. \u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0(Filum System<sup>\u00ae<\/sup>)<\/h2>\n<\/div>\n<p>\u5b9a\u7fa9\uff1a\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0(Filum System<sup>\u00ae<\/sup>)\u306f14\u306e\u6cbb\u7642\u8a08\u753b\u3092\u307e\u3068\u3081\u305f\u3082\u306e\u3067\u3001\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4(\u5148\u5929\u6027\u3067\u306a\u3044\u3082\u306e\u3082\u542b\u3081)\u306e\u6cbb\u7642\u3067\u9069\u7528\u300121\u5e74\u9593\u3067860\u540d\u4ee5\u4e0a\u306e\u60a3\u8005\u3055\u3093\u304c\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u305f\u3002<\/p>\n<p>\u547d\u540d\u65e5\uff1a2013\u5e742\u670816\u65e5\u3000\u30d0\u30fc\u30ea(\u30a4\u30bf\u30ea\u30a2)\u3067\u884c\u308f\u308c\u305f\u7b2c7\u56de\u56fd\u969b\u533b\u5e2b\u60a3\u8005\u96c6\u4f1a\u3067\u767a\u8868<\/p>\n<p>\u201cFilum System<sup>\u00ae<\/sup>\u201d. Resultati in Sindrome d\u00b4Arnold Chiari, Siringomielia e Scoliosi idiopatiche(\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0<sup>\u00ae<\/sup>\u306e\u6210\u679c\uff1a\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30ea\u75c7\u5019\u7fa4\u3001\u7279\u767a\u6027\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u7279\u767a\u6027\u810a\u67f1\u5074\u5f2f\u75c7)\u201d<\/p>\n<p>\u767b\u9332\uff1aNo.3.046.839 (\u56fd\u969b\u5546\u6a19\u767b\u9332\u756a\u53f7)\u3001No. 011562725 (\u6b27\u5dde\u5546\u6a19\u767b\u9332\u756a\u53f7).<\/p>\n<p>\u767b\u9332\u7533\u8acb\u65e5\uff1a2012\u5e749\u670826\u65e5\u3000\u767b\u9332\u8a8d\u53ef\u65e5\uff1a2013\u5e742\u67084\u65e5<\/p>\n<p>\u767b\u9332\u5546\u6a19\u6240\u6709\u8005\uff1a\u30df\u30b2\u30eb-\u30d0\u30a6\u30c6\u30a3\u30b9\u30bf\u30fb\u30ed\u30e8-\u30b5\u30eb\u30d0\u30c9\u30fc\u30eb(Miguel Bautista Royo Salvador)<\/p>\n<div align=\"center\">\n<p style=\"text-align: center;\"><a class=\"btn btn-default fade-hover\" href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/publicaciones\/dr-royo\/\u810a\u67f1\u75c7\u5019\u7fa4\u304a\u3088\u3073\u95a2\u9023\u75be\u60a3\u306e\u5b9a\u7fa9.pdf\" target=\"_blank\" rel=\"noopener\"> \u30c0\u30a6\u30f3\u30ed\u30fc\u30c9<\/a><\/p>\n<\/div>\n","protected":false},"featured_media":117855,"template":"","class_list":["post-117853","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\uff5c\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240<\/title>\n<meta name=\"description\" content=\"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u6982\u5ff5\u3092\u89e3\u8aac\u3057\u3001\u7d42\u7cf8\u306e\u7570\u5e38\u306a\u727d\u5f15\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30ad\u30a2\u30ea\u5947\u5f62\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u306e\u95a2\u9023\u795e\u7d4c\u7cfb\u75be\u60a3\u306b\u3064\u3044\u3066\u8aac\u660e\u3002\" \/>\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\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\uff5c\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240\" \/>\n<meta property=\"og:description\" content=\"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u6982\u5ff5\u3092\u89e3\u8aac\u3057\u3001\u7d42\u7cf8\u306e\u7570\u5e38\u306a\u727d\u5f15\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30ad\u30a2\u30ea\u5947\u5f62\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u306e\u95a2\u9023\u795e\u7d4c\u7cfb\u75be\u60a3\u306b\u3064\u3044\u3066\u8aac\u660e\u3002\" \/>\n<meta property=\"og:url\" content=\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/\" \/>\n<meta property=\"og:site_name\" content=\"\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-01T11:21:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"845\" \/>\n\t<meta property=\"og:image:height\" content=\"377\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/\",\"url\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/\",\"name\":\"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\uff5c\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240\",\"isPartOf\":{\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg\",\"datePublished\":\"2026-03-18T23:00:53+00:00\",\"dateModified\":\"2026-04-01T11:21:08+00:00\",\"description\":\"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u6982\u5ff5\u3092\u89e3\u8aac\u3057\u3001\u7d42\u7cf8\u306e\u7570\u5e38\u306a\u727d\u5f15\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30ad\u30a2\u30ea\u5947\u5f62\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u306e\u95a2\u9023\u795e\u7d4c\u7cfb\u75be\u60a3\u306b\u3064\u3044\u3066\u8aac\u660e\u3002\",\"breadcrumb\":{\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#breadcrumb\"},\"inLanguage\":\"jp\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"jp\",\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#primaryimage\",\"url\":\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg\",\"contentUrl\":\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg\",\"width\":845,\"height\":377,\"caption\":\"Enfermedad del Filum\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/institutchiaribcn.com\/jp\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Enfermedades\",\"item\":\"https:\/\/institutchiaribcn.com\/jp\/enfermedades\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u304a\u3088\u3073\u95a2\u9023\u75be\u60a3\u306e\u5b9a\u7fa9\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/#website\",\"url\":\"https:\/\/institutchiaribcn.com\/jp\/\",\"name\":\"Institut Chiari de Barcelona\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/institutchiaribcn.com\/jp\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"jp\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/#organization\",\"name\":\"Institut Chiari de Barcelona\",\"url\":\"https:\/\/institutchiaribcn.com\/jp\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"jp\",\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/10\/cropped-cropped-icsebNavLogo-1.png\",\"contentUrl\":\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/10\/cropped-cropped-icsebNavLogo-1.png\",\"width\":245,\"height\":99,\"caption\":\"Institut Chiari de Barcelona\"},\"image\":{\"@id\":\"https:\/\/institutchiaribcn.com\/jp\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\uff5c\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240","description":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u6982\u5ff5\u3092\u89e3\u8aac\u3057\u3001\u7d42\u7cf8\u306e\u7570\u5e38\u306a\u727d\u5f15\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30ad\u30a2\u30ea\u5947\u5f62\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u306e\u95a2\u9023\u795e\u7d4c\u7cfb\u75be\u60a3\u306b\u3064\u3044\u3066\u8aac\u660e\u3002","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/","og_locale":"en_US","og_type":"article","og_title":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\uff5c\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240","og_description":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u6982\u5ff5\u3092\u89e3\u8aac\u3057\u3001\u7d42\u7cf8\u306e\u7570\u5e38\u306a\u727d\u5f15\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30ad\u30a2\u30ea\u5947\u5f62\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u306e\u95a2\u9023\u795e\u7d4c\u7cfb\u75be\u60a3\u306b\u3064\u3044\u3066\u8aac\u660e\u3002","og_url":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/","og_site_name":"\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240","article_modified_time":"2026-04-01T11:21:08+00:00","og_image":[{"width":845,"height":377,"url":"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/","url":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/","name":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\uff5c\u30d0\u30eb\u30bb\u30ed\u30ca\u30ad\u30a2\u30ea\u7814\u7a76\u6240","isPartOf":{"@id":"https:\/\/institutchiaribcn.com\/jp\/#website"},"primaryImageOfPage":{"@id":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#primaryimage"},"image":{"@id":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#primaryimage"},"thumbnailUrl":"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg","datePublished":"2026-03-18T23:00:53+00:00","dateModified":"2026-04-01T11:21:08+00:00","description":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u306e\u6982\u5ff5\u3092\u89e3\u8aac\u3057\u3001\u7d42\u7cf8\u306e\u7570\u5e38\u306a\u727d\u5f15\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u30ad\u30a2\u30ea\u5947\u5f62\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u306a\u3069\u306e\u95a2\u9023\u795e\u7d4c\u7cfb\u75be\u60a3\u306b\u3064\u3044\u3066\u8aac\u660e\u3002","breadcrumb":{"@id":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#breadcrumb"},"inLanguage":"jp","potentialAction":[{"@type":"ReadAction","target":["https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/"]}]},{"@type":"ImageObject","inLanguage":"jp","@id":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#primaryimage","url":"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg","contentUrl":"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/06\/enfermedades-implicadas-2.jpg","width":845,"height":377,"caption":"Enfermedad del Filum"},{"@type":"BreadcrumbList","@id":"https:\/\/institutchiaribcn.com\/jp\/%e6%b2%bb%e7%99%82%e5%af%be%e8%b1%a1%e3%81%a8%e3%81%aa%e3%82%8b%e7%97%85%e6%b0%97-%e7%b5%82%e7%b3%b8%e7%97%85%e3%81%a8%e7%a5%9e%e7%b5%8c%e9%a0%ad%e8%93%8b%e8%84%8a%e6%9f%b1%e7%97%87%e5%80%99%e7%be%a4\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/institutchiaribcn.com\/jp\/"},{"@type":"ListItem","position":2,"name":"Enfermedades","item":"https:\/\/institutchiaribcn.com\/jp\/enfermedades\/"},{"@type":"ListItem","position":3,"name":"\u7d42\u7cf8\u75c5\u3068\u795e\u7d4c\u982d\u84cb\u810a\u67f1\u75c7\u5019\u7fa4\u304a\u3088\u3073\u95a2\u9023\u75be\u60a3\u306e\u5b9a\u7fa9"}]},{"@type":"WebSite","@id":"https:\/\/institutchiaribcn.com\/jp\/#website","url":"https:\/\/institutchiaribcn.com\/jp\/","name":"Institut Chiari de Barcelona","description":"","publisher":{"@id":"https:\/\/institutchiaribcn.com\/jp\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/institutchiaribcn.com\/jp\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"jp"},{"@type":"Organization","@id":"https:\/\/institutchiaribcn.com\/jp\/#organization","name":"Institut Chiari de Barcelona","url":"https:\/\/institutchiaribcn.com\/jp\/","logo":{"@type":"ImageObject","inLanguage":"jp","@id":"https:\/\/institutchiaribcn.com\/jp\/#\/schema\/logo\/image\/","url":"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/10\/cropped-cropped-icsebNavLogo-1.png","contentUrl":"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2025\/10\/cropped-cropped-icsebNavLogo-1.png","width":245,"height":99,"caption":"Institut Chiari de Barcelona"},"image":{"@id":"https:\/\/institutchiaribcn.com\/jp\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/institutchiaribcn.com\/jp\/wp-json\/wp\/v2\/enfermedades\/117853","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/institutchiaribcn.com\/jp\/wp-json\/wp\/v2\/enfermedades"}],"about":[{"href":"https:\/\/institutchiaribcn.com\/jp\/wp-json\/wp\/v2\/types\/enfermedades"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/institutchiaribcn.com\/jp\/wp-json\/wp\/v2\/media\/117855"}],"wp:attachment":[{"href":"https:\/\/institutchiaribcn.com\/jp\/wp-json\/wp\/v2\/media?parent=117853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}