The Institut Chiari & Siringomielia &
Escoliosis de Barcelona (ICSEB) is a highly specialised private centre that is
concerned with offering advanced solutions on medical and neurosurgical level
for brain and spine diseases.
The Institut first comes into existence in Barcelona,
Spain, in 2007, and is born out of the need of Miguel B. Royo Salvador, MD PhD,
director and founder of the “Institut Neurologic de Barcelona”, for a space
where he could dedicate himself to the three pathologies from that the centre
takes its name: Arnold Chiari Syndrome I, Idiopathic Syringomyelia and
Idiopathic Scoliosis.
In the past 38 years Dr. Royo Salvador has been
developing the theory that identifies spinal cord traction as the ethiopathogenic
cause that is shared by all three diseases (and other associated conditions).
Since 1993 he has been applying the sectioning of the filum terminale surgery
as that treatment that eliminates the cause and subsequently stops the diseases
from progressing.
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| Arnold Chiari I Syndrome, Idiopathic Syringomyelia and Idiopathic Scoliosis share a common cause. |
The Institut Chiari de Barcelona is working with the
mentioned conditions in a highly specialised manner that includes research and
treatment within the new concept that defines the Neuro-Cranio-Vertebral
Syndrome (NCVS) and the Filum Disease (FD).
In September 2012 the Institut Chiari de Barcelona has
registered a set of exclusive clinical and surgical guidelines, the FILUM
SYSTEM®, which is based on our specialists’ experience of more than
600 clinical cases treated with the surgical sectioning of the filum terminale,
a minimally invasive procedure with excellent outcomes.
The aim of this blog is to provide over time a
comprehensive guide to Dr. Royo Salvador’s concept. We want to provide an
insight into the theory, background, method, technique, data and outcomes (objectively
through research and subjectively through the patients’ experiences) that make
up the FILUM SYSTEM ®, the innovative clinical and surgical procedure that is
applied for the diseases included in the NCVS and the FD.
We want to provide a platform for everyone, especially
for patients, their family and friends, but also for everyone who is curious or
interested in the topic professionally, taking advantage of the great tool that
is the Internet to make information available to everyone interested and
contribute to the debate regarding the treatment we offer. If you want to leave
your comments or questions, your are very welcome to do so, observing
conventional netiquette.
i am a physical therapist who performs craniosacral therapy with my patients. I have recently become very interested in the filum terminale tension that i sometimes feel during certain techniques. This research is very confirming to my palpation in certain clients. Thank you for such a great resource.
ReplyDeleteDear Su Cotta, thank you very much indeed for you message, hopefully you will continue to read us and take interesting facts away with you to your work.
DeleteThanks for the information; I've been researching adult scoliosis treatments online for my friend who has a mild case of this disorder that causes him a little bit of discomfort. Do you know of any physical therapy to help alleviate this, or would surgery be the only option?
ReplyDeleteDear Mr.Reynolds, thank you for your interest.
DeleteWe believe that idopathic scoliosis associated to a cord traction syndrome will be responsive to physical therapy once the spinal cord has been freed from the tension by means of the surgical sectioning of the filum terminale.
witam mam skoliozę i jestem zainteresowany operacją przecięcia filum terminale i chciałbym się dowiedzieć ile to mniej więcej kosztuje razem z wizytami kontrolnymi opieką przedoperacyjna i pooperacyjną
ReplyDeleteHi I was told that the tethered cord is the same as the Filum Terminale is this correct? and would you need an MRI of the Brain, Cervical, and Lumbar for review?
ReplyDeleteHello there, thank your for your interest. The Tethered Cord Syndrome is usually associated with a neurovertebral malformation, such as spina bifida and myelomelingocele, that expresses itself externally (predominantly in the lumbar region) and that fixes the spinal cord, whereas the Filum Disease is caused by a congenital abnormality of an apparently normal filum terminale that a applies a traction force on the spinal cord and the rest of the nervous system. The tests required for a first assessment are MRI scans of the brain, cervical, thoracic and lumbosacral spine, plus an x-ray of the whole spine (scoliogram) in front and profile view. Please do not hesitate to contact us at icb@institutchiaribcn.con for more information.
DeleteIt would be nice to see more comments (good and bad) on this page from people that have undergone filum terminale surgery.
ReplyDelete