Understanding the difference: Tethered Cord Syndrome, Occult Tethered Cord Syndrome and the Filum Disease



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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.
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Exploring the Link Between Filum Disease and Fibromyalgia: Insights from ICBEB 2024 in Singapore

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In November 2024, Dr. M. B. Royo-Salvador presented a groundbreaking study titled "Filum Disease Behind Fibromyalgia: A Preliminary Study " at the 13th International Conference on Biomedical Engineering and Biotechnology (ICBEB 2024) in Singapore. This research explores the potential link between Filum Disease and Fibromyalgia Syndrome , conditions that share numerous clinical features. The study involved 25 patients who underwent minimally invasive surgery to section the filum terminale using the Filum System® technique. Findings indicate a high prevalence of shared symptoms, including headaches, neck pain, limb pain, and fatigue , among others. The discussion suggests that spinal cord traction from Filum Disease may impair perfusion and brain metabolism, altering pain sensitivity and leading to spinal sensitization, similar to C entral Sensitivity Syndromes like Fibromyalgia . The study concludes that Filum Disease and Fibromyalgia are likely closely related , sharing ...
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The Filum Disease – Definition (2)

“The Neuro-Cranio-Vertebral Syndrome caused by a congenital anomaly of an apparently normal Filum terminale, which however exerts a traction on the spinal cord and the entire nervous system” We consider the “Filum Disease” to be the condition that is caused by an anomalous traction exerted by the filum terminale ligament on the spinal cord. It finds its expression in form of different diseases which previously in medical history have been described as being independent from each other: the Arnold Chiari I Syndrome , Idiopathic Syringomyelia and Idiopathic Scoliosis , Platybasia , Basilar Invagination , Retroflexed Odontoid , Kinking of the brain stem and nocturnal Enuresis .
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