Fields of Expertise in
PERIPHERAL NERVOUS SYSTEM SURGERY
UNIVERSITY OF MILAN, ACADEMIC YEAR 2015/2016
DOCTORAL THESIS: SECTION OF EXTRADURAL FILUM TERMINALE FOR OCCULT TETHERED CORD SYNDROME BY TRANSHIATAL APPROACH IN LOCAL ANESTHESIA WITH MICROSURGICAL TECHNIQUE
The data of our INNOVATIVE DIAGNOSTIC AND SURGICAL PROTOCOL, by diagnosing with prone lumbar MRI and surgery with minimally invasive transhiatal approach for the section of the extradural filum terminale with microsurgical technique under local anesthesia, were the subject of the doctoral thesis at the University of Milan.
The patients were divided into two groups, one with a diagnosis of occult tethered cord in Chiari Malformation I or with LLCT (descent of the tonsils from 1 to 4 mm so as not to configure the presence of Chiari Malformation I) and a group with the diagnosis occult tethered cord is not associated with other diseases of the nervous system.
We evaluated the various types of pre and postoperative symptoms and the indices obtained from MRI lumbar prone. There were no complications. Patients a few hours after they were free to ambulate and were discharged the day after surgery.
To give the overall figure, without going into details of the almost sixty pages of the thesis, we report the assessment of global health situation perceived by the patient after surgery, considering the impact on daily activities and then on quality of life in general, at the follow-up visit at six months was reported improvement in 87% of patients.