VIDEO TESTIMONIALS OF PATIENTS OPERATED FOR SECTION OF THE EXTRADURAL FILUM TERMINALE WITH MINI-INVASIVE SURGERY UNDER LOCAL ANESTHESIA.

PATHOLOGIES: tethered cord syndrome and occult tethered cord syndrome may be associated with Low-Lying (1 to 4 mm) Cerebellar Tonsils (LLCT) or Chiari malformation.

SYMPTOMS: Symptoms in the lumbar region and lower limbs rarely prevent normal walking for most patients.

We filmed a few patients who presented preoperative symptoms that did not allow normal walking.
We filmed the patients after undergoing our innovative minimally invasive extradural filum sectioning surgery under local anaesthesia, documenting the immediate benefits.

Case "ZERO" (a milestone for mini-invasive spinal surgery)
65-year-old man

Tethered cord syndrome (S2)
Case "ZERO” is the first mini-invasive surgical treatment of extradural section of the filum terminale under local anesthesia for a patient in a wheelchair due to disabling symptoms that prevented him from walking. 

Case "ZERO" was the subject of a publication of a TECHNICAL CASE REPORT on the innovative mini-invasive surgical technique under local anaesthesia, which we have performed since 2010, in the prestigious international scientific journal:

"OPERATIVE NEUROSURGERY".

PATIENT HISTORY

A 65-year-old Caucasian man complained of dysesthesia and a burning sensation in his lower limbs, which was both spontaneous and triggered by contact with his clothes. He had been unable to walk for 5 months due to severe pain and stiffness in his legs. He suffered from minimal, occasional urinary incontinence and complained about muscle cramps in the supine position that prevented him from sleeping; he was only able to sleep when sitting in a wheelchair.
For this neurological symptomatology, orthopaedic interventions on the knees were suspended due to the presence of severe tricompartmental gonatrosis.
The follow-up after surgery is documented in the video above.

Follow-up after surgery (also see the video above)

A dramatic clinical improvement was observed at the follow-up  appointments at 3 and 6 mo. The patient was no longer bedor wheelchair-ridden; he could sleep in the supine position, was self-sufficient in activities of daily living and was able to walk, albeit for just a few meters. He no longer had dysesthesia and pain in his legs, and he no longer experienced muscle cramps in his legs in the supine position, associated with his posture,  preventing him from being able to sleep. Muscle cramps appeared occasionally in the evening and were of a mild intensity. There was no change in the minimal and occasional urinary incontinence. The active and passive mobilization of his lower limbs did not cause any symptoms and he had no muscle strength deficits.

CASE 1
38-year-old women

Occult tethered cord syndrome.

To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 2
37-year-old women

Occult tethered cord syndrome.
To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 3
48-year-old man

Occult tethered cord syndrome.
To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 4
39-year-old women

Tethered cord syndrome (L2) in patient with Low-Lying (1 to 4 mm) Cerebellar Tonsils (LLCT).

To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 5
33-year-old women

Occult tethered cord syndrome in patient with Ehlers Danlos syndrome, fibromyalgia and small fiber neuropathy.

To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 6
24-year-old women

Occult tethered cord syndrome in patient with Low-Lying (1 to 4 mm) Cerebellar Tonsils (LLCT) and dorsal hydromyelia.
To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 7
13-year-old girl

Occult tethered cord syndrome in patient with cervical and dorsal hydromyelia, orthostatic tremor.

To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 8
38-year-old women

Tethered cord syndrome (L2) and fatty filum terminale.

To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 9
53-year-old women

Occult tethered cord syndrome.
To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 10
44-year-old women

Tethered cord syndrome (L2) in patient with Chiari malformation type I and cervico-dorsal syringomyelia.

To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 11
45-year-old women

Occult tethered cord syndrome in patient with Chiari malformation type I. 
To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 12
31-year-old women

Occult tethered cord syndrome in patient with Low-Lying (1 to 4 mm) Cerebellar Tonsils (LLCT).To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

CASE 13
15-year-old girl

Occult tethered cord syndrome.
To see the video also with English subtitles click on "GUARDA SU YOUTUBE" at the bottom left of the photo

ADVANCED SPINE SURGERY

THE PATIENTS IN THE VIDEOS WERE SUBJECTED TO MINIMALLY INVASIVE SURGERY TO SECTION THE FILUM TERMINAL UNDER LOCAL ANESTHESIA.

THE SURGERY LASTS ABOUT 25 MINUTES; AFTER AN HOUR, THE PATIENT CAN WALK, EAT AND DRINK.

LAST UPDATE 2ND MARCH 2024

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