The Filum disease and the Neuro-Craniovertebral syndrome: definition clinical picture and imaging features

We propose two new ideas, the Filum Disease (FD) and the Neuro-cranio-vertebral disorder (NCVS), that bunch together conditions up to this point thought about idiopathic, for example, Arnold-Chiari Syndrome Type I (ACSI), Idiopathic Syringomyelia (ISM), Idiopathic Scoliosis (IS), Basilar Impression (BI), Platybasia (PTB) Retroflexed Odontoid (RO) and Brainstem Kinking (BSK). We depict the symptomatology, the clinical course and the neurological indications of the new nosological substances just as the progressions noticeable on imaging concentrates in a progression of 373 patients. Our arrangement included 72% ladies with a mean period of 33.66 years; 48% of the patients had a stretch from beginning to determination longer than 10 years and 64% had a dynamic clinical course. The commonest side effects were: migraine 84%, lumbosacral agony 72%, cervical torment 72%, balance
change 72% and paresthesias 70%. The commonest neurological signs were: changed profound ligament reflexes in furthest points 86%, modified profound ligament reflexes in lower limits 82%, adjusted plantar reflexes 73%, diminished grasp quality 70%, adjusted reasonableness to temperature 69%, modified stomach reflexes 68%, positive Mingazzini's
test 66%, modified reasonableness to contact 65% and deviation of the uvula or potentially tongue 64%. The imaging highlights regularly observed were: changed situation of cerebellar tonsils 93%, low-lying Conus medullaris beneath the T12L1 plate 88%, idiopathic scoliosis 76%, numerous circle infection 72% and syringomyelic holes 52%.

Author(s): Miguel B. Royo-Salvador

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