Goodbye to all that; a short history of CCSVI---
CCSVI debunked!---The end for CCSVI
If all you read were the headlines, you might think that CCSVI was nothing more than a scourge, a fantasy, a vampiric spector that science has, thankfully, stabbed through the heart and removed forever.
It's over. Move along, people. Nothing to see here.
But there is much more going on.
This week, a paper published in a neurological journal showed
"severe extracranial venous anomalies that signficantly impaired normal outflow from the brain" occur in some people with MS.
The full paper, in a provisional pdf, can be viewed here for free:
http://www.biomedcentral.com/content/pdf/1471-2377-13-151.pdf
These scientists do not think CCSVI is over. They're still finding it.
Jeff and I know all about these extracranial venous anomalies that significantly impair the flow of blood from the brain to the heart.
Four and a half years ago, Jeff and I saw that very same problem happening in his body. We were astounded at the MRV images on the computer screen in his doctor's office, which showed slowed collateral circulation and two malformed, stenotic jugular veins.
I put up an image from his magnetic resonance venography on an MS Forum.
You can see in this MRV picture on the left from Stanford, Jeff had no jugular flow on the left side (right on pic), and reduced flow on the right. This is evidenced by the collateral veins that are lit up like Satan's curly fries. This is not normal.
What you should see are straight and open jugular veins, that look like drinking straws. Like the picture on the right. Can you see the difference??? Well, our doctor saw the difference, and we decided to treat Jeff's venous malformation.
In fact, both of the images were taken at Stanford University, by one of the premiere vascular specialists in the world. He and his radiology team would later publish a paper on what healthy normal venous MRV looked like, compared to people with MS. He believes that the kind of collateral circulation and pulsatility found in pwMS could well be damaging to the brain. Here is one of his papers on this.
http://www.ajnr.org/content/33/8/1615.abstract
When Jeff's jugular veins were opened up, the collaterals went away, his cerebral blood flowed through his jugular veins in a timely manner, no more pulsatility. And Jeff's brain has healed. No MS progression. His gray matter looks normal on MRI.
It's hard not to wonder what would have happened if I had simply taken the research to Stanford, where Jeff was treated, and then gone home to live out our days. But I was part of an online MS forum, and we'd been sharing information between pwMS and caregivers. In fact, that was how I first read Dr. Zamboni's published papers.
Maybe the research would have progressed more readily without patient involvement. Maybe the scientific community would have been more accepting of Dr. Zamboni's research, without the media and patient spotlight.
But I doubt it.
And anyway, there's no going back.
I'm sorry for the way neurologists have used patient advocacy to prevail against the science.... but I'm also not sorry. Because I got my energetic, brilliant husband back. And he no longer has heat intolerence, sleep apnea, or crippling fatigue. No MS progression. He's still working more than full days, jogging, biking and living.
CCSVI exists. It impairs blood flow from the brain. It may not affect everyone with MS, and it may be present in normal people. It's showing up in other neurological diseases. There is great debate as to how it should be treated. Jeff's doctor used stents, others have replaced veins, ballooned, used cutting balloons--others believe lifestyle and exercise may be enough, or antibiotics might help. There is no agreement on the best course of treatment, and that has created confusion and controversy.
It's also clouded the fact that there are newly discovered and very obvious venous problems related to neurological disease.
CCSVI exists.
How it is best treated will be debated, but this exploration is not even close to being over.
Joan
