i had a CRANIOCERVICAL DOPPLER DONE in the westmount square medical imaging in Montreal. They say they follow the zamboni's protocol. The only test they offer to diagnose CCSVI is this craniocervical venous doppler. They dont offer neither the extracranial doppler neither the MRV. We all know that a venour doppler is not enougnt to conclude anything.
this is the result a received from them:
Final diagnostic imaging report from DR Jeff CHankowsky he is a neuro radiologist who work at MC Gill Hospital
Craniocervical venous doppler
The examination was perform according to Zamboni protocol, evaluating the cervical, jugular and vertebral venous system, both supine an upright.
Both internal jugular veins demonstrate prominent cardiocentric flow in the supine position, wich is normal. Very tiny amounts of reflux are seen
lasting less than 0,25 seconds, wich is normal. In the upright position, both internal jugular veins collapsed significantly, wich is an expected finding.
No anatomical stenoses nor compressions of the jugular veins are noted.
In the supine position, the vertebral veins demonstrate proper flow toward the heart. However there is a definite left vertebral venous reflux with the head rotated to the right in the supine position. This reflus is sustained and is pathological.
The remainder of the study demonstrates no other fondings that are pathological.
This study demonstrates only one pathological entity, wich is susustained reflux in the vein int he upright position,wich only satisfies one of the five Zamboni's criteria for a positive screening doppler examination. Acording to the recent publication, at least two findings should be present for the study to be consider a positive screening study.
Therefore, this study demonstrates one abnormality, which might be an incidental finding.
Reported by doctor Jeff Chankowsky Mc Gill Hospital
1- how come they tell me i dont encounter the CCSVI criteria for a ccsvi while I only did a doppler that is not an extracranial one... They tell me i dont have ccsvi.... but this test can not be in any way conclusive.
I need your point of view on this!