Billmeik wrote:
If progression is related to severity of ccsvi there are two option. 1. You are born with severe ccsvi and the severity of your ms could be predicted from when you are a child.
2. the ccsvi progresses with ms. This is a problem for me because it makes the ccsvi seem like a symptom of the ms, and fixing it doesnt seem like it would matter.
I don't know about #1...it could be that two people, born with the same malformation, may or may not develop m.s. as a result. All the other factors (vit D, epstein barr virus, genetic disposition toward an over-reactive immune reaction toward iron in the brain) could come into play. To me this is one of the few explanations for the presence of CCSVIers in the Buffalo control group.
So I'd say the severity of the CCSVI you are born with cannot entirely predict your m.s. course but that there would be a strong correlation, which is what showed up in the Buffalo results.
For #2, isn't it just as likely that as CCSVI worsens, so worsens the MS? To me it's logical that the brain is upstream of the stenosis...there's a theory and an analogy elsewhere in the body (varicose veins) to how a stenosis will affect an organ upstream...there is no theory as to how a damaged brain affects veins that are downstream from it. Has anyone here come up with one, exactly?