This Is MS Multiple Sclerosis Community: Knowledge & Support

Hi Cece, this is the first I'm hearing about the renal vein, I'd have to look into it to find out some info.. Is it common that people are finding blockages there? If so is it safe to balloon?

Interesting that you wrote about the hemiazygos and accessory hemiazygos, I would really hope that they're taking the load from the azygos, unfortunately he wasn't able to confirm with me whether they were. Thanks so much for your info and time Cece.

Dr. Sclafani,
Do MS patients risk rejection (by ins. providers) of being treated for NCS if it is considered
part of or associated with CCSVI (CCSVI/MS)?
thank you

That is a risk especially if done during ccsvi treatment. However there is no proven association between nutcracker in and ms. If symptoms of nutcracker are present, I might treat that first and see if the symptoms improved before treatment of ccsvi

_________________
Salvatore JA Sclafani MD
Patient contact: ccsviliberation@gmail.com

Dr. Sclafani, have you seen an occluded azygous vein in any of your CCSVI patients? Or have any other IRs shared images of an occluded azygous vein?

Here's a thread Dr. Sclafani started some time back about nutcracker syndrome in the renal vein: chronic-cerebrospinal-venous-insufficiency-ccsvi-f40/topic19330.html

Yes, i have seen this complication. It is mostly likely caused by thrombosis rather than scarring.

Drug eluding stents and balloons show promise in reducing intimal hyperplasia, but intimal hyperplasia is not common after jugular angioplasty.

There are no drug eluding balloons in the sizes currently used to treat jugular stenoses.

_________________
Salvatore JA Sclafani MD
Patient contact: ccsviliberation@gmail.com

Hi, Dr S,
a patient of yours recently had narrowed internal Jugulars that were very difficult to open.

In these cases do you think that the narrowed section of vein is part of another problem, such as a vascular disease?

The narrowed sections of vein seen in some cases appear to be caused by something as yet unknown?

Regards,
Nigel

Nutcracker compression obstruction of the left renal vein occurs in about 20% of humans, most of whom are not symptomatic. It is called nutcracker syndrome when it is symptomatic. symptoms of renal vein obstruction include fatigue and imbalance, common symptoms in PwMS

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Salvatore JA Sclafani MD
Patient contact: ccsviliberation@gmail.com

nigel, we have a semantic issue here. Narrowing of the vein is a vascular disease. i am sure you mean something more specific. what is it.

i think that the case in question was similar to the other cases of stenosis. Sometimes it just is a stronger stenosis in the malformation.

_________________
Salvatore JA Sclafani MD
Patient contact: ccsviliberation@gmail.com

I am going to see Dr Paul Thibault in Australia and have a Doppler check of my Veins in a week or two. He is the one who DXed the CPn Bacterial infection of my 'brain'.
I am looking forward to step one of the journey to your operating theatre.
I got the news about the other case and wondered if there is something happening in the Southern Hemisphere?
The Australians are set in their minds about the findings not all being valves etc and it interests me!
The talk some time back from Mike Arata was much the same but opposite, that everything was valves.

So as an observer, I am observing and wanting to get some thinking going and feed back.

Nigel

Thanks once again for your response Dr Sclafani. I discussed your thoughts regarding this type of complication with my surgeon although he does not believe that my case is caused by thrombosis. He also advised that he would be very open to discuss with you the details of my recent procedure and complications regarding the occlusion, for your thoughts and comments. Would it be ok if I included you in an email to him via your ccsviliberation@gmail.com email address in order to initiate this contact?

Another piece of news from FaceBook;
Jenna Mach
Hi Dr. Arata, I am sure you had a chance to see the video and know the theory of Atlas Orthognal; does this have a merit, sounds very convincing and very logical but we have been "showered" with so much logic but nothing seems to be "IT" and yet we go after all what has been served from the "MS ALMOST CURE” Menu. Would appreciate your input, Jenna.
Mike Arata;
Stylocervical compression identified at venography is the most common cause of lack of response with CCSVI treatment. Atlas alignment therapies such as NUCCA seem to relieve stylocervical compression. This leads to conversion of non-responders in most cases. This is the case even if both jugulars are occluded.
https://www.facebook.com/Dr.Arata

Thoughts?

Nigel

I have had two treatments in Australia. After these two, I went and saw Dr Thibault and his sonographer for a follow up, and they could not find any evidence of CCSVI. I was then treated by Dr S in Brooklyn, and he did find evidence using the ultrasound, and also more than one location to treat. NB I am a non responder.

When I go to see Paul this is the sort of info I need to be telling him. He is in favour of IVUS and there isn't interest from the IR's, so its a problem for us all at the end of the day.
The areas that Sal found may not have been detectable with Doppler, eg azygos. Where were the areas Sal found using ultrasound Cure?

Sal are you able to help in this, I want to give Paul the benefit of your experience, even if he doesn't contact you for what ever reason to ask for help!

If Paul doesn't get this feed back nothing will change!

Nigel

Previously Unknown Cleaning System in Brain: Newer Imaging Technique Brings 'Glymphatic System' to Light

"Understanding how the brain copes with waste is critical. In every organ, waste clearance is as basic an issue as how nutrients are delivered. In the brain, it's an especially interesting subject, because in essentially all neurodegenerative diseases, including Alzheimer's disease, protein waste accumulates and eventually suffocates and kills the neuronal network of the brain," said Iliff.
"If the glymphatic system fails to cleanse the brain as it is meant to, either as a consequence of normal aging, or in response to brain injury, waste may begin to accumulate in the brain. This may be what is happening with amyloid deposits in Alzheimer's disease," said Iliff. "Perhaps increasing the activity of the glymphatic system might help prevent amyloid deposition from building up or could offer a new way to clean out buildups of the material in established Alzheimer's disease," he added.

http://www.sciencedaily.com/releases/20 ... 142042.htm