NZer1 wrote:Welcome back Dr. .
Happens to be best and the worst of us, haha!
Paul Thibault may have some insight to the CPn and CCSVI appearances, I'll ask him.
**Can you explain what is dramatic or definite when 'you' see Lyme or CPn?
**Is there a difference between these two?
There may be a situation where the Aust and NZ CCSVI PwMS have a percentage of CPn and Lyme cases that the Northern Latitude doesn't?
nigel, lyme is endemic in many parts of the northeastern US.
a picture is worth a thousand words, and i have not seen a thousand cases of lymes, but here goes.
the thickening of the valve is greater in lyme. it is more echogenic and more diffuse than in ccsvi.
the valve in ccsvi is stiffer. the valve in lyme is not under as much tension and is quite floppy. Also the vein is stiffer in cccsvi. the veins in lymes are quite compliant and dilate tremendously with valvsalva.
i must get those comparative images up on this site.