tested for ccsvi- left jugular reflux but no blockage seen

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

tested for ccsvi- left jugular reflux but no blockage seen

Postby shmea » Wed Sep 01, 2010 2:56 pm

I was tested for CCSVI (ct scan and ultrasound) this morning. No problems found except for mild reflux in the left jugular. They don't know whether a blockage is causing this, maybe under my collar bone where they can't see it. Can't decide whether to go ahead with the venogram based on these results. Any opinions?
By the way all my lesions are on my spine. Some people say this could be linked to the azygos vein. Can azygos vein blockages be missed during a ct scan but be found during a venogram?
I appreciate any input you guys might have on this. Thanks!
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Postby garyak » Wed Sep 01, 2010 3:16 pm

I have very aggressive spinal cord MS. I have had testing in Buffalo and the Hubbard foundation in San Diego this summer. Azygous vein info is hard to analyze without the venogram. I get mine in 3 weeks in San Diego . Boy it seems like a long time yet. My jugulars were the opposite of narrow - wide- but each had a defect found on ultrasound. My reflux was only detected while laying down so I'm hoping my azygous is found to be a problem. I will let you all know.
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Postby Cece » Wed Sep 01, 2010 4:29 pm

Reflux is abnormal. And there has to be something causing it. I'd go for the venogram, it's the only way to really know, and imaging can be quite imperfect anyways. Welcome to thisisms!

Garyak, I didn't know your MS was so aggressive, I'm sorry to read that. Hope your procedure is a massive success.
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Re: tested for ccsvi- left jugular reflux but no blockage se

Postby CureIous » Wed Sep 01, 2010 8:06 pm

shmea wrote:I was tested for CCSVI (ct scan and ultrasound) this morning. No problems found except for mild reflux in the left jugular. They don't know whether a blockage is causing this, maybe under my collar bone where they can't see it. Can't decide whether to go ahead with the venogram based on these results. Any opinions?
By the way all my lesions are on my spine. Some people say this could be linked to the azygos vein. Can azygos vein blockages be missed during a ct scan but be found during a venogram?
I appreciate any input you guys might have on this. Thanks!


Azy's are difficult to image, considering your lesion locations though, it sounds like something worth taking a hard look at. Plus there may be things missed on the jugulars too that would be seen on the veno. Especially under the collarbone. I saw this first hand last year at Stanford, where the ultrasound picked up nothing, the MRV was very indicative of further investigation, and the venogram found much more than that, then other pathologies were identified after another venogram which included an internal ultrasound at the 1 year follow up.

Can't tell you what to do, but if it were me, I wouldn't hesitate. What kind of ultrasound did they use?

Welcome, and please keep us up to date on your progress!

Mark.
RRMS Dx'd 2007, first episode 2004. Bilateral stent placement, 3 on left, 1 stent on right, at Stanford August 2009. Watch my operation video: http://www.youtube.com/watch?v=cwc6QlLVtko, Virtually symptom free since, no relap
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