A new post from M. Flanagan;
The Mystery of MS Lesions
uprightdoctor | September 30, 2010 at 8:45 am | Categories: Uncategorized | URL: http://wp.me/p11lYi-wq
The root of the word sclerosis means scar and multiple sclerosis is associated with multiple scars in the brain. Scars being what they are, it is unlikely that either the best upper cervical chiropractic care or surgical liberation procedure will lead to repair of badly damaged scarred tissues.
If you read the comments section you will see that many people with MS lesions recall severe trauma from many years earlier. Only in rare cases do the serious symptoms show up immediately or soon after trauma so no one would even think of looking for lesions in the first year or so after the accident. By the time brain scans are done the scars may be many years old. On the other hand, I had the experiece of treating cases where the signs, symptoms and lesions all started to show up in just about a year. Two of those cases where especially severe and resulted in significant disabilities. In any case, most lesions in MS are permanent scars.
Unfortunately, oftentimes the scars are in bad locations as far as signs and symptoms are concerned. For example, the cervical cord contains all of the long myelinated tracts that pass from higher centers in the brain down to the arms and legs to work the muscles. Damage to these long tracts can cause permanent muscle weakness. The goal in these cases should be to restore function and halt further progression and disability as much as possible.
The lesions or scars of mutliple sclerosis show up as bright spots
called hyperintensity signals on MRI as seen in the brain scan on the right. Hyperintensity signals however are not unique to MS. Strokes and migraine headaches can also cause hyperintensity signals on brain scans in the area of impaired arterial blood flow. MS hyperintesity signals, however, are more characteristically located above the covering over the posterior fossa, which contains the cerebellum as seen in the sketch below. Hence, the covering is called the tentorium cerebelli. Additionally, the hyperintesity signals are often found surrounding the chambers of the brain called ventricles in the periventricualr areas around the core of the brain. The ventricles are the dark shadows in the brain scan above and chambers in the middle of the brain and brainstem seen in the sketch below.
The lesions are also found around the larger dural sinuses of the brain and get progressively smaller as you follow the blood vessels upstream counter-current to blood flow. This is just the opposite of what you would expect if viruses were the cause because viruses follow blood flow so they would tend to show up in areas closer to the source of the stream first, not so much further downstream.
Condsidering all the above it's hard to picture how stenosis in such distant jugular and thoracic veins could cause lesions in to show up predominantly in the higher and core areas of the brain above the tentorium, and not more in the cerebellum down in the basement of the cranial vault called the posterior fossa.
In addition to the brain, MS lesions are also sometimes found the cervical cord as depicted in the old sketch above. In contrast to the core of the brain, however, the lesions in the cord tend to show up on the outside along its flanks which contain the myelinated tracts mentioned above. Rarely ever does MS show up below the shoulders. While MS stops at the shoulders, however, other similar demyelinating diseases show up in the lower cord, such as amytrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease and primary lateral sclerosis (PLS). There is also a variant of MS, called Devic's disease, that is associated with optic neuritis and demyelination in the lower cord. In addition to MS, I also treated patients with demyelinating diseases of the cord. At this time there is nothing anyone can do to stop the devastation in these cases.
Interestingly, while Asians have a lower incidence of MS they do get demyelinating diseases of the cord such as Devic's disease. I believe it has to do with design difference between Caucasian and Asian skull designs. I will be covering demyelinating diseases of the cord on my new website, which is not quite ready for public viewing yet. Suffice it to say that demyelinating diseases of the cord are probably due to similar design problems and circulatory causes as MS.
As far as the cause and location of the lesions of MS are concerned, Schelling's theory makes the most sense. I will be discussing Schelling's theory as to why the lesions show up where they do in my next post. I will also throw some of my own two cents to add to the mix and maybe fill in some of the gaps.
While curing the scars may be difficult or impossible the location of the scars are often in areas that have nothing to do with many of the unusual signs and symptoms associated with MS, such as optic neuritis, trigeminal neuralgia, speech problems, balance problems fatigue etc. Furthermore, lesions don't come and go so they can't aren't the cause of remissions and exacerbations.
Halting the progression of MS and improving signs and symptoms unrelated to the lesions is definitely possible by restoring fluid mechanics in the brain. Upper cervical correction is one way to do it. The liberation procedure is another. Things will get better as we learn more and continue to solve the mystery of MS.
There is something I must add to this. A set of MRI taken monthly, they are mid way down the page of this link;
http://healthworldnet.com/TheCuttingEdg ... re/?C=7561
I am unsure of what Dr. Flanagan means with his views on lesions when they are compared with these MRI's